Quality performance measurements of ambulance services in East Coast, Malaysia

INTRODUCTION East Coast Region states in Malaysia consists of Kelantan, Terengganu and Pahang. Similar with other states in Malaysia, ambulance services in this region are mainly provided by the government under Ministry of Health (MOH) and Ministry of Education (MOE) in the hospital-based emerg...

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Main Author:	Ahmad, Siti Farah Fatihah
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RA Public aspects of medicine
Online Access:	http://eprints.usm.my/44079/1/Dr.%20Siti%20Farah%20Fatihah%20Ahmad-24%20pages.pdf
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spelling	my-usm-ep.440792020-10-22T03:03:19Z Quality performance measurements of ambulance services in East Coast, Malaysia 2016 Ahmad, Siti Farah Fatihah RA Public aspects of medicine INTRODUCTION East Coast Region states in Malaysia consists of Kelantan, Terengganu and Pahang. Similar with other states in Malaysia, ambulance services in this region are mainly provided by the government under Ministry of Health (MOH) and Ministry of Education (MOE) in the hospital-based emergency medical system (EMS). The service plays a significant role in public to provide fast and efficient healthcare services in the field as well as inside the ambulance. Therefore, the quality of services must be achieved according to international standard. This study is focused on evaluating the current performance of ambulance service in East Coast, Malaysia based on ambulance response time, ambulance crash and patients complaints as well as identifying the factors affecting the ambulance response time and also ambulance crash. METHODOLOGY This study was a cross-sectional study to evaluate the quality performance measurements of ambulance service in East Coast Region, Malaysia from January 2014 toDecember 2014. The data was obtained from questionnaires which was distributed to all the government hospitals in Kelantan, Terengganu and Pahang. Series of interviews with paramedics in-charged of ambulance services was done in selected hospitals to identify the factors contributed to its performance. It was conducted from November 2014 to March 2015. Statistical analysis was done using SPSS software version 22.0. Simple linear regression was used to determine the associated factors influencing the ambulance response time whereas simple logistic regression was used to determine factors associated with ambulance crash incident. RESULTS Total of 22 hospitals out of 26 were involved in this study with 8 hospitals from Pahang, 8 hospitals from Kelantan and 6 hospitals from Terengganu. Majority ambulances were in charged by assistant medical officer (pembantu pegawai perubatan) level U32 and above. Among parameters used to measure the key performance index, the ambulance response time had been the highest (95.5%). The mean response time in 2014 for all hospitals in East Coast, Malaysia was 16.90 minutes (SD) of 5.94. The mean ambulance crash was 0.77 and the median was 1.00. Majority hospitals had none /unknown complaints regarding ambulance services in their centres (59.1%). Otherwise, 40.9% had less that 10 formal complaints. From this study, univariate linear regression analysis showed that there were no significant factors influenced the ambulance response time and univariate logistic regression showed that there were no factors significantly associated with ambulance crash.CONCLUSION Based on the study, we concluded that the quality of ambulance services in East Coast, Malaysia still not achieving the international standard. There were no significant factors which influenced ambulance response time and ambulance crash. 2016 Thesis http://eprints.usm.my/44079/ http://eprints.usm.my/44079/1/Dr.%20Siti%20Farah%20Fatihah%20Ahmad-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Ahmad, Siti Farah Fatihah Quality performance measurements of ambulance services in East Coast, Malaysia
description	INTRODUCTION East Coast Region states in Malaysia consists of Kelantan, Terengganu and Pahang. Similar with other states in Malaysia, ambulance services in this region are mainly provided by the government under Ministry of Health (MOH) and Ministry of Education (MOE) in the hospital-based emergency medical system (EMS). The service plays a significant role in public to provide fast and efficient healthcare services in the field as well as inside the ambulance. Therefore, the quality of services must be achieved according to international standard. This study is focused on evaluating the current performance of ambulance service in East Coast, Malaysia based on ambulance response time, ambulance crash and patients complaints as well as identifying the factors affecting the ambulance response time and also ambulance crash. METHODOLOGY This study was a cross-sectional study to evaluate the quality performance measurements of ambulance service in East Coast Region, Malaysia from January 2014 toDecember 2014. The data was obtained from questionnaires which was distributed to all the government hospitals in Kelantan, Terengganu and Pahang. Series of interviews with paramedics in-charged of ambulance services was done in selected hospitals to identify the factors contributed to its performance. It was conducted from November 2014 to March 2015. Statistical analysis was done using SPSS software version 22.0. Simple linear regression was used to determine the associated factors influencing the ambulance response time whereas simple logistic regression was used to determine factors associated with ambulance crash incident. RESULTS Total of 22 hospitals out of 26 were involved in this study with 8 hospitals from Pahang, 8 hospitals from Kelantan and 6 hospitals from Terengganu. Majority ambulances were in charged by assistant medical officer (pembantu pegawai perubatan) level U32 and above. Among parameters used to measure the key performance index, the ambulance response time had been the highest (95.5%). The mean response time in 2014 for all hospitals in East Coast, Malaysia was 16.90 minutes (SD) of 5.94. The mean ambulance crash was 0.77 and the median was 1.00. Majority hospitals had none /unknown complaints regarding ambulance services in their centres (59.1%). Otherwise, 40.9% had less that 10 formal complaints. From this study, univariate linear regression analysis showed that there were no significant factors influenced the ambulance response time and univariate logistic regression showed that there were no factors significantly associated with ambulance crash.CONCLUSION Based on the study, we concluded that the quality of ambulance services in East Coast, Malaysia still not achieving the international standard. There were no significant factors which influenced ambulance response time and ambulance crash.
format	Thesis
qualification_level	Master's degree
author	Ahmad, Siti Farah Fatihah
author_facet	Ahmad, Siti Farah Fatihah
author_sort	Ahmad, Siti Farah Fatihah
title	Quality performance measurements of ambulance services in East Coast, Malaysia
title_short	Quality performance measurements of ambulance services in East Coast, Malaysia
title_full	Quality performance measurements of ambulance services in East Coast, Malaysia
title_fullStr	Quality performance measurements of ambulance services in East Coast, Malaysia
title_full_unstemmed	Quality performance measurements of ambulance services in East Coast, Malaysia
title_sort	quality performance measurements of ambulance services in east coast, malaysia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/44079/1/Dr.%20Siti%20Farah%20Fatihah%20Ahmad-24%20pages.pdf
_version_	1747821329434804224

Quality performance measurements of ambulance services in East Coast, Malaysia

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