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Bulletin of Emergency and Trauma، جلد ۱۲، شماره ۴، صفحات ۱۸۵-۱۹۲
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عنوان انگلیسی Challenges in Emergency Medical Services in Mega Cities: A Qualitative Study in Iran
چکیده انگلیسی مقاله Objective: This qualitative study aimed to identify the key issues within Emergency Medical Services (EMS) in large urban regions.
Methods: This study used qualitative content analysis as its research methodology. The study was conducted in 2023 and involved 21 Iranian EMS stakeholders, selected through purposive sampling with maximum diversity to ensure a broad range of expertise. Data were collected through semi-structured, in-depth interviews, which were conducted until data saturation was reached. The analysis followed the method proposed by Landman and Graneheim, which involved systematic coding and categorization to identify key themes and patterns related to EMS challenges.
Results: The study included 17 men and 4 women. The data analysis identified eight subcategories, which were then divided into three main categories based on their similarities. These main categories addressed challenges in EMS delivery, emerging issues in EMS demand, and resource constraints.
Conclusion: This study highlighted the challenges that Iran’s EMS encountered in megacities due to rapid urbanization and an elderly population. Key issues included operational inefficiencies, increasing demand, and limited resources. Addressing these challenges is crucial for enhancing the effectiveness and sustainability of EMS. Further research is required to develop strategies for overcoming these obstacles and strengthening EMS in large urban regions.
کلیدواژه‌های انگلیسی مقاله Emergency medical services,EMS Challenges,Urbanization,Prehospital Care,Qualitative study
نویسندگان مقاله Abbas Naboureh |
PhD Candidate (health in disasters and emergenceis), Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Mehrdad Farrokhi |
Professor of Environmental Health Engineering, Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Mohammad Saatchi |
Assistant Professor of Epidemiology, Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Shokofeh Ahmadi |
Assistant Professor of Health in Disasters and Emergencies, Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Babak Farzinnia |
Assistant Professor of Health in Disasters and Emergencies, Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Ferydon Layeghi |
Associate Professor of Surgery, Department of Clinical Sciences, University of Social Welfare and Rehabilitation Science, Tehran, Iran.

Hamidreza Khankeh |
Professor of Health in Disasters and Emergencies, Health in Emergency and Disaster Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Professor of Health in Disasters

نشانی اینترنتی https://beat.sums.ac.ir/article_50498_161b770ec60245a3050855115ada7c0f.pdf
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