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Prevalence of Social Needs & Social Risks Among EMS Providers. 紧急医疗服务提供者的社会需求和社会风险的普遍性。

JEMS exclusives Pub Date : 2023-01-01 Epub Date: 2023-10-23

James Basting, John Wong, Daniel Berger, Catherine Caldwell, Satvir Saggi, Jessica Mann

{"title":"Prevalence of Social Needs & Social Risks Among EMS Providers.","authors":"James Basting, John Wong, Daniel Berger, Catherine Caldwell, Satvir Saggi, Jessica Mann","doi":"","DOIUrl":"","url":null,"abstract":"Background: A national shortage of Emergency Medical Service (EMS) providers is a critical issue for the profession that has only worsened during the COVID-19 pandemic. Researchers have identified possible causes, including difficult workplace conditions, low wages, and burnout. However, the impact of EMS providers' social needs and social risks has yet to be thoroughly explored.Methods: Demographic data for 1,112 EMS providers who responded to the 2021 national Social Needs in the Pre-hospital Setting (SNIPS) Study were analyzed to produce descriptive statistics and test for differences in social needs using chi square tests.Results: EMS providers reported experiencing housing insecurity (23.0%), food insecurity (27.4%), struggles with substance use (20.9%), mental health concerns (41.5%), domestic violence (18.5%), and healthcare affordability concerns (30.8%) during their EMS career. Almost 90% of study participants screened positive for burnout. Both women and emergency medical technicians (EMTs) were more likely than men and paramedics respectively to suffer from food and housing insecurity, mental health issues, and domestic violence at some point in their careers.Discussion: EMS providers reported high levels of burnout as well as a variety of social needs. Social needs may necessitate overtime work, increasing risk of burnout and negatively impacting providers' well-being and contributing to the provider shortage. Barriers to entry for paramedic training and gender differences in promotion rates may exacerbate the disparities experienced by EMTs and female providers, respectively.Conclusion: With high levels of burnout, staffing shortages, and EMS professionals leaving the profession, more must be done to support EMS providers. This includes programs to facilitate entry to and advancement within the EMS profession, ability to make ends meet without reliance on overtime pay, and mental health support.","PeriodicalId":93305,"journal":{"name":"JEMS exclusives","volume":"2023 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10702479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Grady Health System's Mobile Integrated Health Program: A Statistical Analysis of Low-Acuity 911 Calls. 格雷迪健康系统的移动综合健康计划:低灵敏度911呼叫的统计分析。

JEMS exclusives Pub Date : 2021-01-01 Epub Date: 2021-04-20

Emma Tyano, Erin Ferrer, Shara D Mayberry, Ronald C Eldridge, Dian Evans, Roy L Simpson

{"title":"Grady Health System's Mobile Integrated Health Program: A Statistical Analysis of Low-Acuity 911 Calls.","authors":"Emma Tyano, Erin Ferrer, Shara D Mayberry, Ronald C Eldridge, Dian Evans, Roy L Simpson","doi":"","DOIUrl":"","url":null,"abstract":"Grady's Mobile Integrated Health (MIH) program works to manage outpatient health concerns that otherwise burden EDs, improve quality of care, and connect patients to the appropriate level of care and resources. This prospective study collected data from 09/01/2019-03/31/2020 to analyze Grady's MIH response to low-acuity 911 calls compared to a traditional EMS (ACLS/BLS) response. A total of 2,759 EMS calls were reviewed. These calls comprised the four most common emergency medical dispatch codes for Grady's MIH response: i) \"sick person other pain,\" ii) \"diabetic alert behaving normally,\" iii) \"back pain,\" and iv) \"falls.\" Descriptive statistics and multivariable logistic regressions (MLR) were performed to compare disposition differences between MIH and traditional EMS services in whether calls were mitigated on-scene or transported. For MIH responses (n=300), 66.1% were mitigated on-scene. Comparatively, for traditional EMS responses (n=263), 11.4% were mitigated on-scene. The MLR model found the odds that a patient was mitigated on-scene for an MIH response were 24 times that for an ACLS/BLS response (OR=24.19, p<0.001) after adjusting for patient sex, ethnicity, age, blood pressure, heart rate, pain response, glucose, time of day, and EMD code. The magnitude of the odds ratio significantly differed based on the dispatch code. The results of this study indicate that utilizing Grady's current MIH model is an effective way to mitigate low-acuity 911 concerns and decrease unnecessary ED utilization, while potentially reducing hospital readmissions and healthcare costs.","PeriodicalId":93305,"journal":{"name":"JEMS exclusives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406265/pdf/nihms-1706490.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39378786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0