Systematic review: Comparative analysis of international approaches to the organisation of emergency departments at the primary health care level
DOI:
https://doi.org/10.56294/saludcyt2024.580Keywords:
Healthcare, Management, Paramedic, Paramedic Training, Patient TransportAbstract
The study aims to review the different systems of emergency care in North American, European, and Pan-Asian countries and to perform a comparative analysis of these modes of organisation. The emergency care systems of Kyrgyzstan, Germany, the United States of America, the United Kingdom, South Korea, Turkey and the United Arab Emirates were analysed, and it was determined that the Anglo-American and Franco-German model of emergency care is currently dominant in the world. The main difference with the system built in Kazakhstan is that ambulance brigades in the above countries consist of nursing staff, in these countries there is a double triage of patients at the stage of call and the stage of distribution of patients in the emergency department, and the last main difference is that the emergency department in Kazakhstan is organised based on an emergency room and does not include intensive care, dynamic observation, there is no diagnostic unit and palliative care unit. Another difference is the training of non-medical services in the comparison countries, such as police and firefighters, who have the necessary basic skills to provide emergency care. This study will help in the future to use foreign experience in the organisation of emergency care in the Republic of Kazakhstan, which may have a positive impact on the quality and speed of emergency care
References
1. Amaefule KE, Dahiru IL, Ejagwulu FS, Maitama MI. (2020). Trauma mortality in the emergency department of a tertiary hospital in a low-income country: It’s time to walk the talks. West African J Med. 37(2), 131-137. https://pubmed.ncbi.nlm.nih.gov/32150631
2. Nurgalieva G, Aymahanova G, Nargiza B, Bakyt A, Seidekhan R, Shynbori G, Esentai N, Madali A, Malkazhdar S. (2023). Risk factors for middle and elderly age men myocardial infarction. Uni: Med Pharmac. 4-5(98), 8-17. https://7universum.com/ru/med/archive/item/15323
3. Turlanov KM, Musaev AT. (2017). Statement and improvement of emergency services in Kazakhstan. Bull Kazakh Nation Med Uni. 3, 153-155. https://cyberleninka.ru/article/n/sostoyanie-i-sovershenstvovanie-sluzhby-skoroy-meditsinskoy-pomoschi-v-kazahstane
4. Ismailova F, Karataev M, Omukeeva G, Omorova N, Rahat S, Satarov U, Satybaldieva A, Abdullaeva Z. (2022). Problems and prospects in development of emergency medical help center in Osh, Kyrgyzstan. Pakistan J Med Health Sci. 16(1), 1196-1198. https://doi.org/10.53350/pjmhs221611196
5. Abeuova BA, Abugaliyeva TO, Kuzgibekova AB, Takirova AT, Zhakipbekova VA. (2021). Residency educational program in training professionals for primary health care in Kazakhstan of Family Medicine Specialty. West Kazakh Med J. 63(3), 170-174. https://doi.org/10.24412/2707-6180-2021-63-170-174
6. Omukeeva GK, Chubakov TCh. (2021). Evaluating the effectiveness of a short-term advanced training course for emergency service workers. Bull Sci Pract. 7(8), 329-338. https://doi.org/10.33619/2414-2948/69/38
7. Pivina LM, Batenova GB, Baibusinova ZhT, Manarbekov YeM, Dyussupov AA, Urazalina ZhM, Uysenbaeva ShО. (2020). Analysis of the current situation of the emergency medical emergency and paramedic training system in the world and in the republic of Kazakhstan. Literature review. Sci Healthcare. 2(22), 5-15. https://newjournal.ssmu.kz/publication/418/%2C/DOI%2010.34689/SH.2020.22.2.001
8. Hagiwara Y, Hasegawa K, Chiba T, Watase H. (2013). Residency and career satisfaction among Anglo-American model emergency medicine residents in Japan. Acute Med Surg. 1(1), 45-53. https://doi.org/10.1002/ams2.12
9. Brink E, Jakobsen TS, Lassen AT, Weile J, Posth S. (2023). Management of medical emergency patients in Danish emergency departments. Danish Med J. 70(9), A11220727. https://pubmed.ncbi.nlm.nih.gov/37622648
