TY - JOUR
T1 - Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study
AU - Vianen, Niek J.
AU - Maissan, Iscander M.
AU - den Hartog, Dennis
AU - Stolker, Robert J.
AU - Houmes, Robert J.
AU - Gommers, Diederik A. M. P. J.
AU - van Meeteren, Nico L. U.
AU - Hoeks, Sanne E.
AU - van Lieshout, Esther M. M.
AU - Verhofstad, Michael H. J.
AU - van Vledder, Mark G.
AU - the Dutch Opportunities & Barriers in EMS research group
AU - Alsma, Jelmer
AU - Baden, David N.
AU - Bevelander, Timo
AU - Bierens, Joost
AU - Bollen, Jan
AU - Bosch, Jan
AU - Dercksen, Bert
AU - Duvekot, Johannes J.
AU - Gaakeer, Menno I.
AU - van Geffen, Geert-Jan
AU - Geurts, Dorien H. F.
AU - van Grunsven, Pierre M.
AU - van Heijl, Mark
AU - van ’t Hof, Arnoud
AU - Hollmann, Markus W.
AU - Hoogerwerf, Nico
AU - Huig, Isabelle C.
AU - Kooij, Fabian
AU - de Leeuw, Marcel A.
AU - van der Marel, Caroline D.
AU - Morsink, Marlies
AU - Noordergraaf, Gerrit J.
AU - van de Pas, Harm
AU - Peters, Joost H.
AU - Poeze, Martijn
AU - Richelle, Paul
AU - Roozenbeek, Bob
AU - Schober, Patrick
AU - Schoonhoven, Lisette
AU - van Schuppen, Hans
AU - Siegers, Arjen
AU - Tibboel, Dick
AU - Tolsma, Rudolf T.
AU - Turner, Nigel M.
AU - de Visser, Matthijs
AU - Vloet, Lilian C. M.
AU - de Vos, Ronald
AU - van Wageningen, Bas
AU - van der Weerd, Angelique
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Barriers
KW - Emergency medical services
KW - Emergency medicine
KW - Opportunities
KW - Prehospital
KW - Research
UR - http://www.scopus.com/inward/record.url?scp=85149286916&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00068-023-02240-w
DO - https://doi.org/10.1007/s00068-023-02240-w
M3 - Article
C2 - 36869883
SN - 1863-9933
JO - European journal of trauma and emergency surgery
JF - European journal of trauma and emergency surgery
ER -