| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2024-12-18 |
| タイトル |
|
|
タイトル |
On-scene time delays for epileptic seizures in developed community-based integrated care system regions |
|
言語 |
en |
| 作成者 |
Yamada, Hidetada
Neshige, Shuichiro
Nonaka, Megumi
Takebayashi, Yoshiko
Ishibashi, Haruka
Motoda, Atsuko
Aoki, Shiro
Yamazaki, Yu
Maruyama, Hirofumi
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
© 2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
This is not the published version. Please cite only the published version. |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
People with epilepsy |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Emergency medical service |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
EMS response time |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Super-aged society |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Local medical resource |
| 内容記述 |
|
|
内容記述 |
Background Delayed on-scene time by emergency medical services (EMS) can have detrimental effects on critical cases for people with epilepsy (PWE). In preparation for a super-aged society, a Community-based Integrated Care System is crucial to manage healthcare costs. However, sufficient coordination irrespective of sociomedical changes among medical providers is challenging. Aim This study aimed to evaluate on-scene time delays in the treatment of PWE, identify factors associated with such delays, and clarify regional differences. The focus was on the volume of acute care beds in regions with a developed Community-based Integrated Care System. Methods This population-based observational study evaluated on-scene time delays in the treatment of PWE across six major cities in western Japan between 2017 and 2021. In addition, we also evaluated the association between regional differences focusing on volume of acute care beds (“Reduced region" and “Preserved region", as cities with numbers of acute care beds per 1,000 people below and above the national average, respectively) along with sociomedical factors associated with on-scene time delays. Results This study included 8,737 PWE transported by EMS, with a mean on-scene time for EMS ranging from 12.9 ± 6.8 min to 21.7 ± 10.6 min. On-scene time delays were evident in Reduced regions, with an increase of 1.45 min (95 % confidence interval 0.86–2.03 min, p < 0.001). A high total EMS call volume independently influenced on-scene time delays during the middle period of the pandemic in Reduced regions. Conclusion Optimal coordination must be facilitated to ensure the effective functioning of the Community-based Integrated Care System, particularly during unusual circumstances. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Elsevier |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連情報 |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.1016/j.yebeh.2023.109612 |
| 開始ページ |
|
|
開始ページ |
109612 |
| 書誌情報 |
en : Epilepsy & Behavior
巻 151,
p. 109612,
発行日 2023-12-28
|
| 旧ID |
55881 |
EpilepsyBeh_151_109612.pdf (2.0 MB)
