Evidence map›Paper›PMID 42121035›Full record

ArticleInternational journal of emergency medicine2026

Emergency healthcare delivery: determinants and systemic barriers at Wassa Amenfi East District Hospital, Ghana.

Tonnies Abeku Buckman, Joseph Teye Nuertey, Esther Acquah, Samuel Asamoah Sakyi, Lawrence Owusu Brenya, Akwasi Minnah Addei, Andy Opoku Boateng, Maxwell Hurbert Antwi, Frank Enock Gyamfi, Michael Ofoe Adinku

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Article in International journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Tonnies Abeku BuckmanDepartment of Medical Laboratory Science, KAAF University, Fetteh-Kakraba, Gomoa -East, Ghana. tonniesb@yahoo.com.
Joseph Teye NuerteyDepartment of Physician Assistant, KAAF University, Fetteh-Kakraba, Gomoa - East, Ghana.
Esther AcquahDarmang CHIPS, Wassa Amenfi East District, Wassa Amenfi East, Ghana.
Samuel Asamoah SakyiDepartment of Molecular Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Lawrence Owusu BrenyaDepartment of Biochemistry and Molecular Biology, Louisiana State University, Shreveport, USA.
Akwasi Minnah AddeiDepartment of Theoretical and Applied Biology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Andy Opoku BoatengGarden City University, Kumasi, Ghana.
Maxwell Hurbert AntwiDepartment of Medical Laboratory Science, Koforidua Technical University, Koforidua, Ghana.
Frank Enock GyamfiHoly Family Hospital, Berekum, Ghana.
Michael Ofoe AdinkuDepartment of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the critical role emergency healthcare systems play in safeguarding lives, there remains a significant disconnect between service availability and service effectiveness in many rural settings. This study investigates systemic inefficiencies in emergency healthcare delivery at Wasa Amenfi East District Hospital, Ghana, highlighting the disconnect between policy frameworks and operational realities in a rural setting.

methodA descriptive survey design was employed to assess the effectiveness and accessibility of emergency healthcare services at Wasa Amenfi East District Hospital. Data were collected from a purposive sample of 200 participants, including healthcare professionals and patients, using structured questionnaires. The instrument captured quantitative insights on service utilization, policy awareness, infrastructure, and perceived quality of care. Descriptive statistics and chi-square tests were used to analyze relationships between demographic variables and policy awareness, with significance set at p < 0.05.

resultsFindings reveal high utilization of emergency services (86.5%) but widespread dissatisfaction with service quality, responsiveness, staffing, and equipment availability. Key challenges include inadequate staffing (69.5%), drug shortages (71.5%), poor road infrastructure (76%), and bureaucratic delays (74%). Although 71% of respondents were aware of emergency healthcare policies, only 29.6% perceived their full implementation, and just 42.5% believed these policies improved access to healthcare. Education level was significantly associated with policy awareness (p = 0.049).

conclusionThe study underscores the need for strategic reforms in workforce capacity, infrastructure, and policy enforcement, advocating for community-inclusive approaches to enhance emergency care responsiveness and equity.

Indexed as

Emergency healthcareHealthcare infrastructureRural health systemsService delivery challenges

Identifiers

PMID42121035
PMCPMC13339546

What OpenQuestion holds

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LicenceCC BY
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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.