Tyranny of distance and rural prehospital care: Is there potential for a national rural responder network?

Leeuwenburg, Tim; Hall, John R.

doi:10.1111/1742-6723.12432

Cited by 17 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, health service bodies regulating rural doctors may have conducted more recent studies for the purposes of quality improvement but limited their publication to organisational reports. Furthermore, some research has been published as perspectives, such as a 2015 paper published in Emergency Medicine Australasia which included a survey on emergency medicine course attendance and preparedness of rural doctors …”

Section: Discussionmentioning

confidence: 99%

Review article: Managing medical emergencies in rural Australia: A systematic review of the training needs

Pandit

Ray

Sabesan

2018

Emerg Medicine Australasia

View full text Add to dashboard Cite

The aim of the study was to determine the training needs of doctors managing emergencies in rural and remote Australia. A systematic review of Australian articles was performed using MEDLINE (OVID) and INFORMIT online databases from 1990 to 2016. The search terms included 'Rural Health', 'Emergency Medicine', 'Emergency Medical Services', 'Education, Medical, Continuing' and 'Family Practice'. Only peer-reviewed articles, available in full-text that focussed on the training needs of rural doctors were reviewed. Data was extracted using pre-defined fields such as date of data collection, number of participants, characteristics of participants, location and study findings. A total of eight studies published from 1998 to 2006 were found to be suitable for inclusion in the analysis. Six studies cited the results of self-reported questionnaires and surveys, one used a telephone questionnaire on a hypothetical patient and one utilised a theoretical examination. The studies found a significant proportion of participants wanted more emergency training. Junior rural doctors were found to have deficiencies in knowledge about stroke. Emergency skills doctors wanted more training including: emergency ultrasound, paediatric/neonatal procedures and cricothyroidotomy. However, many of the studies were performed by training providers that may benefit from deficient results. Given that the data was over 10 years old and that advances have been made in knowledge, training opportunities and technology, the implications for current training needs of rural doctors in Australia could not be accurately assessed. Thus there is a need for further research to identify current training needs.

show abstract

Section: Discussionmentioning

confidence: 99%

Review article: Managing medical emergencies in rural Australia: A systematic review of the training needs

Pandit

Ray

Sabesan

2018

Emerg Medicine Australasia

View full text Add to dashboard Cite

show abstract

“…Mackay with a population of 76,069 falls into this category. We can therefore state that the services in the major cities in Australia are more reliable than the regional areas (see Hamilton et al, 2010 andLeeuwenburg andHall, 2015).…”

Section: Ambulance Locations In Rural and Urban Areasmentioning

confidence: 98%

The optimal location of ambulance stations in a regional area: The case of Mackay

2017

Syme, G., Hatton MacDonald, D., Fulton, B. And Piantadosi, J. (Eds) MODSIM2017, 22nd International Congress on Modelling and Si

View full text Add to dashboard Cite

The provision of efficient and effective emergency service such as ambulance service is a task faced by most cities and major regional centres. The emergency medical service is very necessary and plays a vital role in reducing death or serious complication from life threatening health incident. Over the years, there have been several major initiatives to improve the access to and quality of emergency care in Queensland. In 2009-2010, public hospital Emergency Departments (ED) in Australia covered about 7.4 million emergency cases of which there were over 3 million ambulance incidents. Mackay is a regional city in Queensland, Australia's east coast. The Mackay Metropolitan which comprises of 24 suburbs is prone to natural disasters such as cyclones and flood. The Mackay region depends highly on emergency services especially during disasters. The current ambulance locations in the Mackay Local Ambulance Service Network (LASN) are significantly underperforming with regard to not meeting the target response time according to Queensland 2014 ambulance report. Early response to emergency calls is important and crucial for human survival. The response time is a function of the distance between the emergency facility and emergency demand. It is therefore important to locate emergency facility such that the distance to be travelled by an ambulance in response to emergency call is minimized. The p-median problem finds the location of p facilities to minimize the demand weighted average or total distance between demand or population and their closest facility. The objective of this study is to discuss the importance of the application of the p-median model to locate emergency stations. We compare existing ambulance stations with the optimal solutions proposed by the p-median location models in the Mackay region. We determine the cost of assessing the facilities that are located using the p-median model and showed the cost saving of the model when optimal locations are compared with locations when facilities are added to the existing ambulance locations optimally.

show abstract

“…Studies have shown that GPs in Ireland, Canada and Australia encounter a variety of emergencies and perform a wide range of interventions [5,6,7]. In another study from Ireland, 36% of GP practices were involved in a cardiac arrest during a 5-year period.…”

Section: Introductionmentioning

confidence: 99%

GP decisions to participate in emergencies: a randomised vignette study

2020

View full text Add to dashboard Cite

Background Little is known about how General Practitioners (GPs) decide whether to participate in emergencies. Aim To test whether GPs participation is associated with cause of symptoms, distance to the patient, other patients waiting and out of hours (OOH) clinic characteristics. Design and Setting Online survey to all Norwegian GPs (n = 4701). Method GPs were randomised to vignettes describing a patient with acute shortness of breath and asked if they would participate in a call-out. The vignettes varied with respect to cause of symptoms (trauma versus illness), distance to the patient (15 versus 45 minutes) and other patients waiting at the OOH clinic (crowding versus no crowding). The survey included questions about OOH clinic characteristics. Results Of the 1013 GPs (22%) that responded, 76% reported that they would participate. The proportion was higher in trauma (83% versus 69%, chi square 24.8, p < 0.001), short distances (80% versus 71%, chi square 9.5, p = 0.002) and no crowding (81% versus 70% chi square 14.6, p < 0.001). Participation was associated with availability of a manned response vehicle (adjusted odds ratio [OR] 2.06, 95% confidence interval [CI] 1.25-3.41), and team training at the OOH clinic once a year (OR 1.78, 95% CI 1.12-2.82) or more than once a year (OR 3.78, 95% CI 1.64-8.68). Conclusion GPs were less likely to participate when the incident was not due to trauma, was far away and when other patients were waiting. A manned response vehicle and regular team training were associated with increased participation.

show abstract

Tyranny of distance and rural prehospital care: Is there potential for a national rural responder network?

Cited by 17 publications

References 13 publications

Review article: Managing medical emergencies in rural Australia: A systematic review of the training needs

Review article: Managing medical emergencies in rural Australia: A systematic review of the training needs

The optimal location of ambulance stations in a regional area: The case of Mackay

GP decisions to participate in emergencies: a randomised vignette study

Contact Info

Product

Resources

About