Impact of steering on the functioning of emergency medical services
| Audit Id | 1560408961110 |
|---|---|
| Title | Impact of steering on the functioning of emergency medical services |
| Titel in der Originalsprache |
Ohjauksen vaikutus ensihoitopalvelun toimivuuteen Finnish |
| Jahr | 2019 |
| Betreff |
Health and Social Care (incl. Welfare Benefits) Internal Security |
| Typ |
Performance |
| Art der Leistung |
Performed by single SAI |
| Beschreibung | The National Audit Office of Finland has examined whether the initial stages of the emergency medical service chain function properly. The NAOF also reviewed whether the non-urgent healthcare and social welfare services are well organised and whether there is effective cooperation between them and services provided at home. The management of the emergency response centres and emergency medical services and the health insurance travel cost reimbursement system were also assessed in the audit. The audit is relevant because healthcare and social welfare services will probably be increasingly concentrated in fewer locations. According to the audit observations, emergency medical service resources cannot be planned in an efficient manner because there are no uniform nationwide statistics on the services or indicators describing the activities. Indicators should be developed for emergency medical services so that the effectiveness and quality of the services and the costs arising from them could be reliably assessed in different emergency care tasks. This would allow systematic use of the resources. New services should be developed between emergency medical services and home care services. This would ease the workload of emergency medical services as it would no longer be necessary to take the patients to outpatient clinics every time. Introducing unified emergency instructions for all hospital districts would facilitate the work of the emergency response centres. At the moment, each hospital district has its own emergency instructions and the call-takers in the emergency response centres must observe the instructions of several hospital districts. The updating of the emergency care travel cost reimbursement system should continue because the existing system does not provide any incentives for using emergency medical service resources in an efficient manner. Travel cost reimbursement is on the basis of distances and the time spent on the assignments and it does not depend on the urgency of the tasks. |
| Autor |
Finland |
| Materialien |
Audit report Finnish Summary Swedish Summary English |
| Kontakt |
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