Costing of an ambulance system in a developing country, Turkey: costs of Ankara Emergency Aid and Rescue Services' (EARS) ambulance system

Altıntaş, Kerim Hakan; Bilir, Nazmi; Tüleylioğlu, M

doi:10.1097/00063110-199912000-00014

Cited by 10 publications

(7 citation statements)

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“…In this study we quantified the burden of medical emergencies (morbidity and case fatality) in Abuja/Keffi, the existing EMRS using input, process, output and outcome indicators and identify options for improvement (Gap Analysis). This is the first study (public or private) to be carried out in Nigeria on emergency medical rescue services, considering the 6 key medical emergency stages [18–20].…”

Section: Discussionmentioning

confidence: 99%

Needs assessment of emergency medical and rescue services in Abuja/Nigeria and environs

2019

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BackgroundNigeria is ranked second highest in the rate of road accidents and other emergencies (Deaths, disabilities) among 193 countries of the world. There is therefore the need for analyzing Emergency Medical Rescue Services (EMRS) in the country to identify options for improvement.MethodThe study was conducted from February, 2016 to March, 2017 in three EMRS organizations (FRSC, NEMA and MAITAMA Hospital) located in Abuja. The structure, resources, process of EMRS activities and outcome (delay times, case fatality as well as victims and service-providers satisfaction with services) were assessed through observation, time measurements and interviews.ResultsFRSC and NEMA offers (Road Traffic Injury) RTI and Disaster services, the ambulances consist of Intensive Care Unit(ICU) buses, Helicopters, Speed boats, motorbikes and other specialized vehicles. Mortality and morbidity recorded for 2016 was 1.1 and 2% respectively. MAITAMA is a specialist centre that offers general medical services. A total number 1227(88.8%) lives were saved during the observational period by three organizations, 60(4.9%) deaths, 132 (9.6%) disabilities, 793 (57.2%) NCDs and 593(42.8%) RTI.ConclusionNon-communicable diseases (NCDs) cause many deaths and morbidities in the developing world compared to infectious diseases. There is need for total revamping and education of EMRS institutions in Nigeria and Low- Middle Income Countries (LMICs). Abuja and its surroundings suffers from delays in rapid emergency services, lack of adequate awareness, functional ambulances, minimal specialists and inadequate consumables lead to the loss of many lives.

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Section: Discussionmentioning

confidence: 99%

Needs assessment of emergency medical and rescue services in Abuja/Nigeria and environs

2019

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“…Reynolds et al Process (3,5,6,9,12,13,14,15,20,21,46,50,53,54,57,64,67,68,69,71,86,93,103) 23 (32) Clinical or population health outcome (3,4,12,14,15,16,17,18,19,22,23,24,28,29,35,36,41,42,43,45,48,49,53,54,57,59,60,61,64,…”

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confidence: 99%

The Impact of Trauma Care Systems in Low- and Middle-Income Countries

Reynolds

Stewart

Drewett

et al. 2017

Annu. Rev. Public Health

131

120

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Injury is a leading cause of death globally, and organized trauma care systems have been shown to save lives. However, even though most injuries occur in low-and middle-income countries (LMICs), most trauma care research comes from high-income countries where systems have been implemented with few resource constraints. Little context-relevant guidance exists to help policy makers set priorities in LMICs, where resources are limited and where trauma care may be implemented in distinct ways. We have aimed to review the evidence on the impact of trauma care systems in LMICs through a systematic search of 11 databases. Reports were categorized by intervention and outcome type and summarized. Of 4,284 records retrieved, 71 reports from 32 countries met inclusion criteria. Training, prehospital systems, and overall system organization were the most commonly reported interventions. Quality-improvement, costing, rehabilitation, and legislation and governance were relatively neglected areas. Included reports may inform trauma care system planning in LMICs, and noted gaps may guide research and funding agendas.

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“…Ambulances delivered prehospital care in slightly over half of rural areas but in the majority of urban areas in the countries surveyed. The absence of transport constitutes an important barrier to receiving health care, but questions have been raised about cost issues around a western-style EMS system [25][26][27]. Our data suggest that ambulances are already in place in most countries, and that the appropriate next step is to utilise them in a way that takes account of limited health care resources.…”

Section: Discussionmentioning

confidence: 94%

An attempt to measure the spread of emergency medicine internationally

et al. 2007

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A survey of international EM is challenging to achieve because of difficulty in both identifying and in contacting potential respondents. Based on sparse data, population density (urban, rural) appears to be related to both the location to which acutely ill patients are taken for their care and to the level of technology available. The specialty of EM is now recognised internationally and education in EM is common.

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Costing of an ambulance system in a developing country, Turkey: costs of Ankara Emergency Aid and Rescue Services' (EARS) ambulance system

Cited by 10 publications

References 0 publications

Needs assessment of emergency medical and rescue services in Abuja/Nigeria and environs

Needs assessment of emergency medical and rescue services in Abuja/Nigeria and environs

The Impact of Trauma Care Systems in Low- and Middle-Income Countries

An attempt to measure the spread of emergency medicine internationally

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