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沙特阿拉伯的紧急医疗服务特点和分布。

The characteristics and distribution of emergency medical services in Saudi Arabia.

机构信息

From the Department of Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia.

From the Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

出版信息

Ann Saudi Med. 2023 Mar-Apr;43(2):63-69. doi: 10.5144/0256-4947.2023.63. Epub 2023 Apr 6.

DOI:10.5144/0256-4947.2023.63
PMID:37031375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10082946/
Abstract

BACKGROUND

Emergency medical services (EMS) play an essential role in treating and transporting patients to hospitals or between hospitals. EMS providers must be distributed wisely across all regions of the country to meet healthcare needs during normal times and disasters. No previous study has investigated the characteristics and distribution of the EMS workforce in Saudi Arabia.

OBJECTIVES

Examine the characteristics and distribution of the EMS workforce in Saudi Arabia to identify gaps and areas in need of improvement. Also, explore the sociodemographic and educational characteristics of licensed EMS providers in Saudi Arabia.

DESIGN

Cross-sectional SETTINGS: EMS in Saudi Arabia METHODS: We included all licensed EMS providers in Saudi Arabia as of 23 December 2020 who were registered in the Saudi Commission for Health Specialties (SCFHS) database. Sociodemographics, where they earned certification, and their job affiliations were collected and categorized.

MAIN OUTCOME MEASURES

EMS workforce distribution, gender, and EMS provider-to-population ratio.

SAMPLE SIZE

18 336 EMS providers; 8812 (48.1%) with documented job affiliations.

RESULTS

The EMS provider-to-population ratio is very low. In Saudi Arabia, in general, the ratio is 1:3871 (based on n=8812 providers), which is low compared to the 1:1400 ratio for Australian EMS provider-to-population, for example. That makes it a challenge for EMS providers to meet the population's needs, especially in times of disaster. The low ratio may have contributed to the delayed response time in Saudi Arabia (13 minutes for critical cases) which does not meet the international standard response time (8 minutes maximum). Also, only 3.5% of the total EMS providers registered were females, and the clear majority of all EMS providers were technicians.

CONCLUSIONS

The growth in the EMS workforce, including the recruitment of more females into the workforce and more EMS specialists compared to EMS technicians and health assistants, is critical to reaching a satisfactory EMS provider-to-population ratio.

LIMITATIONS

Most noteworthy of the limitations of this research are the insufficient statistics describing EMS distribution in Saudi Arabia, the lack of previous studies on the research topic in Saudi Arabia, and job affiliation not accurately recorded in the SCFHS database.

CONFLICT OF INTEREST

None.

摘要

背景

紧急医疗服务(EMS)在治疗和将患者送往医院或医院之间发挥着至关重要的作用。EMS 提供者必须在全国所有地区合理分布,以满足正常时期和灾害期间的医疗保健需求。以前没有研究调查过沙特阿拉伯 EMS 劳动力的特征和分布。

目的

检查沙特阿拉伯 EMS 劳动力的特征和分布,以确定差距和需要改进的领域。此外,探索沙特阿拉伯持照 EMS 提供者的社会人口统计学和教育特征。

设计

沙特阿拉伯的 EMS 是一项横截面研究

设置

沙特阿拉伯的 EMS

方法

我们纳入了截至 2020 年 12 月 23 日在沙特卫生专业人员委员会(SCFHS)数据库中注册的所有沙特持照 EMS 提供者。收集并分类了社会人口统计学信息、他们获得认证的地点以及他们的工作隶属关系。

主要观察指标

EMS 劳动力分布、性别以及 EMS 提供者与人口的比例。

样本量

18336 名 EMS 提供者;8812 名(48.1%)有记录的工作隶属关系。

结果

EMS 提供者与人口的比例非常低。一般来说,沙特阿拉伯的比例为 1:3871(基于 n=8812 名提供者),与例如澳大利亚 EMS 提供者与人口的 1:1400 比例相比,这一比例很低。这使得 EMS 提供者难以满足人口的需求,尤其是在灾害时期。低比例可能导致沙特阿拉伯的响应时间延迟(危急情况下为 13 分钟),这不符合国际标准的响应时间(最长 8 分钟)。此外,注册的总 EMS 提供者中只有 3.5%是女性,而所有 EMS 提供者中绝大多数是技术人员。

结论

EMS 劳动力的增长,包括招聘更多女性进入劳动力队伍以及与 EMS 技术员和卫生助理相比,招聘更多 EMS 专家,对于达到令人满意的 EMS 提供者与人口的比例至关重要。

局限性

这项研究最值得注意的局限性是缺乏描述沙特阿拉伯 EMS 分布的充分统计数据、缺乏沙特阿拉伯关于该研究主题的先前研究以及 SCFHS 数据库中未准确记录工作隶属关系。

利益冲突

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da36/10082946/7c82e38b863e/0256-4947.2023.63-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da36/10082946/12ba9bfd7591/0256-4947.2023.63-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da36/10082946/7c82e38b863e/0256-4947.2023.63-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da36/10082946/12ba9bfd7591/0256-4947.2023.63-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da36/10082946/7c82e38b863e/0256-4947.2023.63-fig2.jpg

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