Factors affecting communication time in an emergency medical communication centers.

IF 3 2区医学 Q1 EMERGENCY MEDICINE

Scandinavian Journal of Trauma Resuscitation & Emergency Medicine Pub Date : 2025-01-13 DOI:10.1186/s13049-024-01315-w

Melisande Bensoussan, Mathilde Vannier, Thomas Loeb, Jérémie Boutet, Frédéric Lapostolle, Paul-Georges Reuter

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引用次数: 0

Abstract

Background: Emergency Medical Communication Centres (EMCCs) play a crucial role in emergency care by ensuring timely responses through telephone triage. However, extended communication times can impede accessibility, patient triage, and decision-making. Identifying the factors influencing communication duration is essential for improving EMCC efficiency.

Objective: This study aims to identify temporal, human, and contextual factors associated with prolonged communication times in an EMCC where decision-making is conducted by physicians.

Methods: We conducted a retrospective observational study of all calls received at a French EMCC between March 1 and December 31, 2019. A total of 108,548 patient medical files were analyzed, excluding calls from medical personnel or hospitals. We examined the total communication time (from call initiation to decision) and the medical communication time (physician involvement). Bivariate and multivariate logistic regressions were used to identify factors associated with prolonged communication times.

Results: The median total communication time was 7 min [IQR 5-11], and the median medical communication time was 3 min [IQR 2-4]. Psychiatric reasons for calling (OR = 1.75) and elderly patients (OR = 1.58) were associated with longer communication times. Calls leading to medical advice (OR = 1.48) and calls during weekends or nighttime were also significant factors. Conversely, calls for trauma or from nursing homes, and those handled by emergency physicians, were associated with shorter durations.

Conclusion: Several factors influence communication times in EMCCs, including patient demographics, reason for the call, and time of day.

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影响应急医疗通信中心通信时间的因素。

背景：紧急医疗通信中心（emcc）通过电话分诊确保及时响应，在紧急护理中发挥关键作用。然而，延长的沟通时间可能会妨碍可访问性、患者分诊和决策。识别影响通信时间的因素是提高EMCC效率的关键。目的：本研究旨在确定由医生进行决策的EMCC中与沟通时间延长相关的时间、人为和环境因素。方法：我们对2019年3月1日至12月31日期间法国EMCC收到的所有电话进行了回顾性观察研究。总共分析了108548份患者医疗档案，不包括医务人员或医院的电话。我们检查了总沟通时间（从呼叫发起到决定）和医疗沟通时间（医生参与）。使用双变量和多变量逻辑回归来确定与延长沟通时间相关的因素。结果：总沟通时间中位数为7 min [IQR 5-11]，医疗沟通时间中位数为3 min [IQR 2-4]。精神病学原因（OR = 1.75）和老年患者（OR = 1.58）与较长的沟通时间相关。导致就医的电话（OR = 1.48）和周末或夜间的电话也是重要因素。相反，创伤或疗养院的电话，以及由急诊医生处理的电话，持续时间较短。结论：有几个因素影响emcc的沟通时间，包括患者人口统计学、打电话的原因和一天中的时间。

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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来源期刊

Scandinavian Journal of Trauma Resuscitation & Emergency Medicine EMERGENCY MEDICINE-

CiteScore

6.10

自引率

6.10%

发文量

审稿时长

6-12 weeks

期刊介绍： The primary topics of interest in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (SJTREM) are the pre-hospital and early in-hospital diagnostic and therapeutic aspects of emergency medicine, trauma, and resuscitation. Contributions focusing on dispatch, major incidents, etiology, pathophysiology, rehabilitation, epidemiology, prevention, education, training, implementation, work environment, as well as ethical and socio-economic aspects may also be assessed for publication.