What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review

The Emergency Medical Services (EMS) have been developed in the Arabian Gulf States (AGS) in the last three decades. The EMS needs continuous quality assessment of their performance to improve and provide the best out-of-hospital care. This study aims to assess the quality of EMS in the AGS accordin...

Full description

Saved in:
Bibliographic Details
Published in:PloS one 2019-12, Vol.14 (12), p.e0226230
Main Authors: Moafa, H N, Kuijk, S M J van, Franssen, G H L M, Moukhyer, M E, Haak, H R
Format: Article
Language:English
Subjects:
Bias
Biology and Life Sciences
Business metrics
Domains
Efficiency
Emergency medical services
Emergency Medical Services - standards
Emergency services
Engineering and Technology
Epidemiology
Health services
Hospitals
Humans
Indian Ocean
Indicators
Internal medicine
Medical care quality
Medical research
Medical technology
Medicine
Medicine and Health Sciences
Patients
People and Places
Public health
Quality
Quality assessment
Quality control
Quality management
Quality of Health Care - statistics & numerical data
Search strategies
Structure-function relationships
Studies
Systematic review
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3
cites cdi_FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3
container_end_page
container_issue 12
container_start_page e0226230
container_title PloS one
container_volume 14
creator Moafa, H N
Kuijk, S M J van
Franssen, G H L M
Moukhyer, M E
Haak, H R
description The Emergency Medical Services (EMS) have been developed in the Arabian Gulf States (AGS) in the last three decades. The EMS needs continuous quality assessment of their performance to improve and provide the best out-of-hospital care. This study aims to assess the quality of EMS in the AGS according to the six quality domains of the Institute of Medicine. We searched four databases (i.e., PubMed, EMBASE, Web of Science, and CINAHL) for studies that reported on the quality of EMS in any of the AGS using clinical or non-clinical performance indicators. To quantify study quality and risk of bias, the adapted Newcastle Ottawa Scale was used. We focused on structural and functional indicators, clinical and non-clinical. Twenty-five studies were eligible for inclusion. One study contained result of safety, fifteen time-centeredness, twenty effectiveness, five patient-centeredness, and thirteen studies reported on equity of EMS. None of the studies reported on efficiency of EMS. A significant proportion of studies showed high scores on the Newcastle-Ottawa scale. Limited studies on EMS quality were available, not covering all relevant quality domains and not covering the whole AGS region. The equity domain showed the best outcome performance finding, whereas finding of the patient-centeredness domain showed room for improvement in the foreseeable future. This review highlights the need for more and better studies of sufficient quality about all domains of quality in EMS in all the AGS. EMS research in Kuwait and Bahrain is warranted, as currently studies of EMS quality are unavailable for these States. Moreover, efficiency researches exploring this discipline should be conducted specially no studies were found has been searching this domain. PROSPERO registration number: CRD42019123896.
doi_str_mv 10.1371/journal.pone.0226230
format article
fullrecord <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2328710830</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A609224142</galeid><doaj_id>oai_doaj_org_article_6c003f5126434c4a8fb83eed6efe594a</doaj_id><sourcerecordid>A609224142</sourcerecordid><originalsourceid>FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3</originalsourceid><addsrcrecordid>eNqNk01vEzEQhlcIREvhHyCwhITgkOCPXW_2UhRVUCJVqkT5OFqz3nHislmntjclB_47zkerBPWA9uDV-HnfGY89WfaS0SETJftw7XrfQTtcuA6HlHPJBX2UHbNK8IHkVDze-z_KnoVwTWkhRlI-zY4EGxWSs-o4-_NzBpHYQH517rYjULs-kjhDctNDa-OKOENSaODMYObCwkZoCc7RT7HTKzLHxuoUCeiXVmMgttuIxx5qCx0571tDriJEDB_JmIRViDiHaDXxuLR4-zx7YqAN-GK3nmTfP3_6dvZlcHF5PjkbXwy05DwOsC55gbRoJEBjhOGspgY1M7QqoKSFrosGgQteVzlQludFXYkCeW0kAwNanGSvt76L1gW161xQSTEqGR0JmojJlmgcXKuFt3PwK-XAqk3A-akCnwpvUUlNqTAF4zIXuc5hZOqRQGwkGixSAcnrdJetr1OHNHbRQ3tgerjT2ZmauqWSFeeiLJPBu52Bdzc9hqjmNmhsW-jQ9Zu6q1LwvJIJffMP-vDpdtQU0gFsZ1zKq9emaixpypqznCdq-ACVvgbnVqdnZmyKHwjeHwgSE_F3nEIfgppcff1_9vLHIft2j50htHEWXNtH67pwCOZbUHsXgkdz32RG1XpK7rqh1lOidlOSZK_2L-hedDcW4i90rQ4j</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2328710830</pqid></control><display><type>article</type><title>What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Moafa, H