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Master Thesis

Évaluation de l’organisation de la réponse ambulancière aux urgences pré-hospitalières en Nouvelle Aquitaine

Abstract : Introduction: the Agence régionale de santé Nouvelle Aquitaine has included the organization of health transport (HT) as a priority in its Regional Health Scheme. This assessment of the ambulance response to pre-hospital emergencies in accordance with the 2009 SAMU-transport sanitaire standard is part of its regional strategy for HT. Methods: it was an internal, summary and formative evaluation according to an evaluation framework. The indicators used mobilized qualitative interview data and quantitative data from the national health insurance database and Emergency Medical Assistance Services. Results: ambulances on duty provide 80% of the SAMU's requests during the shift. On average, they carry out 1.28 transports per guard. The permanence of the ambulance response outside on-call periods and the establishment of an ambulance coordinator are being tested in two separate departments. In 2017, the number of ambulance deficiencies amounted to 27095, 70% of which were outside the guard. The shortcomings seem to be explained by the low level of profitability of urgent HT for companies and their recruitment difficulties. Discussion: ten years after the publication of the repository, its regional application is partial and heterogeneous. The courses of action should focus on sectorisation, the organisation of a response outside the guard, training courses and their attractiveness. In Gironde, specific work on waiting time in emergency departments seems necessary. Finally, the reform of the economic model seems essential to ambulance permanence for pre-hospital emergencies.
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Submitted on : Wednesday, February 26, 2020 - 3:01:33 PM
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Éléonore Tron. Évaluation de l’organisation de la réponse ambulancière aux urgences pré-hospitalières en Nouvelle Aquitaine. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02491954⟩



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