|Project description||This research proposal describes a study about the classification of urgency used in ambulance care and acute primary care in countries comparable to the Netherlands. The results of the research supports Ambulancezorg Nederland (AZN), the sector organization for ambulance care services in the Netherlands, in formulating an advisory report that subscribes the ambition to further develop the current classification of urgency. The further development consists of a justification for the system to be used and an exploration of connecting urgency classifications used in ambulance care with primary care urgency classifications. The desire for further development supports the vision of AZN focusing on care coordination. Care coordination concerns the joint organization and coordination of acute care on a regional scale. Joint and unambiguous triage is in line with this vision.
The following research questions are answered in the study:
- How is ambulance care and acute primary care, in other countries comparable with the Netherlands, organized?
- Which urgency classifications are applied in the ambulance care and acute primary care chain, in other countries comparable to the Netherlands, and what are the underlying foundations?
- What is the foundation of the urgency classification currently used in the ambulance care system in the Netherlands?
- Which urgency classification(s) best fit(s) within the ambulance care and primary care chain in the Netherlands? Does it fit all parts of the acute primary care chain?
The selection of countries for research will be done in consultation with a core team from Ambulancezorg Nederland (AZN). The core team is part of the project team, which consists of representatives from among others the ambulance care and general practitioners. Some provisionally selected countries are Norway, Denmark, Great Britain (GB), Belgium, Germany, Canada and Australia as these countries are interesting for this research on the basis of organization, support and implementation of ambulance care and primary care chain. To answer the research questions, an overview will be provided of the organization of ambulance care and the acute primary care chain of the selected countries. In addition some relevant characteristics (e.g. data on use and supply) will be provided. Based on the overview, the core team of the project group chooses three countries for further in-depth research by conducting telephone interviews and desk research. Interview candidates are policymakers and users of urgency classifications in ambulance care and acute primary care. Various organizations are involved in the intake (emergency control centers) and delivery (ambulance service, general practitioners cooperation or other primary care organization) of emergency care. In addition to the interviews, a narrative literature study is conducted to subscribe the research results.
During the research project, the project team will be consulted on a regular base. In addition to being involved in the selection of countries, the project team also nominates candidates (persons or organizations) for interviews. Based on the research results, it is possible for the project team to formulate a vision and prepare a substantiated advice, in which a choice is made for the urgency classification used in the ambulance care and acute primary care chain in the Netherlands.