N ; Kuijk, S M J van ; Franssen, G H L M ; Moukhyer, M E ; Haak, H R</creator><contributor>Smits, Marleen</contributor><creatorcontrib>Moafa, H N ; Kuijk, S M J van ; Franssen, G H L M ; Moukhyer, M E ; Haak, H R ; Smits, Marleen</creatorcontrib><description>The Emergency Medical Services (EMS) have been developed in the Arabian Gulf States (AGS) in the last three decades. The EMS needs continuous quality assessment of their performance to improve and provide the best out-of-hospital care. This study aims to assess the quality of EMS in the AGS according to the six quality domains of the Institute of Medicine. We searched four databases (i.e., PubMed, EMBASE, Web of Science, and CINAHL) for studies that reported on the quality of EMS in any of the AGS using clinical or non-clinical performance indicators. To quantify study quality and risk of bias, the adapted Newcastle Ottawa Scale was used. We focused on structural and functional indicators, clinical and non-clinical. Twenty-five studies were eligible for inclusion. One study contained result of safety, fifteen time-centeredness, twenty effectiveness, five patient-centeredness, and thirteen studies reported on equity of EMS. None of the studies reported on efficiency of EMS. A significant proportion of studies showed high scores on the Newcastle-Ottawa scale. Limited studies on EMS quality were available, not covering all relevant quality domains and not covering the whole AGS region. The equity domain showed the best outcome performance finding, whereas finding of the patient-centeredness domain showed room for improvement in the foreseeable future. This review highlights the need for more and better studies of sufficient quality about all domains of quality in EMS in all the AGS. EMS research in Kuwait and Bahrain is warranted, as currently studies of EMS quality are unavailable for these States. Moreover, efficiency researches exploring this discipline should be conducted specially no studies were found has been searching this domain. PROSPERO registration number: CRD42019123896.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0226230</identifier><identifier>PMID: 31856219</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Bias ; Biology and Life Sciences ; Business metrics ; Domains ; Efficiency ; Emergency medical services ; Emergency Medical Services - standards ; Emergency services ; Engineering and Technology ; Epidemiology ; Health services ; Hospitals ; Humans ; Indian Ocean ; Indicators ; Internal medicine ; Medical care quality ; Medical research ; Medical technology ; Medicine ; Medicine and Health Sciences ; Patients ; People and Places ; Public health ; Quality ; Quality assessment ; Quality control ; Quality management ; Quality of Health Care - statistics &amp; numerical data ; Search strategies ; Structure-function relationships ; Studies ; Systematic review</subject><ispartof>PloS one, 2019-12, Vol.14 (12), p.e0226230</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Moafa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Moafa et al 2019 Moafa et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3</citedby><cites>FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3</cites><orcidid>0000-0003-4078-9467 ; 0000-0003-2347-5095</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2328710830/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2328710830?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31856219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Smits, Marleen</contributor><creatorcontrib>Moafa, H N</creatorcontrib><creatorcontrib>Kuijk, S M J van</creatorcontrib><creatorcontrib>Franssen, G H L M</creatorcontrib><creatorcontrib>Moukhyer, M E</creatorcontrib><creatorcontrib>Haak, H R</creatorcontrib><title>What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The Emergency Medical Services (EMS) have been developed in the Arabian Gulf States (AGS) in the last three decades. The EMS needs continuous quality assessment of their performance to improve and provide the best out-of-hospital care. This study aims to assess the quality of EMS in the AGS according to the six quality domains of the Institute of Medicine. We searched four databases (i.e., PubMed, EMBASE, Web of Science, and CINAHL) for studies that reported on the quality of EMS in any of the AGS using clinical or non-clinical performance