The federal government's role in emergency health services

AORN Journal ◽  
1973 ◽  
Vol 18 (5) ◽  
pp. 999-1006
Author(s):  
Henry C Huntley
Keyword(s):  
Health Services ◽  
Emergency Health Services

OP4 Accessing unplanned and emergency health services – experiences of asylum seekers, refused asylum seekers and refugees living in wales

2019 ◽  
Vol 36 (10) ◽  
pp. e3.2-e3
Author(s):  
Ashrafunnesa Khanom ◽  
Bridie Evans ◽  
Wedad Alonazi ◽  
Alex Glendenning ◽  
Matthew Jones ◽  
...  
Keyword(s):  
Health Services ◽  
Survey Data ◽  
Asylum Seekers ◽  
Emergency Services ◽  
Language Barriers ◽  
Health Needs ◽  
Out Of Hours ◽  
Out Of Hours Care ◽  
Asylum Seekers And Refugees ◽  
Emergency Health Services

BackgroundNumbers of asylum seekers and refugees living in Wales have increased sharply. Many are liable to have unmet health needs and difficulty accessing services. We investigated the experience of, and access to, unplanned and emergency health services by asylum seekers, refugees and those refused asylum living in Wales.MethodWe surveyed 210 asylum seekers, refused asylum seekers and refugees and conducted eight focus groups with 57 participants (with interpreters present when necessary) to explore experiences. We used descriptive statistics to analyse survey data and framework analyses to analyse interview data.ResultsSurvey data showed awareness of unscheduled health services was mixed. Best known was the 999 ambulance service (72% reportedly had heard of and could contact this outside daytime hours). NHS111 was familiar to 36% but just a quarter (26%) had heard of and could contact GP out-of-hours services. Fewer than half of respondents (44%) knew of the Emergency Department. 26% reported using a health service out-of-hours. Focus group respondents with little English reported difficulty explaining their health needs, particularly in emergencies and when seeking telephone help through 999 and 111 calls. Others said they used emergency services if they did not know how to access routine and out-of-hours care or if they felt their efforts to see a GP did not resolve their problem.ConclusionLanguage barriers and poor knowledge of UK health systems mean asylum seekers, refused asylum seekers and refugees use emergency health services to meet needs which could be seen and treated in routine primary services. Language barriers using phone lines may also result in paramedic attendance or conveyance to Emergency Departments because health needs are not clearly identified. Better information and support may help this population access services which match their needs and support their health more effectively.

scholarly journals Determination of individual preparation behaviors of emergency health services personnel towards disasters

2015 ◽  
Vol 4 (3) ◽  
pp. 180-185 ◽  
Author(s):  
Hüseyin Koçak ◽  
Cüneyt Çaliskan ◽  
Edip Kaya ◽  
Ömer Yavuz ◽  
Kerim Hakan Altintas
Keyword(s):  
Health Services ◽  
Individual Preparation ◽  
Emergency Health Services

Evolution of a high-performance emergency health services system in Nova Scotia

2018 ◽  
Vol 31 (5) ◽  
pp. 191-195
Author(s):  
Andrew H. Travers
Keyword(s):  
Nova Scotia ◽  
Health Services ◽  
System Design ◽  
High Performance ◽  
Systems Of Care ◽  
Prehospital Care ◽  
Public Utility ◽  
Emergency Medical Service System ◽  
Efficient Operation ◽  
Emergency Health Services

Since 1997, Emergency Health Services in Nova Scotia (NS) has evolved from a program providing prehospital care for patients in transport to a system providing integrated healthcare in both traditional (ie, ambulance) and non-traditional settings (eg, patient homes, hospital settings). This article highlights (1) the reorganization of the emergency medical service system design, (2) the strategies enabling efficient operation of this design, and (3) resultant innovations evolving from both system redesign and strategy application. Emergency Health Services has utilized a Public Utility Model (PUM) design providing prehospital healthcare, public safety, and public health responses to the population of NS. The success of the PUM has been complimented by three strategies: (1) co-leadership model operations, (2) common languages to translate evidence into practice, and (3) collaborative and integrated relationships with other regulated healthcare providers. This prehospital system design and application strategies could be applied in other sectors of community and hospital systems of care.

scholarly journals ASSESSMENT OF READINESS OF STATIONS AND DEPARTMENTS OF AMBULANCE MEDICAL CARE TO THE EMERGENCY RECOVERY OF MEDICAL AND SANITARY CONSEQUENCES OF EMERGENCY SITUATIONS

2018 ◽  
Vol 18 (4) ◽  
pp. 10-14
Author(s):  
V. P. Popov ◽  
L. P. Rogozhina ◽  
E. V. Medvedeva
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Performance Indicators ◽  
Daily Work ◽  
Emergency Situations ◽  
Regulatory Documents ◽  
Work Routine ◽  
Emergency Health Services

A ball scale has been developed to assess the readiness of the stations and emergency health services (EHS) departments to eliminate the medical and sanitary effects of emergencies (ES). EHS standards were used as a basis, in accordance with regulatory documents. The application of this scale allows us to objectively assess the EHS readiness of to operate in case of emergencies, based on the EHS performance indicators in the daily work routine.

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