{"id":"https://openalex.org/W1494623707","doi":"https://doi.org/10.33151/ajp.12.1.142","title":"Rural People's Use of Ambulances to Reach Emergency Departments in Potentially Serious Health Emergencies: Identifying Patterns of Use and Non-Use","display_name":"Rural People's Use of Ambulances to Reach Emergency Departments in Potentially Serious Health Emergencies: Identifying Patterns of Use and Non-Use","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W1494623707","doi":"https://doi.org/10.33151/ajp.12.1.142","mag":"1494623707"},"language":"en","primary_location":{"id":"doi:10.33151/ajp.12.1.142","doi":"https://doi.org/10.33151/ajp.12.1.142","is_oa":true,"landing_page_url":"https://doi.org/10.33151/ajp.12.1.142","pdf_url":null,"source":{"id":"https://openalex.org/S2765015692","display_name":"Australasian Journal of Paramedicine","issn_l":"2202-7270","issn":["2202-7270"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20"],"host_organization":"https://openalex.org/I4405272673","host_organization_name":"Australasian College of Paramedicine","host_organization_lineage":["https://openalex.org/I4405272673"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australasian Journal of Paramedicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.33151/ajp.12.1.142","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075021227","display_name":"Buck Reed","orcid":"https://orcid.org/0000-0002-8896-9574","observed_orcids":["https://orcid.org/0000-0002-8896-9574"]},"institutions":[{"id":"https://openalex.org/I63525965","display_name":"Western Sydney University","ror":"https://ror.org/03t52dk35","country_code":"AU","type":"education","lineage":["https://openalex.org/I63525965"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Buck Reed","raw_affiliation_strings":["School of Science and Health, University of Western Sydney, New South Wales","School of Science and Health, University of Western Sydney, Campbelltown, NSW"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Science and Health, University of Western Sydney, New South Wales","institution_ids":["https://openalex.org/I63525965"]},{"raw_affiliation_string":"School of Science and Health, University of Western Sydney, Campbelltown, NSW","institution_ids":["https://openalex.org/I63525965"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024725268","display_name":"Jason Bendall","orcid":"https://orcid.org/0000-0002-8688-2192","observed_orcids":["https://orcid.org/0000-0002-8688-2192"]},"institutions":[{"id":"https://openalex.org/I2801163298","display_name":"Gosford Hospital","ror":"https://ror.org/01jg3a168","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1311436738","https://openalex.org/I2801163298","https://openalex.org/I2801351115","https://openalex.org/I4210140905"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Jason Bendall","raw_affiliation_strings":["Department of Anaesthesia, Gosford Hospital, Gosford, New South Wales"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anaesthesia, Gosford Hospital, Gosford, New South Wales","institution_ids":["https://openalex.org/I2801163298"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5024725268","https://openalex.org/A5075021227"],"corresponding_institution_ids":["https://openalex.org/I2801163298","https://openalex.org/I63525965"],"apc_list":null,"apc_paid":null,"fwci":0.9024,"has_fulltext":false,"cited_by_count":15,"citation_normalized_percentile":{"value":0.76568613,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"12","issue":"1","first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.8086000084877014,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.8086000084877014,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.18619999289512634,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ambulance-use","display_name":"ambulance use","score":0.984000027179718},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.7419999837875366},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.7229999899864197},{"id":"https://openalex.org/keywords/rurality","display_name":"rurality","score":0.7630000114440918},{"id":"https://openalex.org/keywords/unmet-needs","display_name":"unmet needs","score":0.6069999933242798},{"id":"https://openalex.org/keywords/health-emergencies","display_name":"health emergencies","score":0.5180000066757202},{"id":"https://openalex.org/keywords/high-acuity-patients","display_name":"high-acuity patients","score":0.7200000286102295},{"id":"https://openalex.org/keywords/urban-rural-disparities","display_name":"urban-rural disparities","score":0.7670000195503235},{"id":"https://openalex.org/keywords/paramedics","display_name":"paramedics","score":0.5049999952316284}],"concepts":[{"id":"https://openalex.org/C2779465365","wikidata":"https://www.wikidata.org/wiki/Q7380600","display_name":"Rurality","level":3,"score":0.91391521692276},{"id":"https://openalex.org/C3017724717","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Ambulance service","level":2,"score":0.8570377826690674},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6450721025466919},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.5897237658500671},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5742725729942322},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5587998628616333},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.4661710560321808},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.4588300883769989},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.40994518995285034},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3676223158836365},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.33151/ajp.12.1.142","doi":"https://doi.org/10.33151/ajp.12.1.142","is_oa":true,"landing_page_url":"https://doi.org/10.33151/ajp.12.1.142","pdf_url":null,"source":{"id":"https://openalex.org/S2765015692","display_name":"Australasian