Exploring the potential of geospatial mapping of emergency call data to improve ambulance services for older adults: a feasibility study in the south central region of England.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
Carole Fogg, Phil King, Vivienne Parsons, Nicola Dunbar, Marcel Woutersen, Julia Branson, Helen Pocock, Patryk Jadzinski, Chloe Lofthouse-Jones, Bronagh Walsh, Dianna Smith
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引用次数: 0

Abstract

Background: Ambulance trusts across the UK serve vast and varied regions, impacting equitable healthcare access, especially for older patients facing urgent, non-life-threatening conditions. Detailed variation in demand and service provision across these regions remains unexplored but is crucial for shaping effective care policies and organisation. Geospatial mapping techniques have the potential to improve understanding of variation across a region, with benefits for service design.

Aim: To explore the feasibility of using geospatial techniques to map emergency 999 calls and outcomes for older adults within an academic-healthcare collaboration framework.

Methods: The study used administrative and clinical data for patients aged ≥65 who made urgent calls to a regional ambulance service within 1 year. This data, aggregated by geographical area, was analysed using geospatial software (ArcGIS) to create detailed choropleth maps. These maps displayed metrics including population demographics, number of calls, response times, falls, dementia cases and hospital conveyance rates at the middle-layer super output area level. Feedback was solicited from internal stakeholders to enhance utility and focus on service improvements.

Results: The analysis unveiled significant regional disparities in emergency call frequencies and ambulance requirements for older adults, with notable variations in hospital conveyance rates, ranging from 22% to 100% across different areas. The geographical distribution of falls and calls for people with dementia corresponded with the older population's distribution. Response times varied by location. Stakeholders recommended additional data incorporation for better map utility and identified areas for service enhancement, particularly in addressing conveyance rate disparities for falls.

Conclusions: Leveraging aggregated ambulance service data for geospatial mapping of older adults' care demand and provision proves to be both feasible and insightful. The significant geographical variances in hospital conveyance highlight the need for further research. The development of academic-healthcare partnerships promotes resource and sharing of expertise, which should substantially benefit patient care for this vulnerable group.

探索紧急呼叫数据地理空间制图的潜力,以改善老年人的救护车服务:英格兰中南部地区的可行性研究。
背景:整个英国的救护车信托服务于广大和不同的地区,影响公平的医疗保健准入,特别是对面临紧急,非危及生命的条件的老年患者。这些地区需求和服务提供的详细差异尚未得到探索,但对于制定有效的护理政策和组织至关重要。地理空间映射技术有可能提高对跨区域变化的理解,从而有利于服务设计。目的:探讨在学术-医疗保健合作框架内使用地理空间技术绘制老年人紧急999呼叫和结果的可行性。方法:研究使用1年内紧急呼叫区域救护车服务的≥65岁患者的行政和临床数据。这些按地理区域汇总的数据使用地理空间软件(ArcGIS)进行分析,以创建详细的地形图。这些地图显示的指标包括人口统计、呼叫次数、响应时间、跌倒、痴呆病例和中层超级输出地区的医院转运率。向内部持份者征求意见,以提高效用,并着重改善服务。结果:分析揭示了老年人紧急呼叫频率和救护车需求的显著地区差异,医院转运率也有显著差异,不同地区的差异从22%到100%不等。痴呆症患者的跌倒和呼叫的地理分布与老年人口的分布相一致。响应时间因位置而异。利益攸关方建议纳入更多数据,以提高地图的实用性,并确定了需要加强服务的领域,特别是在解决瀑布运输率差异方面。结论:利用聚合的救护车服务数据对老年人的护理需求和提供进行地理空间映射证明是可行和有见地的。医院运输的显著地理差异突出了进一步研究的必要性。学术医疗保健伙伴关系的发展促进了资源和专业知识的共享,这将大大有利于这一弱势群体的患者护理。
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来源期刊
BMJ Open Quality
BMJ Open Quality Nursing-Leadership and Management
CiteScore
2.20
自引率
0.00%
发文量
226
审稿时长
20 weeks
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