Open Access Emergency Medicine (Mar 2023)

Paramedic To Provider Consultation Challenges in the Emergency Department in Kazakhstan: An Online Survey

  • Ygiyeva D,
  • Pivina L,
  • Messova A,
  • Urazalina Z,
  • Semenova Y,
  • Dyussupov A,
  • Dyussupov A,
  • Belikhina T,
  • Syzdykbayev M,
  • Batenova G,
  • Akhmetova A,
  • Adams A

Journal volume & issue
Vol. Volume 15
pp. 69 – 77

Abstract

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Diana Ygiyeva,1 Lyudmila Pivina,1 Assylzhan Messova,1 Zhanar Urazalina,1 Yuliya Semenova,1 Almas Dyussupov,1 Altay Dyussupov,1 Tatyana Belikhina,2 Marat Syzdykbayev,1 Gulnara Batenova,1 Ayaulym Akhmetova,1 Amber Adams3 1Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan; 2Nuclear Medicine Department, Center of Nuclear Medicine and Oncology, Semey, Abay Region, Kazakhstan; 3JoAnne Gay Dishman School of Nursing, Lamar University, Beaumont, TX, USACorrespondence: Assylzhan Messova; Lyudmila Pivina, Department of Emergency Medicine, Semey Medical University, Abay str. 103, Semey, Abay Region, Kazakhstan, Tel +7 777 2138307 ; +77055227300, Email [email protected]; [email protected]: Consultation is an important and necessary aspect of patient care in the emergency department. We prospectively examined difficulties during the consultation process between paramedics and providers in emergency departments in Kazakhstan.Methods: The paramedics were interviewed using various platforms and face-to-face meetings. Questionnaires were administered to paramedics to gather feedback on the current consultation process. In our survey, 202 paramedics of ambulance from the cities of Semey, Pavlodar, and Ust-Kamenogorsk, located in the North and East of Kazakhstan took part.Results: Serious barriers to effective consultation were identified during consultations with cardiologists, pediatricians, and traumatologists. Weekends, as well as nighttime, are associated with more consultation difficulties. The most common problems for paramedics are non-attendance of the consultant, refusal of hospitalization by the consultant, and referral to other specialists and departments. More than 40% of the respondents noted the desire to share responsibility for the patient with medical consultants, which indicates uncertainty in their own knowledge due to the limited work experience of the majority of respondents.Conclusion: Barriers that arise during the consultation process of patients with emergency conditions can lead to unfavorable outcomes. Strategies to address these barriers are needed to improve the quality of patient care. This review aims to understand and evaluate the issues that arise during the consultation process.Keywords: emergency department, consultation, paramedics, prehospital medical care

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