Analysis of ordu province pre-hospital emergency health services records from a health management perspective and comparison according to years

Aim: The main purpose of this study is to analyze the records of pre-hospital emergency health services in Ordu Province from a health management perspective and then compare these records with the last 10 years. Materials and Methods: In this research, secondary data was used as a data source. The data used within the framework of the research were received in raw form from the Chief Physician of Ordu Provincial Ambulance Service, and then they were grouped and made suitable for the research purposes. Excel and SPSS programs were used to analyze the data. Results: This study consists of 850 544 cases in pre-hospital emergency health services in Ordu province between 2014 and 2023. When all years were examined in the study, the following findings were found: The highest case increase rate compared to the previous year was 2020; While the average case per station was 1 805 in 2014, it increased to 1 956 in 2023; While the case rate of children aged 0-16 was 9.87% in 2014, it will increase to 8.06% in 2023; The case rate among young people aged 17-44 decreased from 27.64% to 21.71% between the same years; The 45-64 middle age case rate increased from 20.34% to 22.27% between the same years; The case rate of people aged 65 and over increased from 35.44% to 39.54% between the same years; While the reason for medical calls was 81.41% in 2014, it will increase to 67.05% in 2023; Other accidents decreased from 9.17% to 6.69% between the same years; traffic accidents increased from 4.63% to 5.07% between the same years; While the hospital transfer rate was 65.71% in 2014, it will increase to 67.30% in 2023; The interhospital transfer rate increased from 9.06% to 13.21% between the same years; The rate of patients with duty cancellation increased from 2.16% to 5.96% between the same years; The transplant rejection rate decreased from 8.36% to 6.30% between the same years; While the need for advanced specialized physicians, which accounts for a large proportion of the reasons for out-of-province transfers, was 29.33% in 2018, it will increase to 34.39% in 2023; The rate of need for specialist physicians increased from 13.78% to 32.43% between the same years; The rate of intensive care need decreased from 28.57% to 14.77% between the same years. Conclusions: The average number of cases per emergency health services station varies from year to year. While the child case rate of 0-16 years old and the middle age case rate of 17-44 years have decreased over the years, the middle age case rate of 45-64 years old and the elderly case rate of 65 years and over have increased over the years. Reasons for out-of-province transfers vary from year to year. Keywords: Emergency health services, pre-hospital emergency health services, provincial ambulance service chief physician, health management