Abir Mahshid, Forman Jane, Taymour Rekar K, Brent Christina, Nallamothu Brahmajee K, Scott Jaqueline, Wahl Kathy
Department of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Acute Care Research Unit, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI.
Disaster Med Public Health Prep. 2021 Oct;15(5):595-607. doi: 10.1017/dmp.2020.71. Epub 2020 Jun 1.
To identify modifiers of emergency medical services (EMS) oversight quality, including facilitators and barriers, and inform best practices and policy related to EMS oversight and system performance.
We used a qualitative design, including 4 focus groups and 10 in-depth, 1-on-1 interviews. Primary data were collected from EMS stakeholders in Michigan from June to July 2016. Qualitative data were analyzed using the rapid assessment technique.
Emergent themes included organizational structure, oversight and stakeholder leadership, interorganizational communication and relationships, competition or collaboration among MCA stakeholders, quality improvement practices, resources, and needs specific to rural communities.
EMS is a critical component of disaster response. This study revealed salient themes and modifiers, including facilitators and barriers, of EMS oversight quality. These findings were evaluated in the context of current evidence and informed state policy to improve the quality of EMS oversight and prehospital care for both routine and disaster settings. Some were particular to geographic regions and communities, whereas others were generalizable.
确定紧急医疗服务（EMS）监管质量的影响因素，包括促进因素和障碍，并为与EMS监管及系统性能相关的最佳实践和政策提供信息。
我们采用了定性设计，包括4个焦点小组和10次深入的一对一访谈。2016年6月至7月从密歇根州的EMS利益相关者收集了原始数据。使用快速评估技术对定性数据进行了分析。
出现的主题包括组织结构、监管和利益相关者领导力、组织间沟通与关系、MCA利益相关者之间的竞争或合作、质量改进实践、资源以及农村社区的特定需求。
EMS是灾害应对的关键组成部分。本研究揭示了EMS监管质量的显著主题和影响因素，包括促进因素和障碍。在当前证据的背景下对这些发现进行了评估，并为州政策提供了信息，以提高常规和灾害情况下EMS监管及院前护理的质量。其中一些因素特定于地理区域和社区，而其他因素则具有普遍性。