10. Chang CY, Abujaber S, Reynolds TA, Camargo CA, Obermeyer Z. (2016). Burden of emergency conditions and emergency care usage: New estimates from 40 countries. Emerg Med J. 33(11), 794-800. https://doi.org/10.1136/emermed-2016-205709
11. Ebinger M, Siegerink B, Kunz A, Wendt M, Weber JE, Schwabauer E, Geisler F, Freitag E., Lange J, Behrens J, Erdur H, Ganeshan R, Liman T, Scheitz JF, Schlemm L, Harmel P, Zieschang K, Lorenz-Meyer I, Napierkowski I, Waldschmidt C, Nolte CH, Grittner U, Wiener E, Bohner G, Nabavi DG, Schmehl I, Ekkernkamp A, Jungehulsing GJ, Mackert BM, Hartmann, A., Rohmann, J.L., Endres, M., Audebert, H.J. 2021. Association between dispatch of mobile stroke units and functional outcomes among patients with acute ischemic stroke in Berlin. J Am Med Associat. 325(5), 454-466. https://doi.org/10.1001/jama.2020.26345
12. Christ M, Grossmann F, Winter D, Bingisser R, Platz E. (2010). Modern triage in the emergency department. Deutsch Arzteblatt Int. 107(50), 892-898. https://doi.org/10.3238/arztebl.2010.0892
13. Rathore SS, Curtis JP, Chen J, Wang Y, Nallamothu BK, Epstein AJ, Krumholz HM. (2009). Association of door-to-balloon time and mortality in patients admitted to hospital with ST elevation myocardial infarction: National cohort study. BMJ. 338, b1807. https://doi.org/10.1136/bmj.b1807
14. Lee AH, Cash RE, Bukhman A, Im D, Baymon D, Sanchez LD, Chen PC. (2023). Impact of care initiation model on emergency department orders and operational metrics: Cohort study. West J Emerg Med. 24(4):703-709. https://doi.org/10.5811/westjem.59340
15. Jang WM, Lee J, Eun SJ, Yim J, Kim Y, Kwak MY. (2021). Travel time to emergency care not by geographic time, but by optimal time: A nationwide cross-sectional study for establishing optimal hospital access time to emergency medical care in South Korea. PLoS ONE. 16(5), e0251116. https://doi.org/10.1371/journal.pone.0251116
16. Diaferio L, Parisi GF, Brindisi G, Indolfi C, Marchese G, Ghiglioni DG, Zicari AM, Marseglia GL, Miraglia Del Giudice M. (2020). Cross-sectional survey on impact of paediatric COVID-19 among Italian paediatricians: Report from the SIAIP rhino-sinusitis and conjunctivitis committee. Ital J Pediatr. 46(1), 146. https://doi.org/10.1186/s13052-020-00906-4
17. Yuzeng S, Hui LL. (2020). Improving the wait time to triage at the emergency department. BMJ Open Qual. 9(1), e000708. https://doi.org/10.1136/bmjoq-2019-000708
18. Maslak K, Favara-Scacco C, Barchitta M, Agodi A, Astuto M, Scalisi R, Italia S, Bellia F, Bertuna G, D'Amico S, La Spina M, Licciardello M, Lo Nigro L, Samperi P, Miraglia V, Cannata E, Meli M, Puglisi F, Parisi GF, Russo G, Di Cataldo A. (2019). General anesthesia, conscious sedation, or nothing: Decision-making by children during painful procedures. Pediatr Blood Cancer. 66(5), e27600. https://doi.org/10.1002/pbc.27600
19. Lako AZ, Myderrizi N, Krasniqi M, Kalaja R. (2023). Parkinson’s disease, early physiotherapeutic rehabilitation during the period January–December 2022 at the Central Polyclinic, Durres. J Adv Pharm Educ Res. 13(4), 104–108. https://doi.org/10.51847/VHEMLJEYY6
20. Gettel CJ, Canavan ME, D’Onofrio G, Carr BG, Venkatesh AK. (2021). Who provides what care? An analysis of clinical focus among the national emergency care workforce. Am J Emerg Med. 42, 228-232. https://doi.org/10.1016/j.ajem.2020.11.069
21. Cociu S, Cebanu S, Rojnoveanu G, Dulf D, Peek-Asa C, Afifi R. (2020). Key informant insights in Moldova’s prevention and response system for traumatic brain injuries. Int J Advan Res. 8, 1245-1254. https://doi.org/10.21474%2Fijar01%2F11039
22. Spelten E, Thomas B, O’Meara PF, Maguire BJ, FitzGerald D, Begg SJ. (2020). Organisational interventions for preventing and minimising aggression directed towards healthcare workers by patients and patient advocates. Cochrane Databas Syst Rev. 4, CD012662. https://doi.org/10.1002/14651858.cd012662.pub2
