Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study
Introduction Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands. Methods This mixed-methods consensus...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2024-02, Vol.50 (1), p.221-232 |
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| creator | Vianen, Niek J. Maissan, Iscander M. den Hartog, Dennis Stolker, Robert J. Houmes, Robert J. Gommers, Diederik A. M. P. J. Van Meeteren, Nico L. U. Hoeks, Sanne E. Van Lieshout, Esther M. M. Verhofstad, Michael H. J. Van Vledder, Mark G. |
| description | Introduction
Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands.
Methods
This mixed-methods consensus study consisted of three phases. The first phase consisted of semi-structured interviews with relevant stakeholders. Thematic analysis of qualitative data derived from these interviews was used to identify main themes, which were subsequently discussed in several online focus groups in the second phase. Output from these discussions was used to shape statements for an online Delphi consensus study among relevant stakeholders in EMS research. Consensus was met if 80% of respondents agreed or disagreed on a particular statement.
Results
Forty-nine stakeholders participated in the study; qualitative thematic analysis of the interviews and focus group discussions identified four main themes: (1) data registration and data sharing, (2) laws and regulations, (3) financial aspects and funding, and (4) organization and culture. Qualitative data from the first two phases of the study were used to construct 33 statements for an online Delphi study. Consensus was reached on 21 (64%) statements. Eleven (52%) of these statements pertained to the storage and use of EMS patient data.
Conclusion
Barriers for prehospital EMS research in the Netherlands include issues regarding the use of patient data, privacy and legislation, funding and research culture in EMS organizations. Opportunities to increase scientific productivity in EMS research include the development of a national strategy for EMS data and the incorporation of EMS topics in research agendas of national medical professional associations. |
| doi_str_mv | 10.1007/s00068-023-02240-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10924026</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2951137655</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-69b4313025beab2853b7016516d4542e9cec0f610a847d5ee01528e34e81646a3</originalsourceid><addsrcrecordid>eNp9Uctu1DAUjRCIlsIPsECW2LAJ-B1HLFBV8ZIquoG15Tg3M64SO_gmLfMR_DMepgyPBQs_5POwj09VPWX0JaO0eYWUUm1qykUZXNL69l51yowWddtKdv-4F-KkeoR4XdhUK_6wOhHa6NYYcVp9v5rnlJc1hiUAEhd70rmcA2QkQ8pkzrBNOIfFjQQmyBuIfkcm6IMvJwj5Jviiy4Dgst-SEMmyBfIJypzHYoev9-A6LkjSQByZwjfo66ngqUfiU0SIuCLBZe13j6sHgxsRntytZ9WXd28_X3yoL6_ef7w4v6y9bNRS67aTggnKVQeu40aJrqFMK6Z7qSSH1oOng2bUGdn0CoAyxQ0ICYZpqZ04q94cfOe1K1k8xCW70c45TC7vbHLB_o3EsLWbdGMZbctHc10cXtw55PR1BVzsFNDDWCJDWtHyxgjZUtPsqc__oV6nNceSz_JWMSYarVRh8QPL54SYYTi-hlG7r9se6ralbvuzbntbRM_-zHGU_Oq3EMSBgAWKG8i_7_6P7Q_lA7mW</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2951137655</pqid></control><display><type>article</type><title>Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study</title><source>SpringerLink Journals - AutoHoldings</source><creator>Vianen, Niek J. ; Maissan, Iscander M. ; den Hartog, Dennis ; Stolker, Robert J. ; Houmes, Robert J. ; Gommers, Diederik A. M. P. J. ; Van Meeteren, Nico L. U. ; Hoeks, Sanne E. ; Van Lieshout, Esther M. M. ; Verhofstad, Michael H. J. ; Van Vledder, Mark G.</creator><creatorcontrib>Vianen, Niek J. ; Maissan, Iscander M. ; den Hartog, Dennis ; Stolker, Robert J. ; Houmes, Robert J. ; Gommers, Diederik A. M. P. J. ; Van Meeteren, Nico L. U. ; Hoeks, Sanne E. ; Van Lieshout, Esther M. M. ; Verhofstad, Michael H. J. ; Van Vledder, Mark G. ; Dutch Opportunities & Barriers in EMS research group ; the Dutch Opportunities & Barriers in EMS research group</creatorcontrib><description>Introduction
Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands.
Methods
This mixed-methods consensus study consisted of three phases. The first phase consisted of semi-structured interviews with relevant stakeholders. Thematic analysis of qualitative data derived from these interviews was used to identify main themes, which were subsequently discussed in several online focus groups in the second phase. Output from these discussions was used to shape statements for an online Delphi consensus study among relevant stakeholders in EMS research. Consensus was met if 80% of respondents agreed or disagreed on a particular statement.
