Zeitz Kathryn, Haghighi Pari Delir, Burstein Frada, Williams Jeffrey
St John Ambulance, Manuka, Australia.
Aust Health Rev. 2013 Jun;37(3):402-6. doi: 10.1071/AH13032.
The present study was designed to further understand the psychosocial drivers of crowds impacting on the demand for healthcare. This involved analysing different spectator crowds for medical usage at mass gatherings; more specifically, did different football team spectators (of the Australian Football League) generate different medical usage rates.
In total, 317 games were analysed from 10 venues over 2 years. Data were analysed by the ANOVA and Pearson correlation tests. RESULTS; Spectators who supported different football teams generated statistically significant differences in patient presentation rates (PPR) (F15, 618=1.998, P=0.014). The present study confirmed previous findings that there is a positive correlation between the crowd size and PPR at mass gatherings but found a negative correlation between density and PPR (r = -0.206, n=317, P<0.0005).
The present study has attempted to scientifically explore psychosocial elements of crowd behaviour as a driver of demand for emergency medical care. In measuring demand for emergency medical services there is a need to develop a more sophisticated understanding of a variety of drivers in addition to traditional metrics such as temperature, crowd size and other physical elements. In this study we saw that spectators who supported different football teams generated statistically significant differences in PPR. What is known about this topic? Understanding the drivers of emergency medical care is most important in the mass gathering setting. There has been minimal analysis of psychological 'crowd' variables. What does this paper add? This study explores the psychosocial impact of supporting a different team on the PPR of spectators at Australian Football League matches. The value of collecting and analysing these types of data sets is to support more balanced planning, better decision support and knowledge management, and more effective emergency medical demand management. What are the implications for practitioners? This information further expands the body of evidence being created to understand the drivers of emergency medical demand and usage. In addition, it supports the planning and management of emergency medical and health-related requirements by increasing our understanding of the effect of elements of 'crowd' that impact on medical usage and emergency healthcare.
本研究旨在进一步了解影响医疗保健需求的人群心理社会驱动因素。这包括分析大型活动中不同观众群体的医疗使用情况；更具体地说，澳大利亚足球联赛的不同足球队观众是否产生不同的医疗使用率。
在两年内对来自10个场馆的317场比赛进行了分析。数据通过方差分析和皮尔逊相关检验进行分析。结果：支持不同足球队的观众在患者就诊率（PPR）上产生了统计学上的显著差异（F15, 618 = 1.998，P = 0.014）。本研究证实了先前的发现，即在大型活动中人群规模与PPR之间存在正相关，但发现密度与PPR之间存在负相关（r = -0.206，n = 317，P < 0.0005）。
本研究试图科学地探索人群行为的心理社会因素作为紧急医疗需求的驱动因素。在衡量紧急医疗服务需求时，除了温度、人群规模和其他物理因素等传统指标外，还需要对各种驱动因素有更深入的理解。在本研究中，我们发现支持不同足球队的观众在PPR上产生了统计学上的显著差异。关于这个主题已知的是什么？在大型活动环境中，了解紧急医疗护理的驱动因素至关重要。对心理“人群”变量的分析很少。本文增加了什么？本研究探讨了支持不同球队对澳大利亚足球联赛比赛观众PPR的心理社会影响。收集和分析这类数据集的价值在于支持更平衡的规划、更好的决策支持和知识管理，以及更有效的紧急医疗需求管理。对从业者有什么影响？这些信息进一步扩展了用于理解紧急医疗需求和使用驱动因素的证据体系。此外，它通过增强我们对影响医疗使用和紧急医疗保健的“人群”因素的理解，支持紧急医疗和健康相关需求的规划和管理。
