Effects of the institutional structure and legislative framework on ambulance accidents in developing emergency medical services systems
| Autor: | Semra Çelikli, Ibrahim Catak, Ali Ekşi |
|---|---|
| Přispěvatelé: | HKÜ, 0- Bölüm Yok, Ege Üniversitesi |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
business.industry
lcsh:Medical emergencies. Critical care. Intensive care. First aid Poison control Developing country Human factors and ergonomics Legislature lcsh:RC86-88.9 Ambulance accidents medicine.disease Suicide prevention Occupational safety and health Light and siren protocols Injury prevention Emergency medical services medicine Medical emergency business Ambulance speeding Intersection accidents Research Article |
| Zdroj: | Turkish Journal of Emergency Medicine, Vol 15, Iss 3, Pp 126-130 (2015) Turkish Journal of Emergency Medicine |
| Popis: | WOS: 000374962300006 PubMed ID: 27239610 Objective: Turkey is a developing country undergoing a system change in the prehospital emergency medical services (EMS). The purpose of this study was to evaluate the effects of the institutional structure and legislative framework on the number of ambulance accidents in Turkey. Methods: During the first phase of the study, ambulance accident data was requested and obtained from the Ministry of the Interior. Similarly, data on ambulance numbers were requested and obtained from the Ministry of Health through the Right to Information law. During the second phase of the study, a survey consisting of 112 EMS personnel viewpoints about the effects of the institutional structure and legislative framework on ambulance accidents was conducted using a structured questionnaire. A total of 209 EMS personnel completed the survey. Results: The number of ambulance accidents increased by 42.5% over the last five years, whereas the area of coverage increased by 57.3% during the same period. The rate of EMS personnel experiencing ambulance accidents was 69.4%. When age, sex, and profession variables were considered, the varying profiles of the ambulance operators were found to have no significant effect on the number of ambulance accidents following the system change. Conclusion: The rise in the number of ambulance accidents in Turkey was not significant when compared with the increase in the area of responsibility. The present system change was also found to have no effect on the number of accidents. On the other hand, problematic areas in the institutional structure and the legislative framework increased the risk of accidents. Copyright (C) 2015 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Databáze: | OpenAIRE |
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