Abstract

In Costa Rica, the Red Cross provides most pre-hospital emergency care and transport. Very few studies have investigated extra-hospital emergency care in Costa Rica so this study aimed to fill this gap through interviews with community members, surveys of Red Cross workers and volunteers, and observations of the daily functioning of the Red Cross Committee in San Ramón, Alajuela, Costa Rica. Over the course of 7 weeks of observation at the Red Cross office of San Ramón, 136 interviews and surveys were collected. The study found a well-equipped organization that provides many emergency and non-emergency services for the community. People, mostly over 45 years old, interviewed at the Red Cross were more likely to believe that the community uses the Red Cross’s services rationally than people interviewed at other locations. Community members and Red Cross workers strongly differed in whether or not the community uses the services appropriately; community members felt that they did, while Red Cross workers felt that the usage was often inappropriate and for non-emergency cases, which would be better suited to a clinic. Educating the public about appropriate use of Red Cross services would save money and resources for true emergencies.

Highlights

  • RESUMEN: Conocimientos y creencias sobre la Cruz Roja: perspectivas de miembros de la comunidad y trabajadores de la Cruz Roja en San Ramón, Alajuela, Costa Rica

  • Very few studies have investigated extra-hospital emergency care in Costa Rica so this study aimed to fill this gap through interviews with community members, surveys of Red Cross workers and volunteers, and observations of the daily functioning of the Red Cross Committee in San Ramón, Alajuela, Costa Rica

  • Thirty-five Red Cross workers responded to the survey and 101 community members were interviewed

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Summary

Introduction

RESUMEN: Conocimientos y creencias sobre la Cruz Roja: perspectivas de miembros de la comunidad y trabajadores de la Cruz Roja en San Ramón, Alajuela, Costa Rica. In Costa Rica, the Red Cross functions as the primary prehospital and emergency service for the country (Cruz Roja Costarricense, 2015), but little research exists on prehospital care. For emergency medical and trauma services, the Red Cross does not receive direct government funding, but is compensated for their services by two governmental institutions. The Red Cross is compensated by the Instituto Nacional de Seguros (INS, nationalized insurance institute) if a) the injury was the result of a car accident or occurred at work and b) the patient required treatment at the INS hospital in San José. For all cases that do not meet these criteria (usually that the case was not severe enough to be called an “emergency” or to require transport to the trauma hospital, or if the person has purchased private insurance), the Red Cross receives no compensation for the services rendered or materials used

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