Use of IT for effective management of ambulance service in National Health Service

S. Dharmaratne, C. C. James, B. Abeysinghe, R. Hewapathirana
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Abstract

Nearly USD four billion is spent annually on the health sector in Sri Lanka. This will utilise 4.2 per cent of GDP (2006). Government health service of Sri Lanka is non-profit oriented and Sri Lanka being a nation which is recovering from economic impacts of the war, it is vital to cost effectively mange heath resources. The ambulances play a crucial role in handling emergencies. However, it is not uncommon to find that the service of an ambulance is not always available when the need arises. Ambulances not being in running condition, non availability of an ambulance driver are some of the shortcomings that can be avoided by proper record keeping. The healthcare system is spending unnecessarily for keeping patients in tertiary institutions waiting to be transferred to their peripheral institutions, This is mainly due to the difficulty faced in knowing where exactly an ambulance currently is. Gathering information about the usage of an ambulance will guide us in the decision making regarding the necessity of an ambulances for a given institution. Servicing the ambulances on time prevents unnecessary repairs and proper routing of ambulances prevents money being unnecessarily spent on fuel, both of which can be easily avoided by the use of IT. Above shortcomings can be avoided by employing a vehicle management system that manages the use of ambulances in a healthcare institution. This system will expedite the current process and will enhance the accountability and cost effectiveness thereby enabling one to obtain the maximum service out of the limited resources available.
利用信息技术有效管理国民保健服务中的救护车服务
斯里兰卡每年在卫生部门的支出接近40亿美元。这将利用国内生产总值的4.2%(2006年)。斯里兰卡的政府卫生服务是非营利性的,斯里兰卡是一个正在从战争的经济影响中恢复过来的国家,对卫生资源进行具有成本效益的管理至关重要。救护车在处理紧急情况中起着至关重要的作用。然而,当需要时,救护车的服务并不总是可用的,这并不罕见。救护车不处于运行状态,救护车司机不可用是一些可以通过适当的记录保存来避免的缺点。医疗保健系统正在花费不必要的费用,让三级机构的病人等待转移到外围机构,这主要是由于很难知道救护车目前在哪里。收集有关救护车使用情况的信息将指导我们就某一机构是否需要救护车作出决定。救护车的及时维修可以避免不必要的维修,救护车的正确路线可以防止不必要的燃料花费,这两种情况都可以通过使用IT轻松避免。通过采用车辆管理系统来管理医疗机构中救护车的使用,可以避免上述缺点。这一制度将加快目前的进程,并将加强责任制和成本效益,从而使人们能够从现有的有限资源中获得最大限度的服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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