Document Detail


Emergency medical coordination using a web platform: a pilot study.
MedLine Citation:
PMID:  21107504     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To describe a management system for emergency medical coordination based on the worldwide web of computers.
METHODS: The emergency coordination system was developed according to an evolving software model for prototype development. Communication between users and the system was implemented by means of web technologies. The system was developed on a personal homepage and the database was developed using MySQL. The prototype was based on the medical coordination process of the Thirteenth Regional Healthcare Division of the State of São Paulo (Southeastern Brazil) and was applied to 26 municipalities within this regional division, for four consecutive weeks in September 2009. The system made it possible to document requests in chronological order, without allowing editing of data already entered, and ensured hierarchical confidential access to the information for each participant in the system.
RESULTS: The system presented 100% availability, reliability and integrity of information. A total of 1,046 requests were made to the system, of which 703 (68%) were completed. The solicitants already presented 98% adherence to the system in the first week of application, while adherence among service providers gradually increased (37% in the fourth week). The municipalities closest to Ribeirão Preto that did not have high-complexity providers were the ones that most used the system.
CONCLUSIONS: Medical coordination of emergency requests through the worldwide web of computers was shown to be feasible and reliable, and it enabled transparency within the process and direct access to information for managers. It allowed indicators to be constructed in order to monitor and improve the process, from the perspective of creating semi-automated coordination and advances in system organization.
Authors:
Mário Sérgio Adolfi Júnior; Fábio Marcon Pallini; Hugo Pessotti; Cláudia Maria Wolf; Hélio Tabajara Patelli; Ronaldo Dias Capeli; Omero Benedicto Poli-Neto; Fábio Fernandes Neves; Sandro Scarpelini; Paulo Mazzoncini de Azevedo Marques; Antonio Pazin-Filho
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Revista de saúde pública     Volume:  44     ISSN:  1518-8787     ISO Abbreviation:  Rev Saude Publica     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0135043     Medline TA:  Rev Saude Publica     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  1063-71     Citation Subset:  IM    
Affiliation:
Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
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