Evidence map›Paper›PMID 29652816›Full record

ArticleInternational journal of environmental research and public health2018

The Emergency Medical System in Greece: Opening Aeolus' Bag of Winds.

Ourania S Kotsiou, David S Srivastava, Panagiotis Kotsios, Aristomenis K Exadaktylos, Konstantinos I Gourgoulianis

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Molecular identification ofFood and waterborne parasitology · 2026
    Article
  4. Article
  5. Article
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  8. Article
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  13. Article
  14. Article
  15. Article
  16. Article
  17. Enhanced Public Interest in Response to the Refugee and Healthcare Crises in Greece.International journal of environmental research and public health · 2020
    Article
  18. Health of Refugees and Migrants-Where Do We Stand and What Directions Should We Take?International journal of environmental research and public health · 2019
    Article
  19. Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca.International journal of environmental research and public health · 2018
    Review
  20. Tuberculosis Specific Interferon-Gamma Production in a Current Refugee Cohort in Western Europe.International journal of environmental research and public health · 2018
    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.

Ourania S KotsiouRespiratory Medicine Department, Faculty of Medicine, University of Thessaly, Biopolis, 41500 Larissa, Greece. raniakotsiou@gmail.com.
David S SrivastavaInselspital, University Hospital Bern, 3010 Bern, Switzerland. DavidShiva.Srivastava@insel.ch.
Panagiotis KotsiosInternational Business Department, Perrotis College, 57001 Thessaloniki, Greece. panagiotiskotsios@gmail.com.
Aristomenis K ExadaktylosInselspital, University Hospital Bern, 3010 Bern, Switzerland. Aristomenis.Exadaktylos@insel.ch.
Konstantinos I GourgoulianisRespiratory Medicine Department, Faculty of Medicine, University of Thessaly, Biopolis, 41500 Larissa, Greece. kgourg@med.uth.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An Emergency Medical Service (EMS) system must encompass a spectrum of care, with dedicated pre-hospital and in-hospital medical facilities. It has to be organised in such a way as to include all necessary services—such as triage accurate initial assessment, prompt resuscitation, efficient management of emergency cases, and transport to definitive care. The global economic downturn has had a direct effect on the health sector and poses additional threats to the healthcare system. Greece is one of the hardest-hit countries. This manuscript aims to present the structure of the Greek EMS system and the impact of the current economic recession on it. Nowadays, primary care suffers major shortages in crucial equipment, unmet health needs, and ineffective central coordination. Patients are also facing economic limitations that lead to difficulties in using healthcare services. The multi-factorial problem of in-hospital EMS overcrowding is also evident and has been linked with potentially poorer clinical outcomes. Furthermore, the ongoing refugee crisis challenges the national EMS. Adoption of a triage scale, expansion of the primary care network, and an effective primary–hospital continuum of care are urgently needed in Greece to provide comprehensive, culturally competent, and high-quality health care.

Indexed as

Emergency Medical ServicesDelivery of Health CareEconomic RecessionEmergency Service, HospitalGreeceHumansPrimary Health CareTriageambulanceeconomic recessionemergency medical serviceGreeceprimary healthcare systemrefugeetriage

Identifiers

PMID29652816
PMCPMC5923787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.