Although ambulance services normally perform both emergency response and patient transfer on behalf of the health sector, their primary job is to provide emergency pre-hospital medical care. They make health services more accessible, especially after hours, and through advanced communications infrastructure, they contribute greatly to telephone triage and telephone health services. In recent years, it has become clear that expanding healthcare system challenges can't be overcome solely by additional resources; they also require new service delivery strategies. The ambulance service is well-positioned to serve as the first line of care in the healthcare continuum, and it may make a considerable contribution to 'treat and transfer' or 'treat and depart' initiatives. Ambulance services could significantly improve the health system's functionality if they can evolve into an out-of-hospital, clinical care service rather than just pre-hospital clinical care. This could be accomplished by more efficient patient information transfer, patient transportation, an ambulance service that prioritizes public service above profit, and patient treatment regimens that are congruent with the broader health system. By integrating ambulance services into the health system as a whole, their different strategic agendas are aligned, enhancing efficiency and allowing an ambulance service to influence the result of 'health' projects with its relevant expertise.
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