AI Article Synopsis

  • The study explores characteristics of adult ambulance users in Japan who are diagnosed with minor injuries or nonurgent medical conditions, highlighting that about 60% of such cases don't require hospitalization.
  • Utilizing data from ambulance requests in Higashihiroshima from 2016 to 2020, researchers applied a soft clustering method to identify six distinct segments of these users based on various factors.
  • The findings reveal specific patterns among groups, such as those involved in nighttime neurological issues or fire accidents, indicating a need for tailored approaches in addressing the needs of different segments of nonurgent ambulance users.

Article Abstract

Aim: In Japan, approximately 60% of adult ambulance users are diagnosed with minor injuries or diseases in the emergency department and thus do not require hospitalization. This study aimed to determine the distinct subgroup (segment) characteristics of adult ambulance users with nonurgent medical conditions by interpreting quantitatively derived segments through the segmentation approach.

Methods: This population-based observational study used the ambulance transportation and request call records databases of the Higashihiroshima Fire Department, Japan, between January 1, 2016, and December 31, 2020. The participants were ambulance users aged 18-64 years diagnosed with minor injuries or diseases in the emergency department (defined as adult ambulance users with nonurgent medical conditions). A soft clustering method was used to divide the participants based on 13 variables.

Results: This analysis included 5,982 adult ambulance users. Six segments were obtained: (1) "users with neurological diseases or other injuries occurring late at night on weekdays"; (2) "users injured or involved in fire accidents, with increased on-scene time and multiple hospital inquiries"; (3) "users transferred between hospitals"; (4) "users with acute illnesses and transported from home"; (5) "users involved in motor vehicle accidents"; and (6) "users transferred to hospitals outside of the area during the daytime on weekdays."

Conclusion: These findings indicate that adult ambulance users with nonurgent medical conditions can be divided into distinct segments using population-based ambulance records. Further research is warranted to address the ambulance user needs of each segment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10716600PMC
http://dx.doi.org/10.1002/ams2.911DOI Listing

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