Evidence map›Paper›PMID 28167749›Full record

ArticleBMJ open2017

Evaluation of demands, usage and unmet needs for emergency care in Yaoundé, Cameroon: a cross-sectional study.

Young Sun Ro, Sang Do Shin, Joongsik Jeong, Min Jung Kim, Young Hee Jung, Joseph Kamgno, Etoundi Mballa Georges Alain, Bonaventure Hollong

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  13. Informing prehospital care planning using pilot trauma registry data in Yaoundé, Cameroon.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
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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

8 authors.

Young Sun RoLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea.
Sang Do ShinDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.
Joongsik JeongKorea International Cooperation Agency, Korea.
Min Jung KimLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea.
Young Hee JungLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea.
Joseph KamgnoFaculty of Medicine and Biomedical Services, Department of Epidemiology, University of Yaoundé, Yaoundé, Cameroon.
Etoundi Mballa Georges AlainDepartment of Disease Control, Epidemics and Pandemics, Ministry of Public Health, Cameroon.
Bonaventure HollongDepartment of Emergency Medicine, Centre des Urgences de Yaoundé, Yaoundé, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the burden of emergent illnesses and emergency care system usage by Yaoundé residents and to evaluate unmet needs for emergency care and associated barriers.

designA cross-sectional study using a community-based survey.

settingYaoundé, Cameroon.

participantsAll residents living in Yaoundé were selected as the target population to investigate the needs and usage of emergency care in Yaoundé. 14 households in every health area (47 in total) were selected using 2-stage sampling. PRIMARY OUTCOME MEASURES: Unmet needs for emergency care.

resultsAmong the 3201 participants from 619 households who completed the survey, 1113 (34.8%) with median age of 22 experienced 1 or more emergency conditions in the previous year. Respondents who experienced emergency conditions used emergency units (7.0%), outpatient clinics (46.5%) or hospitalisation (13.0%), and in overall, 68.8% of them reported unmet needs for emergency care. The primary reasons for not seeking healthcare were economic issues (37.2%) and use of complementary medicine (22.2%). Young age (adjusted OR (95% CI) 1.80 (1.23 to 2.62)), rental housing (1.50 (1.11 to 2.03)) and moderate household income (0.60 (0.36 to 0.99)) were associated with unmet needs for emergency care.

conclusionsResidents of Yaoundé had a high demand for emergency care, and high unmet needs were observed due to low emergency care usage. Development of a cost-effective, universal emergency care system is urgently needed in Cameroon.

Indexed as

AdolescentAdultAgedAged, 80 and overCameroonChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalFemaleHealth Services AccessibilityHealth Services Needs and DemandHumansInfantInfant, NewbornLogistic ModelsCameroonEmergency Medical ServicesNeeds Assessment

Identifiers

PMID28167749
PMCPMC5293974

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.