Evidence map›Paper›PMID 34801072›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021

The updated national research agenda 2021-2026 for prehospital emergency medical services in the Netherlands: a Delphi study.

Lilian C M Vloet, Gijs Hesselink, Sivera A A Berben, Margreet Hoogeveen, Paul J T Rood, Remco H A Ebben

Abstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. A European paramedic curriculum for geriatric emergency medicine developed via a modified Delphi technique.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  8. Database quality assessment in research in paramedicine: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023
    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

6 authors.

Lilian C M Vloet *School of Health Studies, Research Department of Emergency and Critical Care, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
Gijs Hesselink *School of Health Studies, Research Department of Emergency and Critical Care, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
Sivera A A BerbenSchool of Health Studies, Research Department of Emergency and Critical Care, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
Margreet HoogeveenDutch National Sector Organization for Ambulance Care (Ambulancezorg Nederland, AZN), PO BOX 4898000 AL, Zwolle, The Netherlands.
Paul J T RoodSchool of Health Studies, Research Department of Emergency and Critical Care, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
Remco H A EbbenSchool of Health Studies, Research Department of Emergency and Critical Care, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands. Remco.Ebben@han.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years may have changed research priorities. Therefore, this study aimed to update the Dutch national EMS research agenda.

methodsA three-round online Delphi survey was used to explore and discuss different viewpoints and to reach consensus on research priorities (i.e., themes and special interest groups, e.g. patient types who require specific research attention). A multidisciplinary expert panel (n = 62) was recruited in the field of prehospital EMS and delegates of relevant professional organizations and stakeholders participated. In round one, fifty-nine research themes and six special interest groups (derived from several resources) were rated on importance on a 5-point scale by the panel members. In round two, the panel selected their priority themes and special interest groups (yes/no), and those with a positive difference score were further assessed in round three. In this final round, appropriateness of the remaining themes and agreement within the panel was taken into account, following the RAND/UCLA appropriateness method, which resulted in the final list of research priorities.

resultsThe survey response per round varied between 94 and 100 percent. In round one, a reduction from 59 to 25 themes and the selection of three special interest groups was realized. Round two resulted in the prioritization of six themes and one special interest group ('Vulnerable elderly'). Round three showed an adequate level of agreement regarding all six themes: 'Registration and (digital) exchange of patient data in the chain of emergency care'; 'Mobile care consultation/Non conveyance'; 'Care coordination'; 'Cooperation with professional partners within the care domain'; 'Care differentiation' and 'Triage and urgency classification'.

conclusionsThe updated Dutch national EMS research agenda builds further on the previous version and introduces new EMS research priorities that correspond with the future challenges prehospital EMS care is faced with. This agenda will guide researchers, policymakers and funding bodies in prioritizing future research projects.

Indexed as

Emergency Medical ServicesAgedAmbulancesConsensusDelphi TechniqueHumansNetherlandsAmbulanceDelphi studyEmergency Medical ServicesEvidence based practiceResearch priorities

Identifiers

PMID34801072
PMCPMC8605575

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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.