The impact of an emergency telephone consultation service on the use of ambulances in Tokyo
The impact of an emergency telephone consultation service on the use of ambulances in Tokyo
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DOI：
10.1136/emj.2009.073494
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发表时间：
2011-01-01
影响因子：
3.1
通讯作者：
Ishikawa, Hideki
中科院分区：
文献类型：
--
作者：
Morimura, Naoto;Aruga, Tohru;Ishikawa, Hideki
导言对紧急救护车服务的需求日益增加，导致医疗服务效率低下、临床上不适当，并可能延误向危及生命的病例提供紧急医疗服务。这项研究的假设是，紧急电话咨询服务运营第一年的活动有助于减少非紧急情况下救护车的使用，并降低派遣救护车的相关成本。方法比较东京紧急电话咨询中心(#7119中心)引入前后救护车使用数量和救护车紧急住院病例的数量。还调查了东京各地区公众对#7119中心的知晓度和派遣救护车的相关费用。结果最初一年共进行了26138次咨询。与前一年相比，每百万人使用救护车的次数有所下降(46846之前，44689之后，p
Introduction The increasing demands made on emergency ambulance services contribute to inefficient, clinically inappropriate health care, and may delay the provision of emergency care to life-threatening cases. The hypothesis of this study was that the activity for the first year of operation of an emergency telephone consultation service contributed to a reduction in ambulance use in non-urgent cases and a decrease in the cost associated with despatching ambulances.Methods The numbers of ambulance use and the emergency hospitalisation of ambulance cases were compared before and after the introduction of the Tokyo Emergency Telephone Consultation Centre (the #7119 centre). Public awareness of the #7119 centre in each region of Tokyo and the cost related to despatching ambulances were also investigated.Results A total of 26 138 consultations was performed in the initial year. Compared with the previous year, the number of ambulance uses per 1 million people decreased (before 46 846, after 44689, p