23. Kovalchuk VP, Nazarchuk OA, Burkot VM, Fomina NS, Prokopchuk ZM, Dobrovanov O. (2021). Biofilm forming activity of non-fermenting gram-negative bacteria. Wiadomosci Lekarskie. 74(2), 252-256. https://doi.org/10.36740/wlek202102114
24. Dmytriiev D, Nazarchuk O, Faustova M, Babina Y, Dmytriiev K, Dobrovanov O, Kralinsky K. (2021). Local anesthetics contributing the struggling biofilm-forming activity of s. Aureus colonizing surfaces of venous catheters. Multicentrer clinical trial. Lekarsky Obzor. 70(1), 21-24. https://www.lekarskyobzor.sk/2021/288-lekarsky-obzor-1-2021/1032-vplyv-lokalnych-anestetik-na-tvorbu-mikrobialneho-biofilmu-s-aureus-na-povrchu-venoznych-katetrov-multicentricka-klinicka-studia
25. Kahn JH. (2020). Confidentiality and capacity. Emerg Med Clinic North Am. 38(2), 283-296. https://doi.org/10.1016/j.emc.2020.01.003
26. Chekijian S, Truzyan N, Stepanyan T, Bazarchyan A. (2021). Healthcare in transition in the Republic of Armenia: The evolution of emergency medical systems and directions forward. Int J Emerg Med. 14, 5. https://doi.org/10.1186/s12245-020-00328-3
27. Wright, S.W., Stack, L.B., McMurray, B.R., Bolyukh, S. (2000). Emergency medicine in Ukraine: Challenges in the post-Soviet era. The American Journal of Emergency Medicine, 18(7), 828-832. https://doi.org/10.1053/ajem.2000.18110
28. Baker TD, Baker SP, Haack SA. (2011). Trauma in the Russian Federation: Then and now. J Trauma: Injur, Infect, Critic Care. 70(4), 991-995. https://doi.org/10.1097/ta.0b013e31820e27c6
29. Ygiyeva D, Pivina L, Messova A, Urazalina Z, Semenova Y, Dyussupov A, Dyussupov A, Belikhina T, Syzdykbayev M, Batenova G, Akhmetova A, Adams A. (2023). Paramedic to provider consultation challenges in the emergency department in Kazakhstan: An online survey. Open Access Emerg Med. 15, 69-77. https://doi.org/10.2147/oaem.s401331
30. Sissenberdiyeva A. (2023). To educate or not to educate: Systematic review of disaster medicine education in Kazakhstan in compression with post-soviet countries. Prehospit Disast Med. 38(S1), S204-S205. https://doi.org/10.1017/s1049023x2300523x3
31. Order of the Minister of Health of the Republic of Kazakhstan No. KR DSM-225/2020 “On Approval of Rules for the Provision of Emergency Medical Care, Including with the Involvement of Medical Aviation”. (2020). https://adilet.zan.kz/rus/docs/V2000021713
32. Poeck J, Bretschneider C, Freihoff S, Günther A, Hasseler M, Schneider N, Bleidorn J, Schwabe S. (2021). “… That’s why I’m calling the emergency services now!”. Pflege. 34(3), 141-150. https://doi.org/10.1024/1012-5302/a000804
33. Dittmar MS, Altmeppen J, Bigalke MU, Niedermirtl F, Zimmermann M. (2021). The disaster task force medical officer as a pivotal decision maker in the superordinate pandemic hospital capacity management: A field report covering the initial COVID-19 surge in a Bavarian district. Anaesth. 70(7), 582-597. https://doi.org/10.1007/s00101-020-00911-6
34. Riesen W, Joest W, Brandis H. (1969). Epidemic disease caused by S. typhimurium in the Lingen county (Ems) during summer 1965. Öffentlich Gesundheit. 31(1), 15-22. https://pubmed.ncbi.nlm.nih.gov/4248533/
35. Schulz-Stubner S. (2003). Bring the doctor to the patient... The German “Notarzt” system. Anesth Analg. 96(3), 912. https://doi.org/10.1213/01.ane.0000044043.61979.ba
36. Law German Federal Paramedic “On the Profession of Emergency Paramedics”. (2013). https://www.gesetze-im-internet.de/notsang/index.html
37. Medical vehicles and their equipment – Road ambulances; German version EN 1789:2020; Corrigendum 1. (2021). https://www.din.de/en/wdc-beuth:din21:341032913
38. Kopka M, Feufel MA, Balzer F, Schmieding ML. (2022). The triage capability of laypersons: Retrospective exploratory analysis. JMIR Format Res. 6(10), e38977. https://doi.org/10.2196/38977
39. Boland LL, Satterlee PA, Fernstrom KM, Hanson KG, Desikan P, LaCroix BK. (2015). Advanced clinical interventions performed by emergency medical responder firefighters prior to ambulance arrival. Prehosp Emerg Care. 19(1), 96-102. https://doi.org/10.3109/10903127.2014.942477
