ArticleScandinavian journal of primary health care2015
Swedish emergency medical services' identification of potential candidates for primary healthcare: Retrospective patient record study.
Article in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Economic Impact of Community Paramedics Within Emergency Medical Services: A Systematic Review.Applied health economics and health policy · 2024Pooled it
- [Predictability of patient disposition from emergency medical services triage categories: exploratory analysis of routine data].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- Ethical challenges and action alternatives: Case reflections in ambulance care.Nursing ethics · 2026Article
- Patient flow and safety after implementing a community paramedicine service: a quasi-experimental study.BMJ open · 2025Article
- Ambulance clinicians' perspectives on interprofessional collaboration in prehospital emergency care for older patients with complex care needs: a mixed-methods study.BMC geriatrics · 2025Article
- Exploring care pathways of patients conveyed by emergency medical services (EMS) through electronic health records.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Collaboration between ambulance services and primary care: a scoping review protocol.BMJ open · 2025Article
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- Diagnosing an overcrowded emergency department from its Electronic Health Records.Scientific reports · 2024Article
- Redirecting emergency medical services patients with unmet primary care needs: the perspective of paramedics on feasibility and acceptance of an alternative care path in a qualitative investigation from Berlin, Germany.BMC emergency medicine · 2022Article
- Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study.BMC emergency medicine · 2022Article
- Pathways to the emergency department - a national, cross-sectional study in Sweden.BMC emergency medicine · 2022Review
- Limited need for hospital resources among patients brought to hospital by the emergency medical services.BMC emergency medicine · 2021Observational
- Experience of using video support by prehospital emergency care physician in ambulance care - an interview study with prehospital emergency nurses in Sweden.BMC emergency medicine · 2021Article
- Article
- Outpatient care in acute and prehospital emergency medicine by emergency medical and patient transport service over a 10-year period: a retrospective study based on dispatch data from a German emergency medical dispatch centre (OFF-RESCUE).BMC emergency medicine · 2021Article
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- Article
- Healthcare pathways and resource use: mapping consequences of ambulance assessment for direct care with alternative healthcare providers.BMC emergency medicine · 2020Observational
- Non-conveyance in the ambulance service: a population-based cohort study in Stockholm, Sweden.BMJ open · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate patients who called the emergency medical services (EMS) for primary healthcare (PHC) problems.
designA retrospective and exploratory patient record study from an EMS perspective, comparing two groups: those who were potential candidates for PHC and those who were not. All data were gathered from EMS and hospital records. SETTINGS: The study was completed at the EMS and five hospital areas in the western region of Sweden. SUBJECTS: The patients (n = 3001) who called the EMS in 2011. Data were missing for 10%.
main outcome measuresThe frequency and the clinical characteristics of the patients who called the EMS and were actually potential candidates for PHC.
resultsOf a total of 2703 patients, a group of 426 (16%) were assessed as potential candidates for PHC and could thus be treated at a level of care other than the emergency department. Patients who were classified as suitable for PHC were found at all priority levels and within all symptom groups, but were younger and healthier than the other group.
conclusionNumerous patients seeking help from the EMS do not end up at the most appropriate level in the healthcare system. IMPLICATIONS: In the EMS, guidelines are needed to enable pre-hospital emergency nurses to assess and triage patients to the most appropriate level of healthcare. Key points Patients calling the emergency medical services do not always end up at an appropriate level of healthcare. In total, 16% of patients were identified by the Swedish emergency medical services as potential candidates for primary healthcare. These patients were younger and healthier than those needing care at the emergency department. They were found at all priority levels and within all symptom groups.
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