Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments.
Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments.
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DOI：
10.1186/s12913-022-08061-8
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发表时间：
2022-05-13
影响因子：
2.8
通讯作者：
Tuson, Mark
中科院分区：
文献类型：
--
作者：
Brice, Syaribah Noor;Boutilier, Justin J.;Gartner, Daniel;Harper, Paul;Knight, Vincent;Lloyd, Jen;Pusponegoro, Aryono Djuned;Rini, Asti Puspita;Turnbull-Ross, Jonathan;Tuson, Mark
印度尼西亚的院前和急救服务仍在发展中。尽管最近印度尼西亚的医疗保健系统有所改善，但提供院前和急救服务的问题仍然存在。对院前和急诊服务的需求并不是以前研究的主题，因此没有得到充分了解。本研究旨在探讨印尼首都雅加达急诊科病患对紧急医疗服务的利用情况。该研究采用横断面调查设计，涉及五家综合医院（四家政府资助，一家私立）。使用描述性统计分析了每位患者的人口统计资料、医疗条件、治疗时间和到达医院的交通方式。共调查了1964例（62%）患者。患者的中位年龄为44岁，四分位数范围（IQR）为26至58岁。创伤和心血管疾病等危及生命的疾病分别占8.6和6.6%。大多数创伤患者乘坐摩托车或汽车前往医院（59.8%）。只有9.3%的患者使用救护车，38%的患者报告说他们不知道救护车的可用性。与其他交通方式相比，救护车反应时间更长（中位数：24分钟，IQR: 12至54分钟）。神经系统疾病患者的治疗时间最长，中位时间为120分钟（IQR: 78至270分钟）。与不使用救护车的患者相比，使用救护车的患者的费用更高。雅加达紧急救护车使用率低可能是由于病人对医疗症状和救护车服务的存在缺乏认识，以及由于费用高和反应时间长，病人不愿使用救护车。可以通过提高民众对需要使用救护车的症状的认识和减少与使用救护车有关的费用负担来改善紧急救护车服务。在线版本包含补充材料，可在10.1186/s12913-022-08061-8获得。
Pre-hospital and emergency services in Indonesia are still developing. Despite recent improvements in the Indonesian healthcare system, issues with the provision of pre-hospital and emergency services persist. The demand for pre-hospital and emergency services has not been the subject of previous research and, therefore, has not been fully understood. Our research explored the utilization of emergency medical services by patients attending hospital emergency departments in Jakarta, Indonesia. The study used a cross-sectional survey design involving five general hospitals (four government-funded and one private). Each patient’s demographic profile, medical conditions, time to treatment, and mode of transport to reach the hospital were analysed using descriptive statistics. A total of 1964 (62%) patients were surveyed. The median age of patients was 44 years with an interquartile range (IQR) of 26 to 58 years. Life-threatening conditions such as trauma and cardiovascular disease were found in 8.6 and 6.6% of patients, respectively. The majority of patients with trauma travelled to the hospital using a motorcycle or car (59.8%). An ambulance was used by only 9.3% of all patients and 38% of patients reported that they were not aware of the availability of ambulances. Ambulance response time was longer as compared to other modes of transportation (median: 24 minutes and IQR: 12 to 54 minutes). The longest time to treatment was experienced by patients with neurological disease, with a median time of 120 minutes (IQR: 78 to 270 minutes). Patients who used ambulances incurred higher costs as compared to those patients who did not use ambulances. The low utilization of emergency ambulances in Jakarta could be contributed to patients’ lack of awareness of medical symptoms and the existence of ambulance services, and patients’ disinclination to use ambulances due to high costs and long response times. The emergency ambulance services can be improved by increasing population awareness on symptoms that warrant the use of ambulances and reducing the cost burden related to ambulance use. The online version contains supplementary material available at 10.1186/s12913-022-08061-8.
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影响因子：
11.1
作者：
Obermeyer Z;Abujaber S;Makar M;Stoll S;Kayden SR;Wallis LA;Reynolds TA;Acute Care Development Consortium
通讯作者：
Acute Care Development Consortium
影响因子：
13.2
作者：
Alexander, Mariam P.;Dasari, Surendra;Nasr, Samih H.
通讯作者：
Nasr, Samih H.
影响因子：
1.8
作者：
Kusumawati, Happy, I;Magarey, Judy;Rasmussen, Philippa
通讯作者：
Rasmussen, Philippa
影响因子：
1.6
作者：
Brasseur, Edmond;Gilbert, Allison;Ghuysen, Alexandre
通讯作者：
Ghuysen, Alexandre
影响因子：
5.9
作者：
Lam, Sean Shao Wei;Nguyen, Francis Ngoc Hoang Long;Ong, Marcus Eng Hock
通讯作者：
Ong, Marcus Eng Hock