Suchergebnisse

Coproduction arrangements are being used in a number of places and in a number of forms. Yet, little research exists on assessing the effectiveness of citizen involve ment in the production of public services, which is the focus of this paper. First, drawing upon organizational theory, a method for determining the effectiveness of coproductive activities is proposed. Then the framework is applied to a citizen volunteer emergency medical response (EMS) organization operating in a small rural community as part of a regional response system. The volunteer group is examined in its relationships to the overall EMS system of which it is part, to specific governmental agencies and private emergency response firms it works with and its own members. Variables considered include its contribution to the needs of the system, cost effectiveness, emergency response capacity, interorganizational compatibility, skill levels of participants, and their motivation for volunteering. The study finds that benefits generated by the citizen group exceed its costs and dis cusses how the group successfully integrated itself into a high-skill regional service delivery system and expanded the services it produces to meet other community needs.

Emergency Medical Services for Children -- Copyright -- Preface -- Acknowledgments -- Contents -- Summary -- RECOGNIZING A NEED FOR EMERGENCY MEDICAL SERVICES FOR CHILDREN -- Origins of the Study and Report -- A Vision of Emergency Medical Services for Children -- Children and Why They Need Special Attention -- Epidemiological Considerations -- Key Historical Developments -- PRIORITY ISSUES IN IMPROVING EMERGENCY MEDICAL SERVICES FOR CHILDREN -- Education and Training -- Programs for the Public -- Programs for Health Care Professionals -- Putting Essential Tools in Place -- Communication -- Public Access to Emergency Services -- Communication Within EMS Systems -- Communication About EMS-C -- Planning, Evaluation, and Research -- Meeting Data Needs for Planning and Evaluation -- Research -- Leadership at the Federal and State Levels -- Agencies and Advisory Councils -- Funding -- LOOKING TO THE FUTURE -- Issues of Benefits and Costs -- A Changing Health Care Environment -- Health Care Reform -- Special Challenges to EMS and EMS-C -- FINAL THOUGHTS -- 1 Introduction -- THE ISSUE: ENSURING EMERGENCY MEDICAL CARE FOR CHILDREN WHO NEED IT -- THE INSTITUTE OF MEDICINE STUDY -- Origins of the Study -- Conduct of the Study -- A VISION OF THE IDEAL SYSTEM: ESTABLISHING CRITICAL LINKAGES -- Linking Components of EMS-C -- Linking Children to EMS -- Linking Emergency Care to Children's Health Care -- GUIDING PRINCIPLES -- ORGANIZATION OF THE REPORT -- AUDIENCE FOR THIS REPORT -- THE COMMITTEE'S GOAL -- NOTE -- 2 Risking Our Children's Health: A Need for Emergency Care -- DEFINITIONS -- Children -- Emergency Medical Services -- WHY CHILDREN NEED SPECIAL ATTENTION -- Children Differ from Adults -- Anatomy and Physiology -- Emotional and Behavioral Development -- Patterns of Morbidity and Mortality -- Special Concerns in Caring for Children.

Emergency Medical Services (EMS) in Iran, named "Emergency 115," was established in 1978 with cooperation from America. In Iran, EMS delivery is financed by the government and is free of charge. Established standards call for a response time of less than eight minutes in cities and less than 15 minutes in suburban areas for 80 of the cases, and this standard has been met everywhere in the country except for Tehran (the capital of Iran). Emergency services coverage for traffic accidents has exceeded 52.3. In recent years, the Foundation of Medical Emergency Schools has established emergency medicine training programs for both EMS personnel and the general public. Also, personnel of the Iran Medical Emergency and Accidents Management Organization are establishing the standards for hospital emergency procedures and providing oversight of the emergency departments in hospitals. Over all, pre-hospital emergency services have made notable advances, and they are continuing to improve.

FrontMatter -- Reviewers -- Foreword -- Preface -- Acknowledgments -- Contents -- Summary -- 1 Introduction -- 2 History and Current State of EMS -- 3 Building a 21st-Century Emergency and Trauma Care System -- 4 Supporting a High-Quality EMS Workforce -- 5 Advancing System Infrastructure -- 6 Preparing for Disasters -- 7 Optimizing Prehospital Care Through Research -- Appendixes -- Appendix A Committee and Subcommittee Membership -- Appendix B Biographical Information for Main Committee and Prehospital Emergency Medical Services Subcommittee -- Appendix C List of Presentations to the Committee -- Appendix D List of Commissioned Papers -- Appendix E Recommendations and Responsible Entities from the Future of Emergency Care Series -- Index.

