Developing alternative ambulance response schemes: Analysis of attitudes, barriers, and change

Emergency Medicine Journal

Volumn 21, Issue 6, 2004, Pages 724-727

  Squires, Justin P ^a,c   Mason, S ^a,b  

^a UNIVERSITY OF SHEFFIELD   (United Kingdom)

^b NORTHERN GENERAL HOSPITAL   (United Kingdom)

^c NONE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULANCE; ARTICLE; ATTITUDE; CONTROLLED STUDY; DOCTOR PATIENT RELATION; EMERGENCY HEALTH SERVICE; EMERGENCY TREATMENT; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HUMAN; INTERVIEW; MEDICAL STAFF; PATIENT TRANSPORT; PRIORITY JOURNAL; PROFESSIONAL PRACTICE; TELECOMMUNICATION; UNITED KINGDOM;

ALLIED HEALTH PERSONNEL; AMBULANCES; ATTITUDE OF HEALTH PERSONNEL; EMERGENCY SERVICE, HOSPITAL; ENGLAND; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; REFERRAL AND CONSULTATION;

EID: 8644255837     PISSN: 14720205     EISSN: None     Source Type: Journal    
DOI: 10.1136/emj.2004.016923     Document Type: Article

References (20)

1. Department of Health. Reforming emergency care. London: Department of Health, 2001.
2. Audit Commission. A life in the fast lane: value for money in emergency ambulance services. London: Audit Commission, 1998.
3. Snooks H, Kearsley N, Dale J, et al. New models of care for 999 callers with conditions that are neither life threatening nor serious: results of a national survey. Prehospital Immediate Care 2000;4:180-2.
4. Joint Royal Collages Ambulance Liaison Committee. The future role and education of paramedic ambulance service personnel. London: JRCALC, 2000.
5. Snooks H, Dale J, Kearsley N, et al. Development and impact of emergency ambulance "Treat and Refer" protocols for non-serious 999 patients. London: London Ambulance Service, 2001.
6. Schmidt T, Atcheson R, Federiuk C, et al. Evaluation of protocols allowing emergency medical technicians to determine need for treatment and transport. Acad Emerg Med 2000; 7:663-9.
7. Hauswald M. Can paramedics safely decide which patients do not need ambulance transport or emergency department care? Prehospital Emergency Care 2002;6:383-6.
8. Silvestri S, Rothrock SG, Kennedy D, et al. Can paramedics accurately identify patients who do not require emergency department care? Prehospital Emergency Care 2002;6:387-90.
9. Kamper M, Mahoney BD, Nelson S, et al. Feasibility of paramedic treatment and referral of minor illnesses and injuries. Prehospital Emergency Care 2001;5:371-8.
10. Mason S, Wardrope J, Perrin J. Developing a community paramedic practitioner intermediate care support scheme for older people with minor conditions. Emerg Med J 2003;20:196-8.
11. Snooks HA, Dale J, Hartley-Sharpe C, et al. On-scene alternatives for emergency ambulance crews attending patients who do not need to travel to the accident and emergency department: a review of the literature. Emerg Med J 2004;21:212-15.
12. Briner W, Geddes M, Hastings C. Project leadership. Aldershot: Gower, 1992.
13. Knowles E, Mason S, Wardrope J. Challenges in triggering ambulance service alternative responses. Annual scientific meeting of the Faculty of Accident and Emergency Medicine, London, Nov 2003 (poster presentation).
14. Department of Heath. Ambulance improvement checklist. http://www.doh.gov.uk/emergencycare/ambulancechecklist.htm (accessed 12 Feb 2004).
15. Commission for Health Improvement. What CHI has found in: ambulance trusts, sector report. http://www.chi.gov.uk/eng/cgr/ambulance/report03/ambulance_report.pdf (accessed 21 Feb 2004).
16. Robertson-Steel I. "Reforming emergency care": the ambulance impact. A personal view. Emerg Med J 2004;21 207-11.
17. Kanter RM, Stein BA, Jick TD. The challenge of organizational change. New York: The Free Press, 1992.
18. Carnall CA. Managing change in organizations. 3rd ed. Harlow: Prentice Hall, 1999.
19. Nicholl J, Turner J, Martin D. The future of ambulance services in the United Kingdom. Sheffield: Medical Care Research Unit, ScHARR, University of Sheffield, 2001.
20. Johnson S. Who moved my cheese? London: Vermillion, 1998.