Analyzing the Maharashtra Ambulance Service "108": The Prospect and Challenges

Health Syst Reform. 2024 Dec 17;10(2):2380251. doi: 10.1080/23288604.2024.2380251. Epub 2024 Oct 22.

Abstract

The utilization of digital health in India is playing a crucial role in enhancing healthcare services by transitioning from the current inadequate public health structure to a more efficient and patient-centric system. Digital health includes various digital tools, such as electronic health records (EHRs), telemedicine, mobile health applications, health information exchange systems, and other technological advancements to improve access, efficiency, and quality of healthcare delivery. This study investigates the prospects and challenges encountered by the newly-digitized Maharashtra Emergency Medical Services (MEMS). Utilizing the 38,823 MEMS calls from November 2022, this study investigates the current status of emergency service delivery mechanisms in Maharashtra. Through spatial analyses, this study also explores the causes behind calls. The findings of the study show that calls for 108 ambulance services were distributed across the districts and had variable service delivery time periods. Current challenges to the system arise from various urban and healthcare infrastructure problems, as well as socio-cultural challenges. Implementation of the digitized MEMS system reveals key factors that influence the service's success, assisting the policymakers and health administrators in identifying and further improving the service.

Keywords: Digital health; India; Maharashtra Emergency Medical Services (MEMS); emergency services; health system technology.

MeSH terms

  • Ambulances* / statistics & numerical data
  • Electronic Health Records / statistics & numerical data
  • Electronic Health Records / trends
  • Emergency Medical Services* / statistics & numerical data
  • Emergency Medical Services* / trends
  • Humans
  • India
  • Telemedicine / statistics & numerical data