Mode of access: Internet. ; Author corporate affiliation: National Highway Traffic Safety Administration, Traffic Safety Programs, Washington, D.C. ; Subject code: IQ ; Subject code: RCC

By using a prospective, nation-wide, population-based out-of-hospital cardiac arrest (OHCA) database (All-Japan Utstein Registry, January 1, 2005 to December 31, 2012), we examined the disparity in emergency medical services across Japan and found significant disparities among prefectures. By dividing Japan into seven parts, Hasegawa et al. (2013) analysed regional variability in survival outcomes of OHCA and found a two-fold regional difference in neurologically favourable survival after OHCA. However, seven regions are constructed of North, Northeast, East, Central, Midwest, West, South, and Japan has 47 prefectures. Each prefecture grouped in the same region would be different from others in many aspects. To identify regional disparities more in prehospital care and in-hospital post-resuscitation care, we investigated survival outcomes of OHCA in prefecture levels. As the budgets of central and local governments are not unrestrained but restricted all over the world, the findings in the paper would be beneficial to consider optimal level of regional emergency medical services.

Emergency medical services (EMS) systems provide important benefits to the public. Every day, EMS systems provide immediate medical care in response to individual health emergencies, such as motor vehicle crashes. They also play an important role in responding to disasters that threaten the health and safety of the larger public. Yet EMS does not receive the same recognition and support from policymakers as other services such as police and fire departments. The National Emergency Medical Services Advisory Council has argued that the lack of recognition of EMS as an essential service and publi

Emergency nursing is an essential, integral and indispensable part of the Emergency Medical Services (EMS). The development of various specialties and super specialties in clinical areas including emergency medicine requires skilled and competent nurses. Above all, these nurses must be able to initiate resuscitative measures for emergency victims to save lives. Considering the magnitude of emergency care service needs in India and in line with the Government of India's Plan there is a need for developing the capabilities at all levels to provide effective and efficient care to all emergency victims. This chapter titled "Emergency Nursing - An essential requisite of Emergency Medical Service (EMS)" highlights the education and training needs for nurses in order to keep pace with the advancement in medical science and technology in providing patient care. According to the Government of India's plan, special committees are set up to improve the emergency healthcare service. Nurses are an integral part of the healthcare system and they should be able to cope with the rapidly changing healthcare needs of patients in emergency situations. Nurses need to be trained to meet the emergency healthcare needs; their enhanced skills and competence will enable them to initiate care, make decisions and manage emergency situations independently in order to save lives and limit complications. They should be able to make best use of 'the golden hour' in order to help prevent avoidable deaths in emergencies.

Aim: The purpose of this study was to provide an overview of the evolution of emergency medical services (EMS) in Saudi Arabia to describe its history, organisational service providers, governance, EMS statistics and the educational development of the field with the disparity of educational approaches. Background: The EMS is an important part of the healthcare system as it is often the first point of contact for medical emergencies. The EMS in Saudi Arabia has seen a number of positive changes over the past decade, some of which include the development of several university and college programs dedicated to teaching EMS, the evaluation of the profession from a post-employment first aid model into a pre-employment bachelor's degree model, the generous governmental scholarship grants overseas and the official accreditation of EMS as a profession. It has been approximately nine years since the first EMS bachelor's degree programs were developed in Saudi Arabia, some of which were directly adopted from universities in developed countries such as Australia. Despite these positive changes, the current EMS system in Saudi is faced with many challenges, both organisational and educational, including the lack of research, community involvement, the educational status of practitioners and the inconsistencies of statistics relating to response time and rate of transfer. This paper describes the history of EMS in Saudi Arabia with a specific focus on identifying the disparity in the educational outcomes and approaches adopted by colleges and universities in the Kingdom. Methods: The data utilised for the research of the EMS profession in Saudi Arabia were obtained from the literature using search tools such as MEDLINE, Google Scholar, Saudi health journals, Saudi university websites, government reports and statistics. Conclusion: The EMS profession in Saudi Arabia has advanced greatly in the past 12 years. Yet there is still scope for considerable improvement, especially with regards to developing empirically identified ...

Financial pressures led three local governments & county-supported hospitals in Lee County, Alabama, to study more cost-effective ways of providing emergency medical services. The results may be of value to North Carolina counties with similar demographics & circumstances. Tables, Figures. Adapted from the source document.