indicators. To quantify study quality and risk of bias, the adapted Newcastle Ottawa Scale was used. We focused on structural and functional indicators, clinical and non-clinical. Twenty-five studies were eligible for inclusion. One study contained result of safety, fifteen time-centeredness, twenty effectiveness, five patient-centeredness, and thirteen studies reported on equity of EMS. None of the studies reported on efficiency of EMS. A significant proportion of studies showed high scores on the Newcastle-Ottawa scale. Limited studies on EMS quality were available, not covering all relevant quality domains and not covering the whole AGS region. The equity domain showed the best outcome performance finding, whereas finding of the patient-centeredness domain showed room for improvement in the foreseeable future. This review highlights the need for more and better studies of sufficient quality about all domains of quality in EMS in all the AGS. EMS research in Kuwait and Bahrain is warranted, as currently studies of EMS quality are unavailable for these States. Moreover, efficiency researches exploring this discipline should be conducted specially no studies were found has been searching this domain. PROSPERO registration number: CRD42019123896.</description><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Business metrics</subject><subject>Domains</subject><subject>Efficiency</subject><subject>Emergency medical services</subject><subject>Emergency Medical Services - standards</subject><subject>Emergency services</subject><subject>Engineering and Technology</subject><subject>Epidemiology</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Indian Ocean</subject><subject>Indicators</subject><subject>Internal medicine</subject><subject>Medical care quality</subject><subject>Medical research</subject><subject>Medical technology</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Patients</subject><subject>People and Places</subject><subject>Public health</subject><subject>Quality</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Quality management</subject><subject>Quality of Health Care - statistics &amp; numerical data</subject><subject>Search strategies</subject><subject>Structure-function relationships</subject><subject>Studies</subject><subject>Systematic review</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk01vEzEQhlcIREvhHyCwhITgkOCPXW_2UhRVUCJVqkT5OFqz3nHislmntjclB_47zkerBPWA9uDV-HnfGY89WfaS0SETJftw7XrfQTtcuA6HlHPJBX2UHbNK8IHkVDze-z_KnoVwTWkhRlI-zY4EGxWSs-o4-_NzBpHYQH517rYjULs-kjhDctNDa-OKOENSaODMYObCwkZoCc7RT7HTKzLHxuoUCeiXVmMgttuIxx5qCx0571tDriJEDB_JmIRViDiHaDXxuLR4-zx7YqAN-GK3nmTfP3_6dvZlcHF5PjkbXwy05DwOsC55gbRoJEBjhOGspgY1M7QqoKSFrosGgQteVzlQludFXYkCeW0kAwNanGSvt76L1gW161xQSTEqGR0JmojJlmgcXKuFt3PwK-XAqk3A-akCnwpvUUlNqTAF4zIXuc5hZOqRQGwkGixSAcnrdJetr1OHNHbRQ3tgerjT2ZmauqWSFeeiLJPBu52Bdzc9hqjmNmhsW-jQ9Zu6q1LwvJIJffMP-vDpdtQU0gFsZ1zKq9emaixpypqznCdq-ACVvgbnVqdnZmyKHwjeHwgSE_F3nEIfgppcff1_9vLHIft2j50htHEWXNtH67pwCOZbUHsXgkdz32RG1XpK7rqh1lOidlOSZK_2L-hedDcW4i90rQ4j</recordid><startdate>20191219</startdate><enddate>20191219</enddate><creator>Moafa, H N</creator><creator>Kuijk, S M J van</creator><creator>Franssen, G H L M</creator><creator>Moukhyer, M E</creator><creator>Haak, H R</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-4078-9467</orcidid><orcidid>https://orcid.org/0000-0003-2347-5095</orcidid></search><sort><creationdate>20191219</creationdate><title>What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review</title><author>Moafa, H N ; Kuijk, S M J van ; Franssen, G H L M ; Moukhyer, M E ; Haak, H R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bias</topic><topic>Biology and Life Sciences</topic><topic>Business metrics</topic><topic>Domains</topic><topic>Efficiency</topic><topic>Emergency medical services</topic><topic>Emergency Medical Services - standards</topic><topic>Emergency services</topic><topic>Engineering and Technology</topic><topic>Epidemiology</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Indian Ocean</topic><topic>Indicators</topic><topic>Internal medicine</topic><topic>Medical care quality</topic><topic>Medical research</topic><topic>Medical technology</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Patients</topic><topic>People and Places</topic><topic>Public health</topic><topic>Quality</topic><topic>Quality assessment</topic><topic>Quality control</topic><topic>Quality management</topic><topic>Quality of Health Care - statistics &amp; numerical data</topic><topic>Search strategies</topic><topic>Structure-function relationships</topic><topic>Studies</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moafa, H N</creatorcontrib><creatorcontrib>Kuijk, S M J van</creatorcontrib><creatorcontrib>Franssen, G H L M</creatorcontrib><creatorcontrib>Moukhyer, M E</creatorcontrib><creatorcontrib>Haak, H R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints Resource Center</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moafa, H N</au><au>Kuijk, S M J van</au><au>Franssen, G H L M</au><au>Moukhyer, M E</au><au>Haak, H R</au><au>Smits, Marleen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-12-19</date><risdate>2019</risdate><volume>14</volume><issue>12</issue><spage>e0226230</spage><pages>e0226230-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The Emergency Medical Services (EMS) have been developed in the Arabian Gulf States (AGS) in the last three decades. The EMS needs continuous quality assessment of their performance to improve and provide the best out-of-hospital care. This study aims to assess the quality of EMS in the AGS according to the six quality domains of the Institute of Medicine. We searched four databases (i.e., PubMed, EMBASE, Web of Science, and CINAHL) for studies that reported on the quality of EMS in any of the AGS using clinical or non-clinical performance indicators. To quantify study quality and risk of bias, the adapted Newcastle Ottawa Scale was used. We focused on structural and functional indicators, clinical and non-clinical. Twenty-five studies were eligible for inclusion. One study contained result of safety, fifteen time-centeredness, twenty effectiveness, five patient-centeredness, and thirteen studies reported on equity of EMS. None of the studies reported on efficiency of EMS. A significant proportion of studies showed high scores on the Newcastle-Ottawa scale. Limited studies on EMS quality were available, not covering all relevant quality domains and not covering the whole AGS region. The equity domain showed the best outcome performance finding, whereas finding of the patient-centeredness domain showed room for improvement in the foreseeable future. This review highlights the need for more and better studies of sufficient quality about all domains of quality in EMS in all the AGS. EMS research in Kuwait and Bahrain is warranted, as currently studies of EMS quality are unavailable for these States. Moreover, efficiency researches exploring this discipline should be conducted specially no studies were found has been searching this domain. PROSPERO registration number: CRD42019123896.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31856219</pmid><doi>10.1371/journal.pone.0226230</doi><tpages>e0226230</tpages><orcidid>https://orcid.org/0000-0003-4078-9467</orcidid><orcidid>https://orcid.org/0000-0003-2347-5095</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1932-6203
ispartof PloS one, 2019-12, Vol.14 (12), p.e0226230
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_2328710830
source Publicly Available Content Database; PubMed Central
subjects Bias
Biology and Life Sciences
Business metrics
Domains
Efficiency
Emergency medical services
Emergency Medical Services - standards
Emergency services
Engineering and Technology
Epidemiology
Health services
Hospitals
Humans
Indian Ocean
Indicators
Internal medicine
Medical care quality
Medical research
Medical technology
Medicine
Medicine and Health Sciences
Patients
People and Places
Public health
Quality
Quality assessment
Quality control
Quality management
Quality of Health Care - statistics & numerical data
Search strategies
Structure-function relationships
Studies
Systematic review
title What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T17%3A56%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=What%20is%20known%20about%20the%20quality%20of%20out-of-hospital%20emergency%20medical%20services%20in%20the%20Arabian%20Gulf%20States?%20A%20systematic%20review&rft.jtitle=PloS%20one&rft.au=Moafa,%20H%20N&rft.date=2019-12-19&rft.volume=14&rft.issue=12&rft.spage=e0226230&rft.pages=e0226230-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0226230&rft_dat=%3Cgale_plos_%3EA609224142%3C/gale_plos_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c622t-eb725e05d6aadf3f21b0fec1f095a705cb5dea232b94a01445b935e2bf61afac3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2328710830&rft_id=info:pmid/31856219&rft_galeid=A609224142&rfr_iscdi=true