ArticleInternational journal of emergency medicine2022
Impact of integrating out-of-hours services into Emergency Medical Services Copenhagen: a descriptive study of transformational years.
Article in International journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
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.
Who cites it
20 citing papers in PubMed.
- Low Parental Participation in a Randomised Clinical Trial of Video Tutorials: A Qualitative Study.Acta paediatrica (Oslo, Norway : 1992) · 2025Trial
- A randomized controlled trial evaluating the effects of nurse-led triage of 911 calls.Nature human behaviour · 2024Trial
- Video Tutorials to Empower Caregivers of Ill Children and Reduce Health Care Utilization: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Regional Virtual Acute Care Helpline in Singapore at a National University Health System Virtual Care Centre: Retrospective Study.JMIR formative research · 2026Article
- Eye-related emergency calls and prehospital management in region Zealand, Danmark: a register-based cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Comparing emergency medical service and walk-in patients in German emergency departments: a prospective multicentre survey.BMC emergency medicine · 2026Article
- New and emerging drivers of ambulance demand.BMC emergency medicine · 2026Article
- Geographic distribution of EMS missions and patient conditions in suburban and rural Sweden: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Estimating the Burden of Mild-to-Moderate Varicella-Related Infections by Medical Helpline Usage: A Time Series Analysis from 2015 to 2023 Among Children in Denmark.Infectious diseases and therapy · 2025Article
- Evaluation of the performance of telephone triage service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Criteria codes for unrecognized stroke/TIA patients by Emergency Medical Services dispatchers in Copenhagen, Denmark.BMC emergency medicine · 2025Article
- Reorganization of the Danish out-of-hours primary care - a descriptive study.Scandinavian journal of primary health care · 2025Article
- Parents' Motivations for Calling an Out-of-Hours Helpline: Qualitative Study.Journal of medical Internet research · 2025Article
- Strengthening the WHO Emergency Care Systems Framework: insights from an integrated, patient-centered approach in the Copenhagen Emergency Medical Services system-a qualitative system analysis.BMC health services research · 2025Article
- Prehospital management and outcomes of patients calling with chest pain as the main complaint.International journal of emergency medicine · 2024Article
- Time From Distress Call to Percutaneous Coronary Intervention and Outcomes in Myocardial Infarction.JACC. Advances · 2024Article
- A retrospective study on machine learning-assisted stroke recognition for medical helpline calls.NPJ digital medicine · 2023Article
- Is dispatcher-assisted cardiopulmonary resuscitation affected by a bystander's emotional stress state in out-of-hospital cardiac arrest?Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Observational
- Role of alcohol in urgent ambulance contacts in 15-24-year-olds in Copenhagen: a descriptive population-based study.BMJ public health · 2023Article
- Recognition of visual symptoms in stroke: a challenge to patients, bystanders, and Emergency Medical Services.BMC emergency medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany emergency medical services and out-of-hours systems are facing an increasing demand for primary, ambulance, and secondary care services caused by population aging and a higher prevalence of long-term and complex conditions. In order to ensure safety and efficiency for future demands, many systems are changing their dispersed healthcare services towards a more integrated care system. Therefore, an evaluation of the production and performance over time of such a unified system is desirable.
methodsThis retrospective quantitative study was performed with dispatch and financial accounting data of Copenhagen Emergency Medical Services for the period 2010-2019. Copenhagen Emergency Medical Services operates both an emergency number and a medical helpline for out-of-hours services. The number of calls to the emergency number, the centralized out-of-hours medical helpline, the number of dispatches, and the annual expenditure of the system are described for both the periods before and after the major reforms. Production of the emergency number and the centralized medical helpline were analyzed separately.
resultsThe average number of dispatches increased from 328 per 10,000 inhabitants in 2010 to 361 per 10,000 inhabitants in 2019. The newly initiated medical helpline received 533 calls per 10,000 inhabitants in its first year and 5 years later 548 calls per 10,000 inhabitants. A cost increase of 10% was observed in the first year after the reforms, but it decreased again to 8% in the following year.
conclusionsThere is a population demand for a centralized telephone access point for (semi-)emergency medical services. A more integrated EMS system is promising for a sustainable healthcare provision for a growing population with complex healthcare demands and multi-morbidities.
Indexed as
Identifiers
What OpenQuestion holds
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.