International Journal for Quality in Health Care Advance Access published online on October 3, 2007
International Journal for Quality in Health Care, doi:10.1093/intqhc/mzm038
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Use of emergency transport by patients with cardiopathies: a focus group study
1 Escuela Andaluza de Salud Pública, Consejería de Salud, Granada, Spain
2 Hospital Universitario San Cecilio, Granada, Spain
3 Empresa Pública de Emergencias Sanitarias Consejería de Salud, Granada, Spain
Background. The importance of emergency systems accessible by telephone for the early attention of patients with ischemic cardiopathy is well known. In Andalusia, this service is provided by calling 061. However, studies show an insufficient use of the existing emergency system in this type of patient.
Objective. To identify explanations related to the decision regarding the method of transport to health-care systems, by private means of transport or 061 services, for people with ischemic cardiopathy from the onset of symptoms until their arrival at the Emergency Department.
Methods. Eleven focal groups were held with subjects diagnosed with ischemic cardiopathy. The discussions were related to the method of transport (using 061 or their own means of transport to a major hospital or to a nearby health facility for onward transfer), depending on the existence of previous experience and distance to the hospital.
Results. The method of transport is related to the degree of ignorance about what is happening, perceptions regarding the fastest way to reach the hospital, people available around the patient when the event takes place, vehicle availability and possible stressful situations.
Conclusions. This study provides information about the reasons for using or not using the emergency transport systems for these patients and understanding how decisions were made. Its importance lies in the possibility of improving actions related to the access of individuals to health-care systems. Based on their education, a strategic plan of information and training was given to the patients, their family and health professionals.
Keywords: acute myocardial infarction, emergency medical services, qualitative study, Spain, transportation of patients, unstable angina
Address reprint requests to: Bolivar-Munoz, Julia, Escuela Andaluza de Salud Pública, Consejería de Salud, Campus Universitario de Cartuja s/n Granada 18080, Spain. Tel: +34-958-027400; Fax: +34-958-027503; E-mail: julia.bolivar.easp{at}juntadeandalucia.es
Accepted for publication August 14, 2007.