BACKGROUND The Irish ambulance services have traditionally transported all patients following an emergency (112/999) call, regardless of acuity, to an emergency department (ED). A proposal to introduce Treat and Referral, an established care pathway in some jurisdictions, is under active consideration in Ireland. This will present a significant change. Stakeholder engagement is recognised as an essential component of management of such change. This study has conducted a multicentre, cross-sectional survey exploring opinions on the introduction of Treat and Referral among key Irish stakeholders; consultants in emergency medicine, paramedics and advanced paramedics. METHODS Public-sector consultants in emergency medicine (EM), registered paramedics and advanced paramedics, in Ireland at the time of the study, were invited to complete an on-line survey. RESULTS A significant finding was that 90% of both cohorts (EM consultants and registered paramedic practitioners) support written after-care instructions being given to referred patients, that > 83% agree that Treat and Referral will reduce unnecessary ambulance journeys and that 70% are in favour of their own family member being offered Treat and Referral. Consensus was reached between respondents that Treat and Referral would improve care and increase clinical judgement of practitioners. Differences were identified in relation to the increased availability of ambulances locally, that only adults should be included, and that research was required to extend Treat and Referral beyond the index conditions. There was no consensus on whether general practitioners (GPs) should be directly informed. CONCLUSIONS This study identified that the Irish healthcare practitioners surveyed are supportive of the introduction of Treat and Referral into Ireland. It also affords healthcare policymakers the opportunity to address the concerns raised, in particular the clinical level which will be targeted for inclusion in this extended scope of practice.

中文翻译：

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利益相关者对将“治疗和转诊”引入爱尔兰紧急医疗服务的提案的意见。

背景技术传统上，爱尔兰救护车服务将所有接到紧急电话（112/999）的患者（无论病情严重程度如何）运送到急诊室（ED）。爱尔兰正在积极考虑引入治疗和转诊的提案，这是一些司法管辖区的既定护理途径。这将带来重大变化。利益相关者的参与被认为是此类变革管理的重要组成部分。本研究进行了一项多中心、横断面调查，探讨爱尔兰主要利益相关者对引入治疗和转介的意见；急诊医学、护理人员和高级护理人员顾问。方法 研究期间，爱尔兰的公共部门急诊医学 (EM) 顾问、注册护理人员和高级护理人员被邀请完成一项在线调查。结果 一个重要的发现是，两个队列中 90% 的人（EM 顾问和注册护理人员）支持向转诊患者提供书面的术后护理说明，> 83% 的人同意治疗和转诊将减少不必要的救护车行程，70% 的人同意治疗和转诊将减少不必要的救护车行程。支持他们自己的家庭成员获得治疗和转介。受访者一致认为治疗和转诊将改善护理并提高从业者的临床判断力。确定了与当地救护车可用性增加有关的差异，即仅应包括成年人，并且需要进行研究以将治疗和转诊范围扩大到指数条件之外。关于是否应直接通知全科医生（GP）尚未达成共识。结论 这项研究发现，接受调查的爱尔兰医疗保健从业者支持将治疗和转诊引入爱尔兰。它还为医疗保健政策制定者提供了解决所提出的问题的机会，特别是临床水平，其目标是纳入这一扩展的实践范围。