Results
Forty-nine stakeholders participated in the study; qualitative thematic analysis of the interviews and focus group discussions identified four main themes: (1) data registration and data sharing, (2) laws and regulations, (3) financial aspects and funding, and (4) organization and culture. Qualitative data from the first two phases of the study were used to construct 33 statements for an online Delphi study. Consensus was reached on 21 (64%) statements. Eleven (52%) of these statements pertained to the storage and use of EMS patient data.
Conclusion
Barriers for prehospital EMS research in the Netherlands include issues regarding the use of patient data, privacy and legislation, funding and research culture in EMS organizations. Opportunities to increase scientific productivity in EMS research include the development of a national strategy for EMS data and the incorporation of EMS topics in research agendas of national medical professional associations.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-023-02240-w</identifier><identifier>PMID: 36869883</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Critical Care Medicine ; Emergency medical care ; Emergency Medicine ; Emergency services ; Intensive ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2024-02, Vol.50 (1), p.221-232</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-69b4313025beab2853b7016516d4542e9cec0f610a847d5ee01528e34e81646a3</citedby><cites>FETCH-LOGICAL-c475t-69b4313025beab2853b7016516d4542e9cec0f610a847d5ee01528e34e81646a3</cites><orcidid>0000-0003-2690-3673</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-023-02240-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-023-02240-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36869883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vianen, Niek J.</creatorcontrib><creatorcontrib>Maissan, Iscander M.</creatorcontrib><creatorcontrib>den Hartog, Dennis</creatorcontrib><creatorcontrib>Stolker, Robert J.</creatorcontrib><creatorcontrib>Houmes, Robert J.</creatorcontrib><creatorcontrib>Gommers, Diederik A. M. P. J.</creatorcontrib><creatorcontrib>Van Meeteren, Nico L. U.</creatorcontrib><creatorcontrib>Hoeks, Sanne E.</creatorcontrib><creatorcontrib>Van Lieshout, Esther M. M.</creatorcontrib><creatorcontrib>Verhofstad, Michael H. J.</creatorcontrib><creatorcontrib>Van Vledder, Mark G.</creatorcontrib><creatorcontrib>Dutch Opportunities & Barriers in EMS research group</creatorcontrib><creatorcontrib>the Dutch Opportunities & Barriers in EMS research group</creatorcontrib><title>Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Introduction
Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands.
Methods
This mixed-methods consensus study consisted of three phases. The first phase consisted of semi-structured interviews with relevant stakeholders. Thematic analysis of qualitative data derived from these interviews was used to identify main themes, which were subsequently discussed in several online focus groups in the second phase. Output from these discussions was used to shape statements for an online Delphi consensus study among relevant stakeholders in EMS research. Consensus was met if 80% of respondents agreed or disagreed on a particular statement.
Results
Forty-nine stakeholders participated in the study; qualitative thematic analysis of the interviews and focus group discussions identified four main themes: (1) data registration and data sharing, (2) laws and regulations, (3) financial aspects and funding, and (4) organization and culture. Qualitative data from the first two phases of the study were used to construct 33 statements for an online Delphi study. Consensus was reached on 21 (64%) statements. Eleven (52%) of these statements pertained to the storage and use of EMS patient data.
Conclusion
Barriers for prehospital EMS research in the Netherlands include issues regarding the use of patient data, privacy and legislation, funding and research culture in EMS organizations. Opportunities to increase scientific productivity in EMS research include the development of a national strategy for EMS data and the incorporation of EMS topics in research agendas of national medical professional associations.</description><subject>Critical Care Medicine</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Emergency services</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9Uctu1DAUjRCIlsIPsECW2LAJ-B1HLFBV8ZIquoG15Tg3M64SO_gmLfMR_DMepgyPBQs_5POwj09VPWX0JaO0eYWUUm1qykUZXNL69l51yowWddtKdv-4F-KkeoR4XdhUK_6wOhHa6NYYcVp9v5rnlJc1hiUAEhd70rmcA2QkQ8pkzrBNOIfFjQQmyBuIfkcm6IMvJwj5Jviiy4Dgst-SEMmyBfIJypzHYoev9-A6LkjSQByZwjfo66ngqUfiU0SIuCLBZe13j6sHgxsRntytZ9WXd28_X3yoL6_ef7w4v6y9bNRS67aTggnKVQeu40aJrqFMK6Z7qSSH1oOng2bUGdn0CoAyxQ0ICYZpqZ04q94cfOe1K1k8xCW70c45TC7vbHLB_o3EsLWbdGMZbctHc10cXtw55PR1BVzsFNDDWCJDWtHyxgjZUtPsqc__oV6nNceSz_JWMSYarVRh8QPL54SYYTi-hlG7r9se6ralbvuzbntbRM_-zHGU_Oq3EMSBgAWKG8i_7_6P7Q_lA7mW</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Vianen, Niek J.</creator><creator>Maissan, Iscander M.