40. Klein TA, Tadi P. (2023). EMS scene safety. Treasure Island: StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/32491547/
41. Rivard MK, Cash RE, Chrzan K, Panchal AR. (2020). Comprehensive description of the advanced emergency medical technician certification level. Prehosp Emerg Care. 24(3), 394-400. https://doi.org/10.1080/10903127.2019.1639862
42. Ball MT, Powell JR, Collard L, York DK, Panchal AR. (2022). Administrative and educational characteristics of paramedic programs in the United States. Prehospit Disast Med. 37(2), 152-156. https://doi.org/10.1017/s1049023x22000115
43. Federal specification for the star-of-life ambulance. (2013). https://health.hawaii.gov/ems/files/2013/08/AmbSpecs-KKK-1822.pdf
44. Kashani S, Sanko S, Eckstein M. (2018). The critical role of dispatch. Cardio Clinic. 36(3), 343-350. https://doi.org/10.1016/j.ccl.2018.03.001
45. Van Hecke O, Raymond M, Lee JJ, Turner P, Goyder CR, Verbakel JY, Van den Bruel A, Hayward G. (2020). In-vitro diagnostic point-of-care tests in paediatric ambulatory care: A systematic review and meta-analysis. PLoS ONE. 15(7), e0235605. https://doi.org/10.1371/journal.pone.0235605
46. “New partnership “blue lights” the way for university and ambulance service”. (2018). https://wmas.nhs.uk/2018/11/14/new-partnership-blue-lights-the-way-for-university-and-ambulance-service/
47. Emergency care assistant. (2023). https://www.healthcareers.nhs.uk/explore-roles/ambulance-service-team/roles-ambulance-service/emergency-care-assistant
48. Emergency medical technician. (2023). https://www.healthcareers.nhs.uk/explore-roles/ambulance-service-team/roles-ambulance-service/emergency-medical-technician
49. Dowling C. (2023). Factors affecting paramedic personnel in the assessment and management of emergency pediatric patients within the prehospital settings in the United Kingdom. Int J Matern Child Health AIDS (IJMA). 12(1), e600. https://doi.org/10.21106/ijma.600
50. Care Quality Commission Market report. (2012). https://www.cqc.org.uk/sites/default/files/documents/20120626_cqc_market_report_issue_1_for_website_final_0.pdf
51. Siddiqui MF, Alam A, Kalmatov R, Mouna A, Villela R, Mitalipova A, Mrad YN, Rahat SAA, Magarde BK, Muhammad W, Sherbaevna SR, Tashmatova N, Islamovna UG, Abuassi MA, Parween Z. (2023). Leveraging Healthcare System with Nature-Inspired Computing Techniques: An Overview and Future Perspective. Stud Comput Intell. 1066, 19–42. https://doi.org/10.1007/978-981-19-6379-7_2
52. Dobrovanov O, Králinský K. (2018). Sonographic screening of congenital kidney malformations in Slovakia. Lekarsky Obzor. 67(12), 426–429. https://arl4.library.sk/arl-sllk/en/detail-sllk_un_cat-0152351-Sonograficky-skrining-vrodenych-chyb-obliciek-na-Slovensku/?iset=1&qt=zf
53. Yessentayeva SY, Makarov VA, Kalmatayeva ZA, Zhakenova ZK, Arybzhanov DT. (2021). Molecular genetic tests in survival factors in patients with NSCLC in the clinical practice of Kazakhstan. Med J Islam Repub Iran. 35(1), 1–11. https://doi.org/10.47176/mjiri.35.133
54. Ong ME, Cho J, Ma MHM, Tanaka H, Nishiuchi T, Al Sakaf O, Abdul Karim S, Khunkhlai N, Atilla R, Lin CH, Shahidah N, Lie D, Shin SD. (2012). Comparison of emergency medical services systems in the pan-Asian resuscitation outcomes study countries: Report from a literature review and survey. Emerg Med Australasia. 25(1), 55-63. https://doi.org/10.1111/1742-6723.12032
55. Lokshin VN, Sharman AT, Mirzakhmetova DD, Terlikbaeva AT, Aimbetova AR, Karibaeva SK, Urazymbetova KA. (2020). The modern organizational principles of specialized medical care for pregnant and puerperant women during the coronavirus pandemic in the republic of Kazakhstan. Akush Ginekol. 2020(12), 34–43. https://doi.org/10.18565/aig.2020.12.34-43
56. Mirzakhmetova DD, Svyatova GS, Berezina GM, Murtazaliyeva AV. (2020). Clinical and diagnostic significance of genetic predisposition to preeclampsia in the Kazakh population. Akush Ginekol. 2020(3), 58–63. https://doi.org/10.18565/aig.2020.3.58-63
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