Ambulance use is associated with higher self-rated illness seriousness: user attitudes and perceptions

Toloo, Ghasem (Sam), FitzGerald, Gerry J., Aitken, Peter J., Ting, Joseph Y. S., McKenzie, Kirsten, Rego, Joanna and Enraght-Moony, Emma (2013) Ambulance use is associated with higher self-rated illness seriousness: user attitudes and perceptions. Academic Emergency Medicine, 20 6: 576-583. doi:10.1111/acem.12149

Author Toloo, Ghasem (Sam)
FitzGerald, Gerry J.
Aitken, Peter J.
Ting, Joseph Y. S.
McKenzie, Kirsten
Rego, Joanna
Enraght-Moony, Emma
Title Ambulance use is associated with higher self-rated illness seriousness: user attitudes and perceptions
Journal name Academic Emergency Medicine   Check publisher's open access policy
ISSN 1069-6563
Publication date 2013-06
Sub-type Article (original research)
DOI 10.1111/acem.12149
Volume 20
Issue 6
Start page 576
End page 583
Total pages 8
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell
Collection year 2014
Language eng
Formatted abstract
Objectives: The objective was to study the role and effect of patients' perceptions on reasons for using ambulance services in Queensland, Australia.

Methods: A cross-sectional survey was conducted of patients (n = 911) presenting via ambulance or self-transport at eight public hospital emergency departments (EDs). The survey included perceived illness severity, attitudes toward ambulance, and reasons for using ambulance. A theoretical framework was developed to inform this study.

Results: Ambulance users had significantly higher self-rated perceived seriousness, urgency, and pain than self-transports. They were also more likely to agree that ambulance services are for everyone to use, regardless of the severity of their conditions. In compared to self-transports, likelihood of using an ambulance increased by 26% for every unit increase in perceived seriousness; and patients who had not used an ambulance in the 6 months prior to the survey were 66% less likely to arrive by ambulance. Patients who had presented via ambulance stated they considered the urgency (87%) or severity (84%) of their conditions as reasons for calling the ambulance. Other reasons included requiring special care (76%), getting higher priority at the ED (34%), not having a car (34%), and financial concerns (17%).

Conclusions: Understanding patients' perceptions is essential in explaining their actions and developing safe and effective health promotion programs. Individuals use ambulances for various reasons and justifications according to their beliefs, attitudes, and sociodemographic conditions. Policies to reduce and manage demand for such services need to address both general opinions and specific attitudes toward emergency health services to be effective.
Keyword Perspectives
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
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Created: Sun, 28 Jul 2013, 00:06:44 EST by System User on behalf of School of Medicine