</creator><creator>den Hartog, Dennis</creator><creator>Stolker, Robert J.</creator><creator>Houmes, Robert J.</creator><creator>Gommers, Diederik A. M. P. J.</creator><creator>Van Meeteren, Nico L. U.</creator><creator>Hoeks, Sanne E.</creator><creator>Van Lieshout, Esther M. M.</creator><creator>Verhofstad, Michael H. J.</creator><creator>Van Vledder, Mark G.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2690-3673</orcidid></search><sort><creationdate>20240201</creationdate><title>Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study</title><author>Vianen, Niek J. ; Maissan, Iscander M. ; den Hartog, Dennis ; Stolker, Robert J. ; Houmes, Robert J. ; Gommers, Diederik A. M. P. J. ; Van Meeteren, Nico L. U. ; Hoeks, Sanne E. ; Van Lieshout, Esther M. M. ; Verhofstad, Michael H. J. ; Van Vledder, Mark G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-69b4313025beab2853b7016516d4542e9cec0f610a847d5ee01528e34e81646a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Critical Care Medicine</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Emergency services</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vianen, Niek J.</creatorcontrib><creatorcontrib>Maissan, Iscander M.</creatorcontrib><creatorcontrib>den Hartog, Dennis</creatorcontrib><creatorcontrib>Stolker, Robert J.</creatorcontrib><creatorcontrib>Houmes, Robert J.</creatorcontrib><creatorcontrib>Gommers, Diederik A. M. P. J.</creatorcontrib><creatorcontrib>Van Meeteren, Nico L. U.</creatorcontrib><creatorcontrib>Hoeks, Sanne E.</creatorcontrib><creatorcontrib>Van Lieshout, Esther M. M.</creatorcontrib><creatorcontrib>Verhofstad, Michael H. J.</creatorcontrib><creatorcontrib>Van Vledder, Mark G.</creatorcontrib><creatorcontrib>Dutch Opportunities & Barriers in EMS research group</creatorcontrib><creatorcontrib>the Dutch Opportunities & Barriers in EMS research group</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vianen, Niek J.</au><au>Maissan, Iscander M.</au><au>den Hartog, Dennis</au><au>Stolker, Robert J.</au><au>Houmes, Robert J.</au><au>Gommers, Diederik A. M. P. J.</au><au>Van Meeteren, Nico L. U.</au><au>Hoeks, Sanne E.</au><au>Van Lieshout, Esther M. M.</au><au>Verhofstad, Michael H. J.</au><au>Van Vledder, Mark G.</au><aucorp>Dutch Opportunities & Barriers in EMS research group</aucorp><aucorp>the Dutch Opportunities & Barriers in EMS research group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>50</volume><issue>1</issue><spage>221</spage><epage>232</epage><pages>221-232</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Introduction
Quality improvement in prehospital emergency medical services (EMS) can only be achieved by high-quality research and critical appraisal of current practices. This study examines current opportunities and barriers in EMS research in the Netherlands.
Methods
This mixed-methods consensus study consisted of three phases. The first phase consisted of semi-structured interviews with relevant stakeholders. Thematic analysis of qualitative data derived from these interviews was used to identify main themes, which were subsequently discussed in several online focus groups in the second phase. Output from these discussions was used to shape statements for an online Delphi consensus study among relevant stakeholders in EMS research. Consensus was met if 80% of respondents agreed or disagreed on a particular statement.
Results
Forty-nine stakeholders participated in the study; qualitative thematic analysis of the interviews and focus group discussions identified four main themes: (1) data registration and data sharing, (2) laws and regulations, (3) financial aspects and funding, and (4) organization and culture. Qualitative data from the first two phases of the study were used to construct 33 statements for an online Delphi study. Consensus was reached on 21 (64%) statements. Eleven (52%) of these statements pertained to the storage and use of EMS patient data.
Conclusion
Barriers for prehospital EMS research in the Netherlands include issues regarding the use of patient data, privacy and legislation, funding and research culture in EMS organizations. Opportunities to increase scientific productivity in EMS research include the development of a national strategy for EMS data and the incorporation of EMS topics in research agendas of national medical professional associations.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36869883</pmid><doi>10.1007/s00068-023-02240-w</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-2690-3673</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2024-02, Vol.50 (1), p.221-232 |
| issn | 1863-9933 1863-9941 |
| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Critical Care Medicine Emergency medical care Emergency Medicine Emergency services Intensive Medicine Medicine & Public Health Original Original Article Sports Medicine Surgery Surgical Orthopedics Traumatic Surgery |
| title | Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study |
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