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Archives of Industrial Hygiene and Toxicology, Vol. 64 No. 4, 2013

Professional paper
https://doi.org/10.2478/10004-1254-64-2013-2337

Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy

Fimka Tozija ; Institute of Public Health, Skopje, Republic of Macedonia
Nikola Jankulovski ; Medical School, Skopje, Republic of Macedonia

Fulltext: english, pdf (173 KB) pages 567-578 downloads: 1.363* cite
APA 6th Edition
Tozija, F. & Jankulovski, N. (2013). Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy. Arhiv za higijenu rada i toksikologiju, 64 (4), 567-578. https://doi.org/10.2478/10004-1254-64-2013-2337
MLA 8th Edition
Tozija, Fimka and Nikola Jankulovski. "Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy." Arhiv za higijenu rada i toksikologiju, vol. 64, no. 4, 2013, pp. 567-578. https://doi.org/10.2478/10004-1254-64-2013-2337. Accessed 21 Mar. 2019.
Chicago 17th Edition
Tozija, Fimka and Nikola Jankulovski. "Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy." Arhiv za higijenu rada i toksikologiju 64, no. 4 (2013): 567-578. https://doi.org/10.2478/10004-1254-64-2013-2337
Harvard
Tozija, F., and Jankulovski, N. (2013). 'Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy', Arhiv za higijenu rada i toksikologiju, 64(4), pp. 567-578. doi: https://doi.org/10.2478/10004-1254-64-2013-2337
Vancouver
Tozija F, Jankulovski N. Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy. Arh Hig Rada Toksikol. [Internet]. 2013 [cited 2019 March 21];64(4):567-578. doi: https://doi.org/10.2478/10004-1254-64-2013-2337
IEEE
F. Tozija and N. Jankulovski, "Strategy to Improve Quality in Emergency Medical Services: from Assessment to Policy", Arhiv za higijenu rada i toksikologiju, vol.64, no. 4, pp. 567-578, 2013. [Online]. doi: https://doi.org/10.2478/10004-1254-64-2013-2337

Abstracts
The aim of this paper was to present the strategic approach applied for improvement of quality in emergency medical services (EMS) in the Republic of Macedonia. This approach was accomplished through three stages: (I) assessment and recommendations for policies; (II) development of innovative evidence-based programmes; and (III) policy implementation. Strategic assessment of EMS was performed by applying WHO standard methodology. A survey was conducted in 2006/2007 on the national level in fifteen general hospitals, four university hospitals, and sixteen pre-hospital EMS. The overall evaluation was based on a hospital emergency department (ED) questionnaire, information on the general characteristics of the pre-hospital dispatch centre, review of ED medical records, and the patient questionnaire. The key findings of the assessment showed that EMS required extensive changes and improvements. Pre-hospital EMS was not well-developed and utilised. Hospital EDs were not organised as separate divisions ran by a head medical doctor. The diagnostic and treatment capacities were insufficient or outdated. Most of the surveyed hospitals were capable of providing essential diagnostic tests in 24 h or less. There was no follow-up of the EMS patients or an appropriate link between the hospital EDs and primary health care facilities. The main findings of the assessment, ecommendations, and proposals for action served as the basis for new policies and integrated into Macedonia’s official strategy for emergency medical services 2009-2017.

Keywords
emergency medical treatment; national health policy; pre-hospital emergency health care

Hrčak ID: 111778

URI
https://hrcak.srce.hr/111778

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