Evidence map›Paper›PMID 27080583›Full record

ArticlePublic health2016

Comparative analysis of three prehospital emergency medical services organizations in India and Pakistan.

V Sriram, G Gururaj, J A Razzak, R Naseer, A A Hyder

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07027813 (Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies in Low Resource Settings), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07027813 narecruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies in Low Resource Settings (FEAMER) Trial

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2025 to 2026Enrolled900ConditionsEmergencies, mHealth, Child Health, Critical IllnessArmsTelemedicine, Control
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

V SriramJohns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD 21205, USA. Electronic address: vsriram1@jhu.edu.
G GururajDepartment of Epidemiology and Centre for Public Health, World Health Organization Collaborating Centre for Injury Prevention and Safety Promotion, National Institute of Mental Health and Neuro Sciences, Bengaluru, India. Electronic address: epiguru@yahoo.com.
J A RazzakDepartment of Emergency Medicine, Johns Hopkins School of Medicine, 5801 Smith Ave, Ste 202, Baltimore, MD 21209, USA. Electronic address: junaid.razzak@hopkins.edu.
R NaseerPakistan Red Crescent Society, Islamabad, Pakistan. Electronic address: drnaseer@hotmail.com.
A A HyderJohns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Baltimore, MD 21205, USA. Electronic address: ahyder1@jhu.edu.

Funding

JHU-Afghanistan-Pakistan Collaborative Trauma and Injury Research TrainingD43TW007292 · FIC · JOHNS HOPKINS UNIVERSITY · PI Nadeem Ullah Khan, Junaid Abdul Razzak · 2005 to 2026
$4.7M
FIC NIH HHS D43 TW007292
6 · The paper itself

Abstract

objectivesStrengthened emergency medical services (EMS) are urgently required in South Asia to reduce needless death and disability. Several EMS models have been introduced in India and Pakistan, and research on these models can facilitate improvements to EMS in the region. Our objective was to conduct a cross-case comparative analysis of three EMS organizations in India and Pakistan - GVK EMRI, Aman Foundation and Rescue 1122 - in order to draw out similarities and differences in their models. STUDY

designCase study methodology was used to systematically explore the organizational models of GVK EMRI (Karnataka, India), Aman Foundation (Karachi, Pakistan), and Rescue 1122 (Punjab, Pakistan).

methodsQualitative methods - interviews, document review and non-participant observation - were utilized, and using a process of constant comparison, data were analysed across cases according to the WHO health system 'building blocks'.

resultsEmergent themes under each health system 'building block' of service delivery, health workforce, medical products and technology, health information systems, leadership and governance, and financing were described. Cross-cutting issues not applicable to any single building block were further identified.

conclusionsThis cross-case comparison, the first of its kind in low- and middle-income countries, highlights key innovations and lessons, and areas of further research across EMS organizations in India, Pakistan and other resource-poor settings.

Indexed as

Models, OrganizationalEmergency Medical ServicesHumansIndiaPakistanQualitative ResearchAmbulancesCase studiesEmergency medical servicesHealth system building blocksIndiaPakistan

Identifiers

PMID27080583
PMCPMC4983503

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.