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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 treatment. In recent years, it has become clear that expanding healthcare system challenges can't be overcome just by additional resources; they also require innovative 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 might significantly improve the health system's functionality if they can evolve into an out-of-hospital, clinical care service rather than only pre-hospital clinical care.

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