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|Title||The Reality of Overcrowding in Emergency Departments in the Ministry of Health In Gaza Strip: from Viewpoint of Healthcare Providers.|
|Title in Arabic||واقع الازدحام في اقسام الطوارئ في مستشفىات وزارة الصحة في قطاع غزة من وجهة نظر مقدمي الخدمة|
This study aims to explore the causes of overcrowding in Emergency departments (EDs) within ED itself. It also aims to develop theory about crowdedness in EDs and to find out suitable solution to handle such situations. The research population is all employees in the ED in Ministry Of Health, The focus group data was collected from ED staff from three major hospitals using purposive stratified sample , the interview data was collected from five emergency experts from the local community, the qualitative approach was adopted, the Constant Comparative Method based on Grounded theory was used to analyze the data. The study found that misunderstanding the critical role of emergency department is the main cause of the overcrowding, people preferences and losing confidence in primary healthcare physician also contribute in the increasing of non urgent cases to ED, In addition high attendance of patient family member increase interventions that delays the patient flow and increases overcrowding, the study also found that there is a large gap between governmental healthcare providers and patients; the poor design of emergency department affects badly in the patient flow, the lack of staff training in emergency protocol increase the bad consequences of overcrowding; the failure in triage system, the lack integrated system to organize the work among various healthcare providers, the shortage in ED staff from all aspects doctors, nurses, administrators, messengers and patients services, the high dependence on voluntaries and trainee doctors, the unavailability of inpatient bed all of these causes interaction and leads to increasing overcrowding and its harmful consequences. The study recommended to establish an effective integrated system between primary health care centers, hospitals and the local community, increase citizens' awareness of the sensitivity of the ED, activating the primary health care center role; provide full training for doctors on special emergency protocols before going to the emergency field, increasing the number of ED beds, increasing the number of inpatient beds.
|Publisher||الجامعة الإسلامية - غزة|
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