Nemitz B
Department of Emergency Medicine, University Hospital, Amiens, France.
Eur J Emerg Med. 1995 Sep;2(3):153-9.
One of the main features of the French emergency medical services (EMS) system as it has been developed during the last 40 years is the participation of a physician in each stage of the EMS organization. Thus, in the 100 French emergency medical dispatch centres, all calls received on 15, the national medical emergency phone number, are medically dispatched. The main advantages are: (i) better security for the caller; (ii) proper adaptation of the response to the emergency; (iii) a quicker and more efficient intervention time; (iv) the hospital is informed of the arrival of an emergency; (v) the respect of medical secrecy; (vi) a good cost-efficiency ratio in the use of intervention means. The main limitations are connected with: (i) the inaccuracy of certain calls and problems of dialogue with the caller; (ii) the poor acceptance of the system's obligations by some of the callers, patients, physicians or any other partners of the EMS organization. In the future the implementation of the multi-purpose European emergency number 112 will probably require the system's adaptation to it.
法国紧急医疗服务（EMS）系统在过去40年发展过程中的一个主要特点是，医生参与到EMS组织的各个阶段。因此，在法国的100个紧急医疗调度中心，所有通过国家医疗急救电话号码15接到的呼叫都会由医生进行调度。主要优点包括：（i）对呼叫者有更好的安全保障；（ii）根据紧急情况适当调整应对措施；（iii）缩短干预时间并提高效率；（iv）医院能得知紧急情况的到来；（v）尊重医疗保密原则；（vi）干预手段的成本效益比良好。主要局限性在于：（i）某些呼叫不准确以及与呼叫者对话存在问题；（ii）一些呼叫者、患者、医生或EMS组织的其他合作伙伴对系统义务的接受度较低。未来，实施多功能欧洲紧急号码112可能需要该系统进行相应调整。
