Understanding patient non‐transport decision theories in the pre‐hospital setting: a narrative review
Dublin Core
Title
Understanding patient non‐transport decision theories in the pre‐hospital setting: a narrative review
Subject
Non-conveyance, Non-transport, Transport refusal, Prehospital care, Ambulance service
Description
Background In pre-hospital emergency care, decisions regarding patient non-conveyance emerged as significant
determinants of healthcare outcomes and resource utilization. These complex decisions became integral to the pro‐
gress of emergency medical services, thus warranting an evolving exploration within the medical discourse.
Objectives and methods This narrative review aimed to synthesize and critically evaluate various theoretical stances
on patient non-conveyance in the pre-hospital emergency. The focus on studies published between January 2012
and August 2022 was intentional to capture contemporary practices and insights. PubMed and Google Scholar
served as the primary databases for the investigation, while the AL-Rayyan® software facilitated a thorough screening
process.
Results and discussion Twenty-nine studies—encompassing articles, books, and theses—were discovered
through our search, each presenting unique perspectives on patient non-transport, thus highlighting its criticality
as a healthcare concern. Predominant factors influencing non-transport decisions were classified into patient-initiated
refusals (PIR), clinician-initiated decisions (CID), and dispatcher-initiated decisions (DID).
Conclusions The issue of patient non-conveyance to hospitals continues to pose a crucial challenge to the seamless
operation of emergency healthcare systems, warranting increased attention from various healthcare entities. To com‐
prehend and pinpoint potential areas of improvement, a comprehensive analysis of pre-hospital non-transport events
is imperative. A well-informed, strategic approach could prevent resource waste while ensuring patients receive
the required and definitive care.
determinants of healthcare outcomes and resource utilization. These complex decisions became integral to the pro‐
gress of emergency medical services, thus warranting an evolving exploration within the medical discourse.
Objectives and methods This narrative review aimed to synthesize and critically evaluate various theoretical stances
on patient non-conveyance in the pre-hospital emergency. The focus on studies published between January 2012
and August 2022 was intentional to capture contemporary practices and insights. PubMed and Google Scholar
served as the primary databases for the investigation, while the AL-Rayyan® software facilitated a thorough screening
process.
Results and discussion Twenty-nine studies—encompassing articles, books, and theses—were discovered
through our search, each presenting unique perspectives on patient non-transport, thus highlighting its criticality
as a healthcare concern. Predominant factors influencing non-transport decisions were classified into patient-initiated
refusals (PIR), clinician-initiated decisions (CID), and dispatcher-initiated decisions (DID).
Conclusions The issue of patient non-conveyance to hospitals continues to pose a crucial challenge to the seamless
operation of emergency healthcare systems, warranting increased attention from various healthcare entities. To com‐
prehend and pinpoint potential areas of improvement, a comprehensive analysis of pre-hospital non-transport events
is imperative. A well-informed, strategic approach could prevent resource waste while ensuring patients receive
the required and definitive care.
Creator
Hassan Farhat1,2,3, Kawther El Aifa1
, Guillaume Alinier1,4,5,6*, Abdulqadir Nashwan7
, Padarath Gangaram1,8,
Moncef Khadhraoui9
, Loua Al‐Shaikh1
, Imed Gargouri10 and James Laughton1
, Guillaume Alinier1,4,5,6*, Abdulqadir Nashwan7
, Padarath Gangaram1,8,
Moncef Khadhraoui9
, Loua Al‐Shaikh1
, Imed Gargouri10 and James Laughton1
Source
https://doi.org/10.1186/s12245-023-00528-7
Date
2023
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Hassan Farhat1,2,3, Kawther El Aifa1
, Guillaume Alinier1,4,5,6*, Abdulqadir Nashwan7
, Padarath Gangaram1,8,
Moncef Khadhraoui9
, Loua Al‐Shaikh1
, Imed Gargouri10 and James Laughton1, “Understanding patient non‐transport decision theories in the pre‐hospital setting: a narrative review,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12186.