Structural and functional analysis of emergency departments in Amman, Jordan: implications for future development

Abstract

This study investigates the current state of emergency healthcare delivery in Amman, Jordan. The first of its kind, the study uses a cross-sectional questionnaire, distributed to 40 hospitals in Amman, in order to assess the accessibility of equipment and medication, as well as the structure and function of emergency departments. Results indicate that although emergency departments in Amman are generally well equipped according to World Health Organization guidelines, variability in departmental processes and available equipment as well as staffing, training and overcrowding remain significant challenges. Discussion revealed that many physicians felt that improvements in staff training would improve the delivery of emergency care. Overcrowding of emergency departments and unnecessary use by low acuity patients also interferes with delivery of appropriate care to critical patients and may drive up healthcare costs. Respondents discussed the need for the development of a formal trauma unit, priority triage screening for critical patients and pre-hospital care and coordination. Further studies are needed to explore these and other aspects of emergency care in Jordan.