Factors associated with unnecessary requests for an ambulance by non-traumatic patients after the acute earthquake responding phase: a qualitative content analysis

The pre-hospital emergency staff played a key role in transferring the injured patients to health centers. Usually, they reported changes in their decisions on the transfer of non-traumatic patients to hospitals. So, this study was aimed to explore the reasons for unnecessarily requesting an ambulance by non-traumatic patients after the acute responding-to-earthquake phase. This study was a qualitative study that data were analyzed by content analysis approach. Participants were eleven pre-hospital emergency technicians. Data were collected by three sessions of focus group discussion. Data analysis was led to emergence of a main theme: "feeling urgency due to turmoil and uncertainty." This theme illustrates the basic approach of the inhabitants of the earthquake-stricken region when unnecessarily requesting an ambulance. This theme was derived from two main categories of "turbulent and uncertain conditions" and "psychological turmoil." The category of "turbulent and uncertain conditions" was comprised of three subcategories: "unreliable care," "inadequate facilities" and "turbulent living conditions." The category of "psychological turmoil" was comprised of three subcategories: "psychological turmoil in survivors," "healthcare providers deciding under pressure" and "turmoil in providing psychological and psychiatric services." Ambulance dispatch may be unnecessarily performed owing to turbulent and unsure conditions and psychological turmoil in earthquake-stricken people and pre-hospital emergency staff. Providing earthquake-stricken people with psycho-medical services in their place of residence can significantly reduce the workload of pre-hospital emergency staff and consequently that of hospital staff and therefore save time and treatment costs and increase the quality of health services provided for the injured.