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Article

Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis

1
Department of Public Health and Paediatrics, University of Torino, 10126 Torino, Italy
2
Epidemiology Unit, Local Health Unit TO3, Piedmont Region, 10195 Grugliasco, Italy
3
Institute of Scientific Interchange (ISI) Foundation, 10126 Torino, Italy
*
Author to whom correspondence should be addressed.
Healthcare 2020, 8(4), 551; https://doi.org/10.3390/healthcare8040551
Received: 3 November 2020 / Revised: 4 December 2020 / Accepted: 9 December 2020 / Published: 11 December 2020
(This article belongs to the Special Issue Urgent and Acute Prehospital Care)
Background: Emergency Medical Services (EMS) plays a fundamental role in providing good quality healthcare services to citizens, as they are the first responders in distressing situations. Few studies have used available EMS data to investigate EMS call characteristics and subsequent responses. Methods: Data were extracted from the emergency registry for the period 2013–2017. This included call and rescue vehicle dispatch information. All relationships in analyses and differences in events proportion between 2013 and 2017 were tested against the Pearson’s Chi-Square with a 99% level of confidence. Results: Among the 2,120,838 emergency calls, operators dispatched at least one rescue vehicle for 1,494,855. There was an estimated overall incidence of 96 emergency calls and 75 rescue vehicles dispatched per 1000 inhabitants per year. Most calls were made by private citizens, during the daytime, and were made from home (63.8%); 31% of rescue vehicle dispatches were advanced emergency medical vehicles. The highest number of rescue vehicle dispatches ended at the emergency department (74.7%). Conclusions: Our data showed that, with some exception due to environmental differences, the highest proportion of incoming emergency calls is not acute or urgent and could be more effectively managed in other settings than in an Emergency Departments (ED). Better management of dispatch can reduce crowding and save hospital emergency departments time, personnel, and health system costs. View Full-Text
Keywords: emergency medical services; information systems; prehospital intervention; population surveillance emergency medical services; information systems; prehospital intervention; population surveillance
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MDPI and ACS Style

Campagna, S.; Conti, A.; Dimonte, V.; Dalmasso, M.; Starnini, M.; Gianino, M.M.; Borraccino, A. Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis. Healthcare 2020, 8, 551. https://doi.org/10.3390/healthcare8040551

AMA Style

Campagna S, Conti A, Dimonte V, Dalmasso M, Starnini M, Gianino MM, Borraccino A. Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis. Healthcare. 2020; 8(4):551. https://doi.org/10.3390/healthcare8040551

Chicago/Turabian Style

Campagna, Sara, Alessio Conti, Valerio Dimonte, Marco Dalmasso, Michele Starnini, Maria M. Gianino, and Alberto Borraccino. 2020. "Trends and Characteristics of Emergency Medical Services in Italy: A 5-Years Population-Based Registry Analysis" Healthcare 8, no. 4: 551. https://doi.org/10.3390/healthcare8040551

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