För många akut sjuka patienter är alarmeringssjukvården och ambulanssjukvården den första kontakten med sjukvården. Därför är det viktigt att dessa patienter prioriteras korrekt i förhållande till sjukdomstillståndets allvarlighetsgrad. Allra viktigast är det när patientens tillstånd är potentiellt akut livshotande, i situationer när tid är liv. Förutom det fysiska hotet kan tiden kännas outhärdligt lång innan ambulansen är på plats. Rädsla för att inte bli hittad och rädsla för att tillståndet ska försämras ytterligare kan innebära en skarp konfrontation med tankar om livets ändlighet. Syftet med studien var att kartlägga om det förelåg några skillnader i prioritering mellan alarmeringssjukvården och ambulanssjukvården, vid uppdrag där ambulanssjukvården bedömt att patienten led av ett potentiellt akut livshotande tillstånd. Alarmerings- och ambulansuppdrag från en region i sydvästra Sverige analyserades i en retrospektiv kvantitativ studie. Data inkluderade varje uppdrag under 2014 som ambulanssjukvården bedömt som Prio 1 vid avtransport (n=17 184). Av dessa uppdrag var 82,4 % (n=14 676) utlarmade som Prio 1 av alarmeringssjukvården. De resterande 17,6 % (n=3138) larmades ut som Prio eller Prio 3. Väntetiden för de patienter som bedömdes som Prio 2 eller Prio 3 vid utlarmningen var 100 % längre jämfört med som larmades ut som Prio 1. De bedömda tillstånd som oftast prioriterades upp var ”Ryggbesvär” (71,7 %) och ”Buk/urinvägar” (47,6 %). Kvinnor (19,7 %) prioriterades upp i högre utsträckning än män (18,3 %). Den största skillnaden förekom i gruppen ”Våld-misshandel” där andelen upprioriterade män var 14,7 % och andelen upprioriterade kvinnor var 41,7 %. Skillnader i prioritering i relation till ålder var högst för patienter som var 81 år eller äldre (26,0 %). Slutsatsen är att det förekommer omotiverade skillnader i vård för den aktuella patientgruppen. Skillnaderna är väsentliga eftersom tillståndens svårighetsgrad är bedömda som potentiellt akut livshotande och för en del av tillstånden är effekten av både åtgärder och väntan stor. Studien visar var skillnaderna är som störst, vilket gör det lättare att bedöma vilka vidare studier som sannolikt ger mest patientnytta.

Thesis (M.P.A.)--University of Hong Kong, 1997. / Includes bibliographical references.

Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, xxxx. / Source: Masters Abstracts International, Volume: 46-05, page: 2644. Adviser: Leona K. Bartholomew. Includes bibliographical references.

Thesis (M.P.A.)--University of Hong Kong, 1997. / Includes bibliographical references. Also available in print.

Thesis (Ph.D.)--York University, 2009. Graduate Programme in Sociology. / Typescript. Includes bibliographical references (leaves 314-337). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:NR51682

Thesis (M.Psych.Org.) - University of Queensland, 2006. / Includes bibliography.

Thesis (M.S.M.)--Regis University, Denver, Colo., 2006. / Title from PDF title page (viewed on Aug. 29, 2006). Includes bibliographical references.

Thesis (MTech (Emergency Medical Care))--Cape Peninsula University of Technology, 2016. / Background - As emergency medical care students approach the exit level of their four-year qualification, additional focus get placed on assessment of their ability provide patient care in the real world pre-hospital emergency care environment. Upon graduation, there is no opportunity for newly graduated emergency care practitioners to complete an internship programme. The assessment of clinical competence is therefore regarded as a critically important and invaluable activity within the academic unit. Academic staff within the Emergency Medical Care department at UJ recognised the need for the development of a standardised assessment instrument to purposefully assess pre-hospital clinical performance and developed an assessment instrument referred to as the University of Johannesburg Clinical Performance Assessment Instrument (UJ CPAI). Having developed the UJ CPAI it became necessary and important to scientifically investigate and evaluate the extent to which the CPAI (as a newly developed instrument) meets the requirements of what is considered to be a "good assessment instrument". For this reason investigation of the validity, reliability and end-user support for the implementation of the UJ CPAI became the central aim and focus of this study.

Thesis (Master of Emergency Medical Care (MEMC))--Cape Peninsula University of Technology, 2019 / Introduction: Road traffic injuries are the ninth leading cause of death globally. Projections indicate that without new and sustained commitment globally to preventing such injuries, the situation will only worsen. Motor vehicle rescue does not lend itself to the prevention of road traffic incidents but through ensuring that all incidents are managed using sound evidence could contribute in positive outcomes for victims. It is unknown what contribution rescue education makes to the body of medical rescue knowledge in South Africa. Aims: The aim of this research was to investigate the relevance and scope of the principles of physics within medical rescue specifically in the context of motor vehicle rescue. It appears that current traditional methods of presenting rescue training, which is mainly procedural and technical, may contribute to 'segmented' learning. Research Methodology: Using an interpretive research design, multiple qualitative methodologies were employed. This methodological triangulation was intended to improve construct validity and trustworthiness of findings. A modified Delphi process through which questionnaires was repeatedly distributed to rescue experts was employed. Process tracing was used to evaluate the developed typical motor vehicle rescue case scenario narrative for underpinnings of the principles of physics. The Bachelor Emergency Medical Care Physics and Extrication subject guides was evaluated for its educational alignment during the document analysis. Legitimation Code theory as a theoretical framework was utilised to appraise the knowledge gap. Results & Discussion: Motor vehicle rescue incident may not always present in a similar manner due to various factors and influences. Development of the typical motor vehicle case narrative from which its physics principles could be identified was imperative. Most motor vehicle rescue related training occur with the vehicle in the upright orientation on all four wheels. This manner of frequent training may restrict rescue practitioners from moving beyond their 'typical' training knowledge when the situation presents a typical. The thematic document analysis of the BEMC Physics and Extrication subject guides lacked the necessary coherence which is required for a professional degree. It was deemed void of certain threshold concepts and structure which would allow the student to move between the theoretical and contextual knowledge. Motor vehicle rescue subject guides and most textbooks on the topic leaned towards a procedural and very technically detailed pedagogy, to the extent that it could contribute to segmented learning. Conclusion: Developing curricula that is underpinned by a theoretically sound evidence base would promote credibility of a qualification. Curricula by design inform the teaching, learning and the competencies which would ultimately be assessed. Professional degrees are intended to develop practitioners who would graduate with the knowledge and competencies to adapt to situations. In addition, graduate attributes of lifelong learning, reflective practice and the ability to contribute to the development of new knowledge is secondary to the goal of qualification attainment.

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