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      The bricolage mode of emergency medical teams in China: deficient and in urgent need of transformation—A qualitative study

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          Abstract

          Introduction

          Emergency medical rescue plays a vital role in alleviating the harm of all kinds of emergencies to people's physical and mental health and life safety. The current emergency medical teams (EMTs) formation model is not unified. We focused on the disadvantages of the bricolage mode of China EMTs and put forward empirical-based countermeasures to improve the emergency management ability of EMTs.

          Methods

          From March to September 2022, 23 leaders of EMTs in North China (Tianjin) were selected by objective sampling method to conduct one-to-half structured in-depth interviews. Nvivo12.0 software was used for three-level coding. The disadvantages of the bricolage model of EMT were analyzed.

          Results

          Based on the three-level coding, 150 initial concepts, 36 sub-coding, 17 main coding, six categories, and two core categories were sorted out. Management structure, internal stability, and support are recognized as the crucial elements armed with the EMTs.

          Discussion

          The bricolage EMTs have disadvantages such as a chaotic management structure, weak internal stability, and inadequate support. It is necessary to construct full-time EMTs that incorporate a standardized personnel admission mechanism, full-time training and exercise mechanism, diversified incentive mechanism, and multi-agent cooperation mechanism, etc.

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          Most cited references46

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          Creating Something from Nothing: Resource Construction through Entrepreneurial Bricolage

          Ted Baker, Reed E. Nelson (2016)
          Article 0 comments Cited 329 times – based on 0 reviews     Review now
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            Using Grounded Theory Method to Capture and Analyze Health Care Experiences.

            Virpi Timonen, Geraldine Foley (2015)
            Grounded theory (GT) is an established qualitative research method, but few papers have encapsulated the benefits, limits, and basic tenets of doing GT research on user and provider experiences of health care services. GT can be used to guide the entire study method, or it can be applied at the data analysis stage only.
            Article 0 comments Cited 105 times – based on 0 reviews     Review now
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              Towards a Foundation of Bricolage in Organization and Management Theory

              Raffi Duymedjian, Charles-Clemens Rüling (2010)
              Article 0 comments Cited 48 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Li Wang: URI : http://loop.frontiersin.org/people/2574708/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Ya-Wei Sheng: Role: Role: Role: Role: Role: Role: Role:
                Xin-Ye Qi: Role: Role: Role: Role: Role: Role:
                Fang-shi Li: URI : http://loop.frontiersin.org/people/2565449/overviewRole: Role: Role:
                Xin-Yu Qiu: Role: Role: Role:
                Shen Shao: URI : http://loop.frontiersin.org/people/2635502/overviewRole: Role: Role:
                Yue Du: Role: Role: Role: Role: Role: Role: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 16 February 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 1333820
                Affiliations
                [1] 1School of Public Health, Tianjin Medical University , Tianjin, China
                [2] 2Public Health Emergency Research Center, Tianjin Medical University , Tianjin, China
                [3] 3The Quality Control Center of Basic Public Health Service, Tianjin Medical University , Tianjin, China
                Author notes

                Edited by: Robert Ehrman, Wayne State University, United States

                Reviewed by: Biagio Solarino, University of Bari Aldo Moro, Italy

                Chaoyong Tang, Hebei Agricultural University, China

                *Correspondence: Yue Du duyue@ 123456tmu.edu.cn
                Article
                DOI: 10.3389/fpubh.2024.1333820
                PMC ID: 10904540
                PubMed ID: 38435298
                SO-VID: 18585783-f3a3-43ec-a7c3-459d78e4fd4e
                Copyright © Copyright © 2024 Wang, Sheng, Qi, Li, Qiu, Shao and Du.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 06 November 2023
                Date accepted : 31 January 2024
                Page count
                Figures: 3, Tables: 3, Equations: 0, References: 48, Pages: 15, Words: 10161
                Funding
                Funded by: National Social Science Fund of China, doi 10.13039/501100012456;
                Award ID: 19BGL247
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. YD was supported by the National Social Science Fund of China (19BGL247).
                Categories
                Subject: Public Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Disaster and Emergency Medicine

                Keywords: emergency medical teams (emts),resource bricolage,full-time team,the grounded theory,emergency response
                Data availability:
                Keywords: emergency medical teams (emts), resource bricolage, full-time team, the grounded theory, emergency response

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