School of Medicine, Faculty of Medicine, Gunma University, Gunma, Japan.
School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
BMC Res Notes. 2024 Oct 3;17(1):287. doi: 10.1186/s13104-024-06916-3.
Rapid economic growth in Indonesia and Malaysia has widened the gap in emergency care supply and demand, intensifying challenges. Our study, from August to November 2022, assesses current diverse challenges in both countries' emergency care systems from frontline staff perspectives. The online survey involved emergency department (ED) personnel from 11 hospitals in Indonesia and Malaysia, drawing from an existing network. The survey collected data on respondents' characteristics, factors affecting prehospital and ED care quality, missing clinical information, and factors influencing patients' ED stay duration. With 83 respondents from Indonesia and 109 from Malaysia, the study identified common challenges. In both countries, inadequate clinical information from ambulances posed a primary challenge in prehospital care quality, while crowdedness during night shifts affected ED care quality. Frequent gaps in essential clinical information, such as family and medication history, were observed. Prolonged ED stays were associated with diagnostic studies and their turnaround time. This study offers insights into shared challenges in Indonesia and Malaysia's emergency care systems. Our findings stress recognizing common and country-specific challenges for enhanced emergency care quality in Southeast Asia, supporting tailored interventions.
印度尼西亚和马来西亚的经济快速增长扩大了紧急医疗服务供需之间的差距，加剧了挑战。我们的研究于 2022 年 8 月至 11 月从一线工作人员的角度评估了这两个国家的紧急医疗服务系统目前面临的各种挑战。这项在线调查涉及来自印度尼西亚和马来西亚 11 家医院的急诊部（ED）人员，利用现有的网络进行。该调查收集了受访者特征、影响院前和 ED 护理质量的因素、缺失临床信息以及影响患者 ED 停留时间的因素的数据。在印度尼西亚有 83 名受访者，马来西亚有 109 名受访者，研究发现了一些共同的挑战。在这两个国家，救护车提供的临床信息不足是院前护理质量的主要挑战，而夜班时的拥挤状况则影响了 ED 护理质量。经常出现重要临床信息缺失的情况，如家族史和用药史。ED 停留时间延长与诊断研究及其周转时间有关。这项研究深入了解了印度尼西亚和马来西亚紧急医疗服务系统中存在的共同挑战。我们的研究结果强调，需要认识到东南亚紧急医疗服务质量方面的共同和国家特定的挑战，以便采取有针对性的干预措施。
