Die eigene professionelle Altersversorgung sichern – der Rettungsdienst als mobiler Sozial- und Gesundheitsdienstleister

At the operational level, emergency medical service (EMS) has already changed from an emergency service to a 24 x 7 sociomedical service due to demographic change and reductions in social and health care services. Most cases represent people with chronic, subacute illnesses and psychosocial challenges.A referral to nursing, family doctor or social services will only be successful if these can be reliably dispatched by the EMS control center and the partners cannot reject a case and thus delegate it back to the dispatch center.The EMS control center therefore has an advisory, steering, case management and brokering function, which ideally can also dispatch resources such as acute community nurses, community emergency paramedics and acute social workers. This means that more suitable and targeted strategies can be applied to some of the callers and patients concerns and the burden on the emergency medical services can be relieved.On a planning and strategic level, this paradigm shift still needs to be carried out in areas such as training priorities, control center advice, operational tactics, and the professional groups deployed. These changes are seen as an opportunity for managers, employees, and payers of EMS to actively shape fair and consistent social, medical and nursing care. They also help to secure our own professional and private retirement provision.