经常联系紧急医疗服务(EMS):超过经常打电话者。

IF 2.3 3区 医学 Q1 EMERGENCY MEDICINE
Astrid K V Harring, Ola Graesli, Kristin Häikiö, Magnus Hjortdahl, Trine M Jørgensen
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引用次数: 0

摘要

背景:频繁呼叫者国家网络 (FreCaNN) 将频繁呼叫者定义为一个月内拨打五次或更多紧急呼叫,或三个月内拨打十二次或更多紧急呼叫的成年人,这些呼叫与个人护理事件有关。然而,我们认为,如果将定义局限于那些自己打电话的人,就会低估频繁联系者对紧急医疗通信中心(EMCC)和紧急医疗服务(EMS)的影响:我们对频繁联系者进行了描述性回顾性横截面数据库审查,频繁联系者的定义是一个月内联系次数≥ 5 次或三个月内联系次数≥ 12 次的人。数据由奥斯陆急救中心提供,时间为 2017 年 1 月 1 日至 2022 年 12 月 31 日。2022 年 12 月 31 日。与 FreCaNN 的定义相反,我们将所有类型的接触和呼叫者都包括在内,包括急诊和非急诊,涉及所有年龄段的患者:在研究期间,共登记了 214.94 万次联系。其中有 12.97 万次是经常打电话者的联系,即病人自己打电话。如果将经常代表病人拨打的电话也计算在内,我们发现有 268 723 个电话符合经常紧急联系的定义。如果将非紧急联系也考虑在内,则共有 437.361 次联系符合频繁联系的定义:结论:如果仅将标准局限于频繁呼叫者,就会低估频繁接触者对紧急医疗联络中心和急救服务的影响。我们能够区分三个类别--频繁呼叫者的接触、频繁紧急接触和频繁接触。我们相信,在对经常向急救中心求助的患者使用急救资源的情况进行调查时,扩大定义范围对研究和审计都有好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Frequent contacts to Emergency Medical Services (EMS): more than frequent callers.

Background: A frequent caller is defined by The Frequent Caller National Network (FreCaNN) as an adult who makes five or more emergency calls in a month or twelve or more in three months, related to individual episodes of care. However, we believe that when limiting the definition to those who call themselves, one underestimates the impact frequent contacts have on the Emergency Medical Communication Center (EMCC) and the Emergency Medical Services (EMS).

Method: We conducted a descriptive retrospective cross-sectional database review of frequent contacts; defined as persons who have ≥ 5 contacts in a month or ≥ 12 contacts in three months. Data were provided from Oslo EMCC, between 1. January 2017 and 31. December 2022. Contrary to the FreCaNN definition, we included all types of contacts and callers, both emergent and non-emergent, regarding patients of all ages.

Results: During the study period, 2.149.400 contacts were registered. Of these 129.700 were contacts from frequent callers, where the patients called themselves. When including contacts frequently made on behalf of a patient, we found that 268.723 fit the definition of frequent emergency contacts. When also taking non-emergent contacts into account, a total of 437.361 contacts fit the definition of frequent contacts.

Conclusion: When limiting the criteria to only frequent callers, one underestimates the impact persons who have frequent contacts, have on the EMCC and the EMS. We were able to distinguish between three categories-contacts from frequent callers, frequent emergency contacts, and frequent contacts. We believe broadening the definition can benefit both research and audits, when accessing the use of emergency resources to patients with frequent requests for help to the EMCCs.

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来源期刊
BMC Emergency Medicine
BMC Emergency Medicine Medicine-Emergency Medicine
CiteScore
3.50
自引率
8.00%
发文量
178
审稿时长
29 weeks
期刊介绍: BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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