Holm O, Berlac P A, Jensen P K, Sillesen I B, Fog T, Lausten G S
Ortopaedkirurgisk afdeling, Amtssygehuset i Herlev.
Ugeskr Laeger. 1997 Mar 17;159(12):1749-51.
It is a common view, shared by Emergency Department staff and ambulance crews, that a large number of patients unnecessarily use Emergency Service ambulances instead of transporting themselves to the hospital by other, more appropriate means. In this retrospective study, 528 consecutive Emergency Service calls to the Herlev Hospital Casualty/Emergency Department during a six week period were reviewed for relevance. Attention was solely aimed at the relevance of the use of Emergency Service ambulances in each case, but not on patient or health care providers' perception of urgency. All calls resulting in admission to hospital were pre-defined as being relevant. Seventeen point six percent of all calls were deemed irrelevant. Thirty-three percent of all calls not resulting in admission were deemed irrelevant. The results confirm Emergency Department health care providers' and ambulance crews' view that Emergency Service ambulances are used inappropriately by the public.
急诊科工作人员和救护人员普遍认为，很多患者不必要地使用急救服务救护车，而不是通过其他更合适的方式自行前往医院。在这项回顾性研究中，对六周内连续拨打至赫勒夫医院急诊部的528次急救服务呼叫进行了相关性审查。注意力仅集中在每种情况下使用急救服务救护车的相关性上，而不是患者或医护人员对紧迫性的认知。所有导致住院的呼叫都预先定义为相关。所有呼叫中有17.6%被视为不相关。所有未导致住院的呼叫中有33%被视为不相关。结果证实了急诊科医护人员和救护人员的观点，即公众不适当地使用了急救服务救护车。
