An Improvement of The Lithuanian Emergency Medical Assistance System Management

Rimantas Stašys; Gintautas Virketis

Tytuły

Abstrakt

Background. This article discusses an improvement of the emergency medical assistance system in Lithuania. Health care reform in Lithuania has been going on for three decades, but despite the understanding that the health care management has to be effective and methodologically sound it cannot be characterised as consistent, comprehensive, and well-coordinated. The authors explore the methods of how to adapt emergency medical assistance system in Lithuania to the changing environmental factors, the advances of science and information technologies, and to the legal WHO and EU requirements.

Research aims. The aim of this study was to define the key emergency medical assistance concepts and management principals, analyse emergency medical assistance system models in foreign countries and use the results to create a theory for the emergency medical assistance management, determine the deficiencies in the Lithuanian emergency medical assistance system as well as propose tools to improve it and define emergency medical assistance management subsystems.

Methodology. Research methods include quantitative descriptive research through a structured questionnaire survey; data statistical analysis (chi-square, mean) methods, modelling, and graphic representation. The internal consistency of the questionnaire scale was assessed by the Cronbach’s Alpha coefficient.

Key findings. Problem areas of the emergency medical assistance were grouped based on their impact on the social or economic state in the country. It was the basis of the improvement of the emergency medical assistance management and integration. A model for the management of the emergency medical assistance system in Lithuania has been developed and based on the system principle where integral parts are linked by internal relations between health care management subjects; resources; and outcomes. Five subsystems: supervision of emergency medical assistance, patient inter-hospital transportation, information, and patient flow management, as well as the public education and information have been defined.

Background. This article discusses an improvement of the emergency medical assistance system in Lithuania. Health care reform in Lithuania has been going on for three decades, but despite the understanding that the health care management has to be effective and methodologically sound it cannot be characterised as consistent, comprehensive, and well-coordinated. The authors explore the methods of how to adapt emergency medical assistance system in Lithuania to the changing environmental factors, the advances of science and information technologies, and to the legal WHO and EU requirements.

Research aims. The aim of this study was to define the key emergency medical assistance concepts and management principals, analyse emergency medical assistance system models in foreign countries and use the results to create a theory for the emergency medical assistance management, determine the deficiencies in the Lithuanian emergency medical assistance system as well as propose tools to improve it and define emergency medical assistance management subsystems.

Methodology. Research methods include quantitative descriptive research through a structured questionnaire survey; data statistical analysis (chi-square, mean) methods, modelling, and graphic representation. The internal consistency of the questionnaire scale was assessed by the Cronbach’s Alpha coefficient.

Key findings. Problem areas of the emergency medical assistance were grouped based on their impact on the social or economic state in the country. It was the basis of the improvement of the emergency medical assistance management and integration. A model for the management of the emergency medical assistance system in Lithuania has been developed and based on the system principle where integral parts are linked by internal relations between health care management subjects; resources; and outcomes. Five subsystems: supervision of emergency medical assistance, patient inter-hospital transportation, information, and patient flow management, as well as the public education and information have been defined.

Słowa kluczowe

emergency medical assistance (EMA), improvement, management, system

Bibliografia

Anthony, D.R. (2011). Promoting emergency medical care systems in the developing world: weighing the costs. Glob Public Health, 6(8), 906–913.

Dėl Lietuvos sveikatos sistemos 2011–2020 metų plėtros metmenų patvirtinimo(2011). Lietuvos Respublikos Seimo 2011 m. birželio 7 d. nutarimas Nr. XI-1430. Valstybės žinios, Nr. 73-3498.

Donaldson, C. (1996). Purshasing to Meet Need. Reforming Health Care Systems. Cheltenham: British Association for the Advancement of Science.

Global Forum on Trauma Care (2009). Meeting report. Rio de Janeiro, 28–29 October. http://www.who.int/emergencycare/trauma/global_forum_meeting_report.pdf?ua=1 (access: 2017.09.17).

Hodkinson, P.W. & Walis, L.A. (2010). Emergency medicine in the developing world: a Delhi study. Academic Emergency Medicine, 17(7), 765–774.

Kaluzny, A.D. & Shortell, S.M. (2006). Organization Theory and Health Services Management. Health Care Management: Organization Design and Behaviour. NY: Thomson Delmar Learning, p. 8.

Principles of Emergency Management (2007). EM Public safety, public trust. https://www.ndsu.edu/fileadmin/emgt/PrinciplesofEmergencyManagement.pdf (access: 2017.09.17).

Tintinalli, J.E., Cameron, P. & Holliman, C.J. (2010). EMS: A Practical Global Guidebook. PMPH-USA.

Ustinavičienė, R. & Želvienė, A. (2016). Lietuvos sveikatos 2014–2025 m. strategijos vykdymas: kaip sekasi siekti užsibrėžtų tikslų? Visuomenės sveikatos netolygumai, 2(15). Vilnius: Higienos institutas.

VŽ, No. 73–3498, 2011.

Informacje

Informacje: International Journal of Contemporary Management, 2017, Numer 16(3), s. 275 - 292

DOI: https://doi.org/10.4467/24498939IJCM.17.033.7553

Typ artykułu: Oryginalny artykuł naukowy

Tytuły:

Polski:

An Improvement of The Lithuanian Emergency Medical Assistance System Management

Angielski:

An Improvement of The Lithuanian Emergency Medical Assistance System Management

Autorzy

Rimantas Stašys

Klaipeda University, Lithuania

Gintautas Virketis

Klaipeda University, Lithuania

Publikacja: 23.03.2018

Status artykułu: Otwarte

Licencja: CC BY-NC-ND

Udział procentowy autorów:

Rimantas Stašys (Autor) - 50%

Gintautas Virketis (Autor) - 50%

Korekty artykułu:

-

Języki publikacji:

Angielski

Liczba wyświetleń: 662

Liczba pobrań: 812

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Tytuły

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Bibliografia

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