Key challenges in prehospital and emergency care in Indonesia and Malaysia: a survey of frontline clinicians

Akio, Tokita and Hanako, Nunokawa and Keibun, Liu and Yuta, Iwamoto and Tomohiro, Sonoo and Konan, Hara and Mikio, Nakajima and Kiyomitsu, Fukaguchi and Takanori, Takeda and Sanip, Amirudin and A. Juzar, Dafsah and Harvendhar Singh, Gurjeet Singh and Condro, Lukito and Tobing, Monalisa and Abu Hasan, Muhammad Abdus-Syakur and Nik Abdul Rahman, Nik Hisamuddin and Mahisa, Orizanov and Zairinal, Ramdinal Aviesena and Ramli, Mohd Khairulizwan and Mohd Nor, Mohd Afiq and Tadahiro, Goto and Zakaria, Mohd Idzwan (2024) Key challenges in prehospital and emergency care in Indonesia and Malaysia: a survey of frontline clinicians. BMC Research notes, 17 (1). ISSN 17560500

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Abstract

Rapid economic growth in Indonesia and Malaysia has widened the gap in emergency care supply and demand, intensifying challenges. Our study, from August to November 2022, assesses current diverse challenges in both countries’ emergency care systems from frontline staff perspectives. The online survey involved emergency department (ED) personnel from 11 hospitals in Indonesia and Malaysia, drawing from an existing network. The survey collected data on respondents’ characteristics, factors affecting prehospital and ED care quality, missing clinical information, and factors influencing patients’ ED stay duration. With 83 respondents from Indonesia and 109 from Malaysia, the study identified common challenges. In both countries, inadequate clinical information from ambulances posed a primary challenge in prehospital care quality, while crowdedness during night shifts affected ED care quality. Frequent gaps in essential clinical information, such as family and medication history, were observed. Prolonged ED stays were associated with diagnostic studies and their turnaround time. This study offers insights into shared challenges in Indonesia and Malaysia’s emergency care systems. Our findings stress recognizing common and country-specific challenges for enhanced emergency care quality in Southeast Asia, supporting tailored interventions.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Ambulance, Emergency room, Indonesia, Malaysia, quality improvement
Subjects:	R Medicine > RZ Other systems of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Emergency Medicine
Depositing User:	Dr. Muhammad Abdus-Syakur Abu Hasan
Date Deposited:	23 Dec 2024 12:59
Last Modified:	24 Dec 2024 09:37
URI:	http://irep.iium.edu.my/id/eprint/103658

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