Design And Validation Of A Quality Assessment Framework For Pre-Hospital Emergency Care In Iran

Abstract

Background and Objective:

Pre-hospital emergency services are a critical component of the healthcare system, playing a vital role in reducing mortality and improving patient outcomes. Evaluating the quality of these services in Iran faces challenges, including insufficient infrastructure and a lack of specialized human resources. This study aimed to design a comprehensive and localized model to evaluate the quality of prehospital emergency services in Iran.

Methods:

A systematic review was conducted to identify models, indicators, and dimensions related to service quality. Subsequently, individual and group interviews with experts and staff in the prehospital emergency field were conducted to identify local challenges and needs. Based on the collected data, a conceptual model was designed encompassing key dimensions such as accessibility, safety, patient satisfaction, and efficiency. Finally, the proposed model was validated using quantitative and qualitative methods.

Results: The systematic review revealed that existing global models were inadequate for Iran’s structural and cultural context. The interviews highlighted challenges such as a shortage of skilled personnel, inadequate equipment, and weak coordination. The proposed model was developed considering these challenges and incorporating operational indicators. Validation processes confirmed the model’s high accuracy and comprehensiveness.

Conclusion: The designed model provides a comprehensive tool for evaluating and improving the quality of prehospital emergency services in Iran. It offers policymakers an evidence-based framework to address challenges and enhance service quality. Implementing this model represents a significant step toward improving the healthcare system and increasing public trust in emergency services.