• Eur J Trauma Emerg Surg · Feb 2024

    Opportunities and barriers for prehospital emergency medical services research in the Netherlands; results of a mixed-methods consensus study.

    • Niek J Vianen, Iscander M Maissan, Dennis den Hartog, Robert J Stolker, Robert J Houmes, GommersDiederik A M P JDAMPJDepartment of Intensive Care, Erasmus University Medical Center, Rotterdam, Netherlands., Van MeeterenNico L UNLUDepartment of Anesthesiology, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands., Sanne E Hoeks, Van LieshoutEsther M MEMMTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands., VerhofstadMichael H JMHJTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands., Mark G Van Vledder, and Dutch Opportunities & Barriers in EMS research group.
    • Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. BOX 2040, 3000 CA, Rotterdam, The Netherlands.
    • Eur J Trauma Emerg Surg. 2024 Feb 1; 50 (1): 221232221-232.

    IntroductionQuality 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.MethodsThis 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.ResultsForty-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.ConclusionBarriers 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.© 2023. The Author(s).

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