@misc{redelsteiner_prehospital_2012, address = {St. Pölten}, type = {Invited talk}, title = {Prehospital {Emergency} {Medical} {Care} of {Pediatric} {Patients} in an urban environment {Do} patients and caretakers summon the appropriate resources?}, abstract = {Abstract Background: Clinicians and ambulance providers claim an overflow of non urgent pediatric cases that could be treated by different care levels. The purpose of the study was to review the means of access to the health care system, to survey the scope of practice of institutions involved in pre-hospital pediatric emergency care, to see if data support the practitioners claims and to look at the interfaces between pediatric primary health care institutions. Final goal was to describe the ideal scope of practices and potentials for a streamlined pathway management of pediatric patients. Methods: 1. Dataanalysis of pediatrician availability, number of pediatric cases seen by "physicians out of hours service", pediatric hospitals and Emergency Ambulance Service. 2. Crossreferencing of data in regard to municipal district, location of incident, availability of local resources to identify possible interdependencies. Results: Primary care providing agencies use different coding systems and enhance benchmarking and planning complexities. In 2005 15.943 pediatric patients were seen by Vienna Ambulance Service after an emergency call. 75 \% of these patients had a NACA score {\textless} 3 (transport is not indicated; local medical consultant would be adequate). A review of ambulatory patientes of a pediatric hospital with a high number of patients shows no reduction of visits, even if local pediatricians have a high degree of availability and could be accessed. The "physicians out of hours services" has a lower number of calls in areas were a pediatric hospital is nearby. About 180.000 patients visited pediatric emergency rooms. Of those, only 10 \% had to be admitted for further treatment. In general, pediatric caretakers frequently summoned the 'wrong' resources. Conclusion: An integrated pathway management should be responsible for directing pediatric patients to the appropriate resources. This could help to avoid unnecessary admissions and risks associated with hospital stays and would free high level resources such as ambulances and hospitals to focus primarily on emergency patients.Primary care providing institutions would need a common steering structure to reduce sectoral interface problems.}, author = {Redelsteiner, Christoph}, month = sep, year = {2012}, keywords = {Department Gesundheit und Soziales, Ilse Arlt Institut, Publikationstyp Präsentation, Publikationstyp Vortrag}, }