Key challenges in prehospital and emergency care in Indonesia and Malaysia: a survey of frontline clinicians

Autor: Akio Tokita, Hanako Nunokawa, Keibun Liu, Yuta Iwamoto, Tomohiro Sonoo, Konan Hara, Mikio Nakajima, Kiyomitsu Fukaguchi, Takanori Takeda, Amirudin Sanip, Dafsah A. Juzar, a/l Harvendhar Singh Gurjeet Singh, Lukito Condro, Monalisa Tobing, Muhammad Abdus-Syakur bin Abu Hasan, Nik Hisamuddin Nik Abdul Rahman, Orizanov Mahisa, Ramdinal Aviesena Zairinal, Mohd Khairulizwan bin Ramli, Mohd Afiq Mohd Nor, Tadahiro Goto, Mohd Idzwan bin Zakaria
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Research Notes, Vol 17, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 1756-0500
DOI: 10.1186/s13104-024-06916-3
Popis: Abstract Rapid economic growth in Indonesia and Malaysia has widened the gap in emergency care supply and demand, intensifying challenges. Our study, from August to November 2022, assesses current diverse challenges in both countries' emergency care systems from frontline staff perspectives. The online survey involved emergency department (ED) personnel from 11 hospitals in Indonesia and Malaysia, drawing from an existing network. The survey collected data on respondents’ characteristics, factors affecting prehospital and ED care quality, missing clinical information, and factors influencing patients’ ED stay duration. With 83 respondents from Indonesia and 109 from Malaysia, the study identified common challenges. In both countries, inadequate clinical information from ambulances posed a primary challenge in prehospital care quality, while crowdedness during night shifts affected ED care quality. Frequent gaps in essential clinical information, such as family and medication history, were observed. Prolonged ED stays were associated with diagnostic studies and their turnaround time. This study offers insights into shared challenges in Indonesia and Malaysia's emergency care systems. Our findings stress recognizing common and country-specific challenges for enhanced emergency care quality in Southeast Asia, supporting tailored interventions.
Databáze: Directory of Open Access Journals
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