Journal of Paramedicine","issn_l":"2202-7270","issn":["2202-7270"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20"],"host_organization":"https://openalex.org/I4405272673","host_organization_name":"Australasian College of Paramedicine","host_organization_lineage":["https://openalex.org/I4405272673"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australasian Journal of Paramedicine","raw_type":"journal-article"},{"id":"pmh:oai:pure.atira.dk:publications/a49a8d26-d4a9-435b-8bc2-8a16b3fb557b","doi":null,"is_oa":true,"landing_page_url":"https://researchoutput.csu.edu.au/en/publications/a49a8d26-d4a9-435b-8bc2-8a16b3fb557b","pdf_url":null,"source":{"id":"https://openalex.org/S7407055442","display_name":"Charles Sturt University Research Output (CRO)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Reed, B & Bendall, J C 2015, 'Rurality as a factor in ambulance use in health emergencies', Australasian Journal of Paramedicine, vol. 12, no. 1, 3, pp. 1-6. https://doi.org/10.33151/ajp.12.1.142","raw_type":"info:eu-repo/semantics/article"},{"id":"mag:2749018042","doi":null,"is_oa":true,"landing_page_url":"https://ajp.paramedics.org/index.php/ajp/article/download/142/241","pdf_url":null,"source":{"id":"https://openalex.org/S2765015692","display_name":"Australasian Journal of Paramedicine","issn_l":"2202-7270","issn":["2202-7270"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20"],"host_organization":"https://openalex.org/I4405272673","host_organization_name":"Australasian College of Paramedicine","host_organization_lineage":["https://openalex.org/I4405272673"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Australasian Journal of Paramedicine","raw_type":null}],"best_oa_location":{"id":"doi:10.33151/ajp.12.1.142","doi":"https://doi.org/10.33151/ajp.12.1.142","is_oa":true,"landing_page_url":"https://doi.org/10.33151/ajp.12.1.142","pdf_url":null,"source":{"id":"https://openalex.org/S2765015692","display_name":"Australasian Journal of Paramedicine","issn_l":"2202-7270","issn":["2202-7270"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20"],"host_organization":"https://openalex.org/I4405272673","host_organization_name":"Australasian College of Paramedicine","host_organization_lineage":["https://openalex.org/I4405272673"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australasian Journal of Paramedicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.7307999730110168,"display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W3985466","https://openalex.org/W2027070101","https://openalex.org/W2047204714","https://openalex.org/W2055169016","https://openalex.org/W2061141839","https://openalex.org/W2067210658","https://openalex.org/W2079139384","https://openalex.org/W2088022474","https://openalex.org/W2126701560","https://openalex.org/W4239297440"],"related_works":["https://openalex.org/W2749018042","https://openalex.org/W2807958748","https://openalex.org/W2061141839","https://openalex.org/W2051936428","https://openalex.org/W4412621945","https://openalex.org/W1987846012","https://openalex.org/W4388557854","https://openalex.org/W648181176","https://openalex.org/W4248837598","https://openalex.org/W2609311481"],"abstract_inverted_index":{"Introduction":[0],"Ambulance":[1],"use":[2,163,201,240],"in":[3,23,86,105,117,136,149,161,164,166,172,174,202],"rural":[4,24],"and":[5,36,75,101,124,132,171,204,225],"remote":[6],"parts":[7],"of":[8,21,30,81,183,199,209,227,235,244],"Australia":[9],"has":[10,241],"been":[11],"reported":[12],"anecdotally":[13],"to":[14,28,37,61,77,83,109,115,140,146],"be":[15,213],"lower":[16],"than":[17,220],"urban":[18,203],"areas.":[19,177,206],"Experiences":[20],"paramedics":[22],"locations":[25],"gave":[26],"rise":[27],"questions":[29],"whether":[31],"this":[32],"phenomenon":[33,219],"was":[34,47,157,179],"occurring":[35],"what":[38],"degree.":[39],"Methods":[40],"Data":[41],"from":[42,49,57,92,121],"Emergency":[43],"Department":[44],"(ED)":[45],"records":[46,68,72],"obtained":[48],"the":[50,79],"Hunter":[51],"New":[52],"England":[53],"Area":[54],"Health":[55],"Service":[56],"1":[58],"July":[59],"2008":[60],"30":[62],"June":[63],"2009.":[64],"In":[65],"total,":[66],"354,909":[67],"were":[69,73],"obtained.":[70],"These":[71],"de-identified":[74],"analysed":[76],"determine":[78],"method":[80],"arrival":[82],"ED,":[84],"specifically":[85],"high":[87],"acuity":[88],"patients.":[89],"Results":[90],"People":[91,120],"Inner":[93,175],"Regional":[94,123,176],"areas":[95,126,167],"are":[96,127],"41.5%":[97],"less":[98,103,129,134],"likely":[99,104,130,135],"overall":[100,131],"27.7%":[102],"serious":[106,137],"health":[107,138],"emergencies":[108,139],"attend":[110,141],"EDs":[111,142],"by":[112,143],"ambulance":[113,144,162,184,190,200,239,247],"compared":[114,145],"people":[116,147,188],"Major":[118,150,169],"Cities.":[119,151],"Outer":[122],"Remote":[125],"55.1%":[128],"27.9%":[133],"living":[148],"Logistic":[152],"regression":[153],"modelling":[154],"indicated":[155],"rurality":[156,237],"a":[158,180,216,222,242],"significant":[159,181],"factor":[160],"adults":[165],"outside":[168],"Cities":[170],"children":[173],"Age":[178],"predictor":[182],"demand":[185],"with":[186],"older":[187],"using":[189],"more.":[191],"Conclusion":[192],"This":[193],"study":[194],"indicates":[195],"disparity":[196],"between":[197],"rates":[198],"non-urban":[205],"The":[207],"concept":[208],"unmet":[210,228],"need":[211,229],"should":[212],"considered":[214],"as":[215],"more":[217],"complex":[218],"simply":[221],"utilisation":[223],"gap":[224],"exploration":[226],"is":[230],"warranted.":[231],"A":[232],"clearer":[233],"understanding":[234],"how":[236],"affects":[238],"number":[243],"implications":[245],"for":[246],"services.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
