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Factors associated with unnecessary requests for an ambulance by non-traumatic patients after the acute earthquake responding phase: a qualitative content analysis
Natural Hazards ( IF 3.3 ) Pub Date : 2020-05-27 , DOI: 10.1007/s11069-020-04069-7
Abbasali Ebrahimian , Hossein Babaei , Ali Fakhr-Movahedi

The pre-hospital emergency staff played a key role in transferring the injured patients to health centers. Usually, they reported changes in their decisions on the transfer of non-traumatic patients to hospitals. So, this study was aimed to explore the reasons for unnecessarily requesting an ambulance by non-traumatic patients after the acute responding-to-earthquake phase. This study was a qualitative study that data were analyzed by content analysis approach. Participants were eleven pre-hospital emergency technicians. Data were collected by three sessions of focus group discussion. Data analysis was led to emergence of a main theme: “feeling urgency due to turmoil and uncertainty.” This theme illustrates the basic approach of the inhabitants of the earthquake-stricken region when unnecessarily requesting an ambulance. This theme was derived from two main categories of “turbulent and uncertain conditions” and “psychological turmoil.” The category of “turbulent and uncertain conditions” was comprised of three subcategories: “unreliable care,” “inadequate facilities” and “turbulent living conditions.” The category of “psychological turmoil” was comprised of three subcategories: “psychological turmoil in survivors,” “healthcare providers deciding under pressure” and “turmoil in providing psychological and psychiatric services.” Ambulance dispatch may be unnecessarily performed owing to turbulent and unsure conditions and psychological turmoil in earthquake-stricken people and pre-hospital emergency staff. Providing earthquake-stricken people with psycho-medical services in their place of residence can significantly reduce the workload of pre-hospital emergency staff and consequently that of hospital staff and therefore save time and treatment costs and increase the quality of health services provided for the injured.



中文翻译:

非创伤患者在急性地震反应阶段后不必要地要求救护车的相关因素:定性分析

院前急救人员在将受伤患者转移到医疗中心方面发挥了关键作用。通常,他们报告了将非创伤患者转移到医院的决定的变化。因此,本研究旨在探讨在急性地震响应期之后非创伤患者不必要地请求救护车的原因。这项研究是定性研究,通过内容分析方法对数据进行了分析。参加者有11名院前急诊技术人员。通过焦点小组讨论的三届会议收集了数据。数据分析导致出现一个主要主题:“由于动荡和不确定性而感到紧迫感。” 本主题说明了地震灾区居民在不必要地要求救护车时的基本方法。该主题源自“动荡且不确定的条件”和“心理动荡”两个主要类别。“动荡和不确定的条件”类别由三个子类别组成:“不可靠的护理”,“设施不足”和“动荡的生活条件”。“心理动荡”的类别包括三个子类别:“幸存者的心理动荡”,“在压力下决定的医疗保健提供者”和“提供心理和精神科服务的动荡”。由于地震灾民和院前急救人员的动荡和不确定的状况以及心理动荡,可能不必要地执行了救护车调度。

更新日期:2020-05-27
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