The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study

Abstract Background In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years ma...

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Autores principales:	Lilian C. M. Vloet, Gijs Hesselink, Sivera A. A. Berben, Margreet Hoogeveen, Paul J. T. Rood, Remco H. A. Ebben
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Ambulance Emergency Medical Services Evidence based practice Research priorities Delphi study Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/95659a2f2de54ee6a920339e70e2ccca
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spelling	oai:doaj.org-article:95659a2f2de54ee6a920339e70e2ccca2021-11-21T12:15:10ZThe updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study10.1186/s13049-021-00971-61757-7241https://doaj.org/article/95659a2f2de54ee6a920339e70e2ccca2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13049-021-00971-6https://doaj.org/toc/1757-7241Abstract Background In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years may have changed research priorities. Therefore, this study aimed to update the Dutch national EMS research agenda. Methods A three-round online Delphi survey was used to explore and discuss different viewpoints and to reach consensus on research priorities (i.e., themes and special interest groups, e.g. patient types who require specific research attention). A multidisciplinary expert panel (n = 62) was recruited in the field of prehospital EMS and delegates of relevant professional organizations and stakeholders participated. In round one, fifty-nine research themes and six special interest groups (derived from several resources) were rated on importance on a 5-point scale by the panel members. In round two, the panel selected their priority themes and special interest groups (yes/no), and those with a positive difference score were further assessed in round three. In this final round, appropriateness of the remaining themes and agreement within the panel was taken into account, following the RAND/UCLA appropriateness method, which resulted in the final list of research priorities. Results The survey response per round varied between 94 and 100 percent. In round one, a reduction from 59 to 25 themes and the selection of three special interest groups was realized. Round two resulted in the prioritization of six themes and one special interest group ('Vulnerable elderly'). Round three showed an adequate level of agreement regarding all six themes: 'Registration and (digital) exchange of patient data in the chain of emergency care'; 'Mobile care consultation/Non conveyance'; 'Care coordination'; 'Cooperation with professional partners within the care domain'; 'Care differentiation' and 'Triage and urgency classification'. Conclusions The updated Dutch national EMS research agenda builds further on the previous version and introduces new EMS research priorities that correspond with the future challenges prehospital EMS care is faced with. This agenda will guide researchers, policymakers and funding bodies in prioritizing future research projects.Lilian C. M. VloetGijs HesselinkSivera A. A. BerbenMargreet HoogeveenPaul J. T. RoodRemco H. A. EbbenBMCarticleAmbulanceEmergency Medical ServicesEvidence based practiceResearch prioritiesDelphi studyMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENScandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ambulance Emergency Medical Services Evidence based practice Research priorities Delphi study Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Ambulance Emergency Medical Services Evidence based practice Research priorities Delphi study Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Lilian C. M. Vloet Gijs Hesselink Sivera A. A. Berben Margreet Hoogeveen Paul J. T. Rood Remco H. A. Ebben The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study
description	Abstract Background In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years may have changed research priorities. Therefore, this study aimed to update the Dutch national EMS research agenda. Methods A three-round online Delphi survey was used to explore and discuss different viewpoints and to reach consensus on research priorities (i.e., themes and special interest groups, e.g. patient types who require specific research attention). A multidisciplinary expert panel (n = 62) was recruited in the field of prehospital EMS and delegates of relevant professional organizations and stakeholders participated. In round one, fifty-nine research themes and six special interest groups (derived from several resources) were rated on importance on a 5-point scale by the panel members. In round two, the panel selected their priority themes and special interest groups (yes/no), and those with a positive difference score were further assessed in round three. In this final round, appropriateness of the remaining themes and agreement within the panel was taken into account, following the RAND/UCLA appropriateness method, which resulted in the final list of research priorities. Results The survey response per round varied between 94 and 100 percent. In round one, a reduction from 59 to 25 themes and the selection of three special interest groups was realized. Round two resulted in the prioritization of six themes and one special interest group ('Vulnerable elderly'). Round three showed an adequate level of agreement regarding all six themes: 'Registration and (digital) exchange of patient data in the chain of emergency care'; 'Mobile care consultation/Non conveyance'; 'Care coordination'; 'Cooperation with professional partners within the care domain'; 'Care differentiation' and 'Triage and urgency classification'. Conclusions The updated Dutch national EMS research agenda builds further on the previous version and introduces new EMS research priorities that correspond with the future challenges prehospital EMS care is faced with. This agenda will guide researchers, policymakers and funding bodies in prioritizing future research projects.
format	article
author	Lilian C. M. Vloet Gijs Hesselink Sivera A. A. Berben Margreet Hoogeveen Paul J. T. Rood Remco H. A. Ebben
author_facet	Lilian C. M. Vloet Gijs Hesselink Sivera A. A. Berben Margreet Hoogeveen Paul J. T. Rood Remco H. A. Ebben
author_sort	Lilian C. M. Vloet
title	The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study
title_short	The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study
title_full	The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study
title_fullStr	The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study
title_full_unstemmed	The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study
title_sort	updated national research agenda 2021–2026 for prehospital emergency medical services in the netherlands: a delphi study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/95659a2f2de54ee6a920339e70e2ccca
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The updated national research agenda 2021–2026 for prehospital emergency medical services in the Netherlands: a Delphi study

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