Select questionnaire responses of emergency medical providers (n = 39) | Positive responses (%) |
---|---|
CURRENT PROBLEMS IN EMERGENCY MEDICINE | |
Organization | 59 |
An organized system doesn't exist | 35 |
No government regulation | 22 |
Lack of treatment/triage protocols | 22 |
Poor coordination between health care facilities / lack of team work | 17 |
Poor division of labor of those providing emergency services | 17 |
Other | 26 |
Lack of supplies, equipment, and medications | 54 |
Insufficient equipment | 62 |
Inadequate funding | 24 |
Lack of optimal ambulances | 5 |
Poor diagnostic & therapeutic procedures | 5 |
Training and education | 36 |
Lack of incentives / difficult field of work / poor compensation | 23 |
No answer / there is no system of emergency medicine | 18 |
Pre-hospital emergency services / ambulance services | 5 |
PRIORITIES FOR REFORM | |
Organization | 77 |
Treatment protocols/guidelines | 27 |
Improve coordination between health care facilities (team work) and within hospitals (between specialties) | 27 |
Increase the number of physicians (personnel) trained in EM | 17 |
Government regulation and organization | 13 |
Legal regulation | 10 |
Increase the number of beds | 10 |
Establishment of EM as a separate specialty | 7 |
Develop a computer database for tracking patients | 3 |
Improve efficiency of system | 3 |
Supplies, equipment, and medication (improved diagnostics) | 54 |
Training and education | 36 |
Financing | 33 |
Incentives / work conditions / compensation | 21 |
BARRIERS TO FUTURE DEVELOPMENT | |
Economics/resources | 69 |
Organization | 36 |
Political/government | 26 |
Inadequate education and training | 18 |