ArticleBMC emergency medicine2021
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).
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Trial
- Treatment variability among low-acuity EMS patients in a university hospital ED: a retrospective registry study from Southwest Finland.BMC emergency medicine · 2026Article
- Regional differences, repeated use, and costs of emergency medical services in Germany.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Could low-acuity emergency medical services patients be redirected to primary care? Findings from a multi-center survey in Berlin, Germany.BMC emergency medicine · 2025Observational
- Location-based response times of emergency physicians in rural Germany: an observational study.BMC emergency medicine · 2025Observational
- Hospital admissions following emergency medical services in Germany: analysis of 2 million hospital cases in 2022.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- The Use of Medical Services for Low-Acuity Emergency Cases in Germany: Protocol for a Multicenter Observational Pilot Study.JMIR research protocols · 2024Article
- Increasing emergency number utilisation is not driven by low-acuity calls: an observational study of 1.5 million emergency calls (2018-2021) from Berlin.BMC medicine · 2023Observational
- Prehospital emergency medicine for children receiving palliative home care in Germany-a cross-sectional, exploratory study of EMS providers.Frontiers in pediatrics · 2023Article
- Successful treatment of out-of-hospital cardiac arrest is still based on quick activation of the chain of survival.Frontiers in public health · 2023Article
- [Differences between emergency medical services operations with and without patient transport : A retrospective analysis of dispatch center data in a territorial state].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- The potential of new prediction models for emergency medical dispatch prioritisation of patients with chest pain: a cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Epidemiological Analysis of Patients with Pre-Hospital First Aid in Keyouqian Banner, Hinggan League, Inner Mongolia.Risk management and healthcare policy · 2022Article
- The Feasibility of Using Machine Learning to Classify Calls to South African Emergency Dispatch Centres According to Prehospital Diagnosis, by Utilising Caller Descriptions of the Incident.Healthcare (Basel, Switzerland) · 2021Article
- Outcomes of Prehospital versus Emergency Department Intubation in Patients Managed by Emergency Medical Services.Journal of emergencies, trauma, and shockArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of operations by the German emergency medical service almost doubled between 1994 and 2016. The associated expenses increased by 380% in a similar period. Operations with treatment on-site, which retrospectively proved to be misallocated (OFF-Missions), have a substantial proportion of the assignment of the emergency medical service (EMS). Besides OFF-Missions, operations with patient transport play a dominant role (named as ON-Missions). The aim of this study is to work out the medical and economic relevance of both operation types.
methodsThis analysis examined N = 819,780 missions of the EMS and patient transport service (PTS) in the catchment area of the emergency medical dispatch centre (EMDC) Bad Kreuznach over the period from 01/01/2007 to 12/31/2016 in terms of triage and disposition, urban-rural distribution, duration of operations and economic relevance (p < .01).
results53.4% of ON-Missions are triaged with the indication non-life-threatening patient transport; however, 63.7% are processed by the devices of the EMS. Within the OFF-Mission cohort, 78.2 and 85.8% are triaged or dispatched for the EMS. 74% of all ON-Missions are located in urban areas, 26% in rural areas; 81.3% of rural operations are performed by the EMS. 66% of OFF-Missions are in cities. 93.2% of the remaining 34% of operations in rural locations are also performed by the EMS. The odds for both ON- and OFF-Missions in rural areas are significantly higher than for PTS (OR
conclusionsThis study particularly highlights the increasing utilization of emergency devices; especially in OFF-Missions, the resources of the EMS have a higher number of operations than PTS. OFF-Missions cause immensely high costs due to misallocations from an economic point of view. Appropriate patient management appears necessary from both medical and economic perspective, which requires multiple solution approaches.
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