TY - JOUR
T1 - A Comprehensive Framework for Determining the Cost of an Emergency Medical Services System
AU - Lerner, E. Brooke
AU - Nichol, Graham
AU - Spaite, Daniel W.
AU - Garrison, Herbert G.
AU - Maio, Ronald F.
N1 - Funding Information:
Funding and support: This work was funded by the National Highway Traffic Safety Administration through Cooperative Agreement DTNH22-98-H-05117 awarded to the National Association of State EMS Directors.
PY - 2007/3
Y1 - 2007/3
N2 - To determine the cost of an emergency medical services (EMS) system, researchers, policymakers, and EMS providers need a framework with which to identify the components of the system that must be included in any cost calculations. Such a framework will allow for cost comparisons across studies, communities, and interventions. The objective of this article is to present an EMS cost framework. This framework was developed by a consensus panel after analysis of existing peer-reviewed and non-peer-reviewed resources, as well as independent expert input. The components of the framework include administrative overhead, bystander response, communications, equipment, human resources, information systems, medical oversight, physical plant, training, and vehicles. There is no hierarchical rank to these components; they are all necessary. Within each component, there are subcomponents that must be considered. This framework can be used to standardize the calculation of EMS system costs to a community. Standardizing the calculation of EMS cost will allow for comparisons of costs between studies, communities, and interventions.
AB - To determine the cost of an emergency medical services (EMS) system, researchers, policymakers, and EMS providers need a framework with which to identify the components of the system that must be included in any cost calculations. Such a framework will allow for cost comparisons across studies, communities, and interventions. The objective of this article is to present an EMS cost framework. This framework was developed by a consensus panel after analysis of existing peer-reviewed and non-peer-reviewed resources, as well as independent expert input. The components of the framework include administrative overhead, bystander response, communications, equipment, human resources, information systems, medical oversight, physical plant, training, and vehicles. There is no hierarchical rank to these components; they are all necessary. Within each component, there are subcomponents that must be considered. This framework can be used to standardize the calculation of EMS system costs to a community. Standardizing the calculation of EMS cost will allow for comparisons of costs between studies, communities, and interventions.
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U2 - 10.1016/j.annemergmed.2006.09.019
DO - 10.1016/j.annemergmed.2006.09.019
M3 - Article
C2 - 17113682
AN - SCOPUS:33847229838
SN - 0196-0644
VL - 49
SP - 304
EP - 313
JO - Annals of emergency medicine
JF - Annals of emergency medicine
IS - 3
ER -