Background Thailand has three main health insurance schemes: Universal Coverage Scheme (UCS), Social Security Scheme (SSS) and Civil Servant Medical Benefit Scheme (CSMBS). Health benefits of these schemes are different, which could lead to inequity in access to care and quality of care. Medical emergency care was the first healthcare programme that was implemented towards harmonization of the ...

conclusion pacs is highly accepted in all three emergency departments especially among specialists. pu, peu and change are factors influencing pacs acceptance. our study can be used as an evidence of pacs acceptance in emergency wards. results mean age of participants was 32.9 years (standard deviation [sd] = 6.08). participants with the specialty degree got a higher acceptance score than the t...

background: the present study assesses independent predictors of clinically important traumatic brain injury (citbi) in order to design a prognostic rule for identification of high risk children with mild head injury. materials and methods: in a retrospective cross-sectional study, 3,199 children with mild traumatic brain injury (tbi) brought to emergency ward of three hospitals in tehran, iran...

introduction: diagnostic values reported for ultrasonographic screening of acute appendicitis vary widely and are dependent on the operator’s skill, patient’s gender, weight, etc. the present study aimed to evaluate the effect of operator skill on the diagnostic accuracy of ultrasonography in detection of appendicitis by comparing the results of ultrasonography done by radiologists and emergenc...

acute dyspnea is a common cause of hospitalization in emergency departments (ed).distinguishing the cardiac causes of acute dyspnea from pulmonary ones is a major challenge for responsible physicians in eds. this study compares the characteristics of bedside ultrasonography with serum level of blood natriuretic peptide (bnp) in this regard. methods: this diagnostic accuracy study compares bedsi...

Received Feb 14, 2017 Revised May 30, 2017 Accepted Aug 11, 2017 Ambulance location is one of the critical factors that determine the efficiency of emergency medical services delivery. Maximal Covering Location Problem is one of the widely used ambulance location models. However, its coverage function is considered unrealistic because of its ability to abruptly change from fully covered to unco...

The Medical Ethics Resource Network (MERN) of Michigan has, over approximately 5 years, become a viable organization for disseminating educational information and raising the general standard of ethics discussion in a variety of institutional settings. This article reviews the history of the network's development, with special emphasis upon features that may suggest useful strategies for other ...

Medical oversight is a fundamental component of every emergency medical services (EMS) system. The quality of physician medical direction has a significant impact upon the system and patient outcome. The lead agency for the state EMS system is a principal facet of our emergency care system, and the state EMS medical director is a vital component within this comprehensive network. The selection ...