What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review

Autor: S.M.J. van Kuijk, Mohammed E. Moukhyer, H R Haak, H N Moafa, G H L M Franssen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Emergency Medical Services
Critical Care and Emergency Medicine
Ambulances
Transportation
030204 cardiovascular system & hematology
AMBULANCE
Geographical Locations
0302 clinical medicine
Emergency medical services
Medicine and Health Sciences
EPIDEMIOLOGY
Indian Ocean
media_common
Out of hospital
Multidisciplinary
Hospitals
Kuwait
ST-SEGMENT
Scale (social sciences)
ASIAN RESUSCITATION OUTCOMES
Engineering and Technology
Medicine
Medical emergency
RESPONSE-TIMES
Research Article
Asia
Death Rates
media_common.quotation_subject
Science
CARDIAC ARRESTS
Surgical and Invasive Medical Procedures
CINAHL
Medical Services
QATAR
03 medical and health sciences
Population Metrics
medicine
Humans
Quality (business)
Quality of Health Care
Population Biology
business.industry
MORTALITY
Equity (finance)
ELEVATION MYOCARDIAL-INFARCTION
Biology and Life Sciences
030208 emergency & critical care medicine
medicine.disease
Newcastle–Ottawa scale
Health Care
Health Care Facilities
People and Places
TRAUMA PATIENTS
Performance indicator
business
Intubation
Zdroj: PLoS ONE, Vol 14, Iss 12, p e0226230 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundThe Emergency Medical Services (EMS) have been developed in the Arabian Gulf States (AGS) in the last three decades. The EMS needs continuous quality assessment of their performance to improve and provide the best out-of-hospital care. This study aims to assess the quality of EMS in the AGS according to the six quality domains of the Institute of Medicine.MethodsWe searched four databases (i.e., PubMed, EMBASE, Web of Science, and CINAHL) for studies that reported on the quality of EMS in any of the AGS using clinical or non-clinical performance indicators. To quantify study quality and risk of bias, the adapted Newcastle Ottawa Scale was used. We focused on structural and functional indicators, clinical and non-clinical.ResultsTwenty-five studies were eligible for inclusion. One study contained result of safety, fifteen time-centeredness, twenty effectiveness, five patient-centeredness, and thirteen studies reported on equity of EMS. None of the studies reported on efficiency of EMS. A significant proportion of studies showed high scores on the Newcastle-Ottawa scale. Limited studies on EMS quality were available, not covering all relevant quality domains and not covering the whole AGS region. The equity domain showed the best outcome performance finding, whereas finding of the patient-centeredness domain showed room for improvement in the foreseeable future.ConclusionThis review highlights the need for more and better studies of sufficient quality about all domains of quality in EMS in all the AGS. EMS research in Kuwait and Bahrain is warranted, as currently studies of EMS quality are unavailable for these States. Moreover, efficiency researches exploring this discipline should be conducted specially no studies were found has been searching this domain.Trial registrationPROSPERO registration number: CRD42019123896.
Databáze: OpenAIRE
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