Cargando…
Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia
The majority of populations in developing countries are living in areas of no access or limited access to prehospital emergency medical services (EMS). In Addis Ababa, the reported prehospital EMS utilization were ranging from zero to thirty-eight percent. However, there is limited research on reaso...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021779/ https://www.ncbi.nlm.nih.gov/pubmed/36962872 http://dx.doi.org/10.1371/journal.pgph.0001158 |
_version_ | 1784908577977139200 |
---|---|
author | Olani, Ararso Baru Beza, Lemlem Sultan, Menbeu Bekelcho, Tariku Alemayehu, Michael |
author_facet | Olani, Ararso Baru Beza, Lemlem Sultan, Menbeu Bekelcho, Tariku Alemayehu, Michael |
author_sort | Olani, Ararso Baru |
collection | PubMed |
description | The majority of populations in developing countries are living in areas of no access or limited access to prehospital emergency medical services (EMS). In Addis Ababa, the reported prehospital EMS utilization were ranging from zero to thirty-eight percent. However, there is limited research on reasons for the low utilization of prehospital resources in Ethiopia. This study aimed to assess factors associated with prehospital EMS utilization among critically ill COVID-19 patients in Addis Ababa, Ethiopia. A hospital-based cross-sectional study was conducted to collect primary data from 421 COVID-19 patients in Addis Ababa between May and July 2021. Logistic regression was used to identify factors associated with prehospital service utilization. Andersen’s Behavioral Model was implemented to address independent variables, including predisposing, enabling, need, and health behaviors-related variables. The level of prehospital care utilization was 87.6%. Being married [AOR 2.6(95%; CI:1.24–5.58)], belief that self-transport is quicker than the ambulance [AOR 0.13(95%; CI: 0.05–0.34)], and perceptions that ambulance provides transportation service only [AOR 0.14(95%; CI:0.04–0.45)] were predisposing factors associated with prehospital service utilization while the source of referrals [AOR 6.9(95%; CI: 2.78–17.30)], and prior knowledge on the availability of toll-free ambulance calling numbers [AOR 0.14(95%; CI: 0.04–0.45)] were identified as enabling factors. Substantial proportions of critically ill COVID-19 patients used prehospital services to access treatment centers. Prehospital EMS utilization in this study varies by predisposing and enabling factors, particularly: marital status, source of referral, prior knowledge on the availability of toll-free ambulances, belief that self-transport is quicker than ambulances, and perceptions that ambulance provides transportation service only. Our findings call for further actions to be taken by policymakers including physical and media campaigns focusing on the identified factors. |
format | Online Article Text |
id | pubmed-10021779 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-100217792023-03-17 Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia Olani, Ararso Baru Beza, Lemlem Sultan, Menbeu Bekelcho, Tariku Alemayehu, Michael PLOS Glob Public Health Research Article The majority of populations in developing countries are living in areas of no access or limited access to prehospital emergency medical services (EMS). In Addis Ababa, the reported prehospital EMS utilization were ranging from zero to thirty-eight percent. However, there is limited research on reasons for the low utilization of prehospital resources in Ethiopia. This study aimed to assess factors associated with prehospital EMS utilization among critically ill COVID-19 patients in Addis Ababa, Ethiopia. A hospital-based cross-sectional study was conducted to collect primary data from 421 COVID-19 patients in Addis Ababa between May and July 2021. Logistic regression was used to identify factors associated with prehospital service utilization. Andersen’s Behavioral Model was implemented to address independent variables, including predisposing, enabling, need, and health behaviors-related variables. The level of prehospital care utilization was 87.6%. Being married [AOR 2.6(95%; CI:1.24–5.58)], belief that self-transport is quicker than the ambulance [AOR 0.13(95%; CI: 0.05–0.34)], and perceptions that ambulance provides transportation service only [AOR 0.14(95%; CI:0.04–0.45)] were predisposing factors associated with prehospital service utilization while the source of referrals [AOR 6.9(95%; CI: 2.78–17.30)], and prior knowledge on the availability of toll-free ambulance calling numbers [AOR 0.14(95%; CI: 0.04–0.45)] were identified as enabling factors. Substantial proportions of critically ill COVID-19 patients used prehospital services to access treatment centers. Prehospital EMS utilization in this study varies by predisposing and enabling factors, particularly: marital status, source of referral, prior knowledge on the availability of toll-free ambulances, belief that self-transport is quicker than ambulances, and perceptions that ambulance provides transportation service only. Our findings call for further actions to be taken by policymakers including physical and media campaigns focusing on the identified factors. Public Library of Science 2023-02-01 /pmc/articles/PMC10021779/ /pubmed/36962872 http://dx.doi.org/10.1371/journal.pgph.0001158 Text en © 2023 Olani et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Olani, Ararso Baru Beza, Lemlem Sultan, Menbeu Bekelcho, Tariku Alemayehu, Michael Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia |
title | Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia |
title_full | Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia |
title_fullStr | Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia |
title_full_unstemmed | Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia |
title_short | Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia |
title_sort | prehospital emergency medical service utilization and associated factors among critically ill covid-19 patients treated at centers in addis ababa, ethiopia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021779/ https://www.ncbi.nlm.nih.gov/pubmed/36962872 http://dx.doi.org/10.1371/journal.pgph.0001158 |
work_keys_str_mv | AT olaniararsobaru prehospitalemergencymedicalserviceutilizationandassociatedfactorsamongcriticallyillcovid19patientstreatedatcentersinaddisababaethiopia AT bezalemlem prehospitalemergencymedicalserviceutilizationandassociatedfactorsamongcriticallyillcovid19patientstreatedatcentersinaddisababaethiopia AT sultanmenbeu prehospitalemergencymedicalserviceutilizationandassociatedfactorsamongcriticallyillcovid19patientstreatedatcentersinaddisababaethiopia AT bekelchotariku prehospitalemergencymedicalserviceutilizationandassociatedfactorsamongcriticallyillcovid19patientstreatedatcentersinaddisababaethiopia AT alemayehumichael prehospitalemergencymedicalserviceutilizationandassociatedfactorsamongcriticallyillcovid19patientstreatedatcentersinaddisababaethiopia |