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Journal Article
Review
Targeted response? An exploration of why ambulance services find government targets particularly challenging.
British Medical Bulletin 2016 December
INTRODUCTION OR BACKGROUND: Ambulance services have historically found their targets particularly challenging. This article explores some areas of this multifaceted problem.
SOURCES OF DATA: Research articles, government publications and published audit data.
AREAS OF AGREEMENT: Demand is increasing in many areas of healthcare, but whilst hospitals saw a 7% increase in demand in recent times, ambulance services saw nearly double that. The services ambulance trusts provide have evolved from that of a transport service to that of a mobile health provider, and they have become victims of their own success.
AREAS OF CONTROVERSY: Ambulance targets have never evolved to match evolving care. Ambulance personnel strive to avoid hospital attendance where appropriate, but this can be difficult for a 24-hour service, when not all referral pathways have 24-hour referral systems.
GROWING POINTS: We discuss why demand might be growing disproportionately for ambulance services, and challenge the appropriateness of the targets themselves.
AREAS TIMELY FOR DEVELOPING RESEARCH: Possible formats for revised ambulance targets are discussed.
SOURCES OF DATA: Research articles, government publications and published audit data.
AREAS OF AGREEMENT: Demand is increasing in many areas of healthcare, but whilst hospitals saw a 7% increase in demand in recent times, ambulance services saw nearly double that. The services ambulance trusts provide have evolved from that of a transport service to that of a mobile health provider, and they have become victims of their own success.
AREAS OF CONTROVERSY: Ambulance targets have never evolved to match evolving care. Ambulance personnel strive to avoid hospital attendance where appropriate, but this can be difficult for a 24-hour service, when not all referral pathways have 24-hour referral systems.
GROWING POINTS: We discuss why demand might be growing disproportionately for ambulance services, and challenge the appropriateness of the targets themselves.
AREAS TIMELY FOR DEVELOPING RESEARCH: Possible formats for revised ambulance targets are discussed.
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