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The campaign continues: mysterious faxes and the Oxford debate
Published in John Marks, The NHS: Beginning, Middle and End?, 2017
In Borehamwood at the weekend Dr Shirley Nathan presented the local ambulance crews with a cheque for £400, which had been collected by local supporters. Her picture with one of the ambulance men against the background of a large notice saying ‘Borehamwood Ambulance Station – Emergencies Only Please’ appeared above her remark ‘I regret that the Secretary of State has not been able to make an acceptable offer to the ambulance crews’.6
Justice
Published in Alastair V. Campbell, Bioethics, 2017
This leads us to the ‘meso’ level of health care allocation, since the effectiveness of health care interventions will depend not only on the total amount spent, but on the way that the total sum is distributed between different groups of people and between different types of service. I can illustrate this with a story of a village on the cliff edge. This village (so the story goes) was very picturesque, with a cosy village pub (not too constrained by licensing hours) and a wonderful view across the ocean from the cliff’s edge. The only downside was that in the cold and dark winter evenings some of the villagers (after, perhaps, too jolly a time in the pub) tended to lose their way home and, straying too close to the edge of the cliff, sometimes fell over, plunging down to the rocks below and getting seriously, sometimes fatally, injured. These accidents were becoming so common that the villagers resolved to raise money for an ambulance station at the foot of the cliff with a rescue helicopter ready to get the injured rapidly to the hospital. Luckily, one of the villagers had a better (and much less costly) idea – why not erect a fence along the top of the cliff and provide better lighting in the village? (And, maybe also, why not encourage people to drink more moderately?)
Outcome Measures 1: Disability and Day to Day Practical Care
Published in Caroline Glendinning, A Single Door, 2015
Fifty-four per cent of the 107 resource worker group children and 56 per cent of the 103 comparison group children were in fact admitted to hospital (for one or more nights) during the two-year project, about one-half of each group on two or more occasions. The resource workers helped relatively few families, however, with any problems which arose at these times: four families were helped to find out or speed up the date of their child's admission; two were given advice about how to keep the child amused during a long spell in bed; and eight families were helped with transport to and from the hospital: Coral waiting to go into hospital, on urgent list, for operation, (Orthopaedic surgeon] retires in eight weeks, no successor appointed yet ... I spoke to community health council secretary, He phoned later to say that they are expecting to do the operation before [the surgeon] retires.Vera will be operated on in Children's Hospital and go for convalescence to Weston. This creates problems for visiting - 6-hour journey to spend 1 hour with child. Contacted medical social worker - she will definitely see about help with cost of visits.Aron to be admitted to hospital [50 miles away] tomorrow. Ambulance will take mother and Aron but not father. Mrs D. can't manage Aron on own in ambulance [he is hyperactive], GP has phoned ambulance station and they will not agree to take both parents. Mrs D. says she dare not go on her own. Can I help? The resource worker dealt with this immediate crisis by meeting the parents and child at the bus station halfway between their home and the hospital and driving them the rest of the way there. She then set about devising a more satisfactory solution: Phoned ambulance station, spoke to supervisor. Whoever had answered the parents' call had been quite correct in refusing request as per regulations; but exceptions can be made and he eventually said one should have been made in this case ... I explained there might be a similar situation on return journey. Rang social worker at hospital, who said she'd try and see if something can be done about transport on return ... [as] Dr N. wants to see both parents before Aron discharged.
The Impact of a Novel Operational Readiness Response Model on the Environmental Cleanliness of Emergency Ambulances
Published in Prehospital Emergency Care, 2022
David Morris, Giuseppe Fierravanti, Adam Schrieber, Sarah Johnson, Damien Bartolo, Kate Hipsley, Tanya Somani, Robin Pap, Kingsley Agho, Liz Thyer, Paul M. Simpson
The study only used ambulances at stations within a metropolitan region; the applicability of these results to ambulances in regional, rural and remote regions is unclear but most likely low. Future research should explore environmental cleanliness of ambulances in such areas where dedicated cleaning models such as MRM are unlikely to implemented and where paramedics will continue to undertake the cleaning; albeit with more operational time available to do so. The study looked only at cleanliness of the ambulances at the time they were made non-operational at the end of a shift, or put another way, prior to the commencement of a shift after being cleaned at the end of the previous. It did not account for any cleaning that may or may not have taken place during the day by paramedics between patients as the shift progressed. The results herein demonstrated cleanliness of an ambulance for the first patient, but the MRM does not necessarily offer the same infection control value to other patients as the shift progresses. Future research could explore models that might look to take the principles of the MRM out of the ambulance station and perhaps embed them into ambulance bays at hospitals where ‘between patient’ cleaning could be facilitated.
A sociological analysis of health professionals job satisfaction in the Russian federation
Published in International Journal of Healthcare Management, 2021
Irina Viktorovna Burmykina, Alla Viktorovna Bogomolova, Oksana Serafimovna Pikalova
The target of research in 2017 was the medical staff of a local ambulance station (GUZ ‘LOSSMP & MK’). The survey aimed to find out the causes of staff turnover among ambulance station workers – both physicians and mid-level healthcare professionals. The universe of the research comprised the workforce of a local ambulance station (GUZ ‘LOSSMP & MK’) – 504 health workers, according to the personnel department data. In determining the sample, sampling units were ordered based on a neutral criterion, viz. the number of health workers employed at the city ambulance stations. The sample population for the questionnaire was restricted to 126 respondents; actually, the number of respondents exceeded the planned figure, amounting to 173 respondents. The questionnaire was conducted with the aid of quota sampling. The quota sampling procedure implies subdividing the universe into groups according to the aims of the research. In this survey, the subdivision was effected according to the professional rank of the participants: physicians, mid-level health professionals, and junior medical staff.