关键词: Challenge Dispatch center EMT Emergency care Paramedic Pre-hospital care

Mesh : Humans Ethiopia Qualitative Research Emergency Medical Services / standards Female Male Adult Risk Management Fires Interviews as Topic Middle Aged

来  源:   DOI:10.1186/s12913-024-11292-6   PDF(Pubmed)

Abstract:
BACKGROUND: A challenge to pre-hospital emergency care is any barrier or obstacle that impedes quality pre-hospital care or impacts community pre-hospital utilization. The Addis Ababa Fire and Disaster Risk Management Commission (AAFDRMC) provides pre-hospital emergency services in Addis Ababa, Ethiopia. These services operate under a government-funded organization that delivers free emergency services, including out-of-hospital medical care and transportation to the most appropriate health facility. This study aimed to assess the challenges of pre-hospital emergency care at the Addis Ababa Fire and Disaster Risk Management Commission in Addis Ababa, Ethiopia.
METHODS: A qualitative descriptive study was conducted from November 20 to December 4, 2022. Data were collected through in-depth, semi-structured interviews with 21 experienced individuals in the field of pre-hospital emergency care, who were selected using purposeful sampling. A thematic analysis method was used to analyze the data.
RESULTS: This study includes twenty-one participants working at the Addis Ababa Fire and Disaster Risk Management Commission. Three major themes emerged. The themes that arose were the participants\' perspectives on the challenges of pre-hospital emergency care in Addis Ababa, Ethiopia.
CONCLUSIONS: The Fire and Disaster Risk Management Commission faces numerous challenges in providing quality pre-hospital emergency care in Addis Ababa. Respondents stated that infrastructure, communication, and resources were the main causes of pre-hospital emergency care challenges. There has to be more focus on emergency management in light of infrastructure reform, planning, staff training, and education, recruiting additional professional power, improving communication, and making pre-hospital emergency care an independent organization in the city.
摘要:
背景:院前急救护理面临的挑战是任何阻碍院前护理质量或影响社区院前利用的障碍或障碍。亚的斯亚贝巴火灾和灾害风险管理委员会(AAFDRMC)在亚的斯亚贝巴提供院前急救服务。埃塞俄比亚。这些服务在政府资助的组织下运作,提供免费的紧急服务,包括院外医疗和运输到最合适的医疗机构。本研究旨在评估亚的斯亚贝巴火灾和灾害风险管理委员会院前急救的挑战,埃塞俄比亚。
方法:于2022年11月20日至12月4日进行了一项定性的描述性研究。通过深入收集数据,对院前急救领域21名经验丰富的个人进行半结构化访谈,谁是使用有目的的抽样选择。采用专题分析方法对数据进行分析。
结果:这项研究包括在亚的斯亚贝巴火灾和灾害风险管理委员会工作的21名参与者。出现了三个主要主题。出现的主题是与会者对亚的斯亚贝巴院前急救挑战的看法,埃塞俄比亚。
结论:火灾和灾害风险管理委员会在亚的斯亚贝巴提供优质院前急救护理方面面临诸多挑战。受访者表示,基础设施,通信,和资源是院前急诊护理挑战的主要原因。从基础设施改革的角度来看,必须更加关注应急管理,规划,员工培训,和教育,招募额外的专业力量,改善沟通,并使院前急救成为该市的独立组织。
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