Key result
Key equity-related disparities are linked to up to ~68% lower odds of EMS use for ACS.
Why the study?
EMS use for ACS in Australia varies across equity-related factors, but consistent patterns of disparities have not been systematically reviewed.
Systematic Review
Significant disparities exist in EMS use for acute coronary syndromes, highlighting the need for targeted interventions to improve accessibility for younger adults, men, overseas-born individuals, and remote residents.
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McInnes et al. (2026) conducted a systematic review in Acute Coronary Syndromes (ACS) or acute non-traumatic chest pain. Equity-related factors (age, sex, country of birth, language preference, place of residence) vs. Reference equity groups (e.g., older age, female sex, Australian-born, English preference, urban residence) was evaluated on Emergency Medical Service (EMS) utilization. Equity-related factors including age under 49 years, male sex, birth outside Australia, non-English language preference, and remote residence were associated with up to 68%, 11%, 15%, 20%, and 25% lower odds of EMS use for ACS, respectively.
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