An Analysis of the Use of Private Ambulance Companies Versus a Public Fire Department for the Transportation of Emergency Medical Victims PDF Download
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Author: Christopher H. Olson
Publisher:
ISBN:
Category :
Languages : en
Pages : 33
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Book Description
The City of Englewood, Colorado, a community of 33,000 people in the Denver metropolitan area has provided free ambulance transportation service through it's Division of Fire, for at least fifty years. Because of the continued stagnation of the local and state economies, it has been suggested by some members of the community that this is no longer a municipal service that can be justified, even though a non-resident transportation fee was imposed in 1989 to help offset the costs. In response to this concern, a study was undertaken to evaluate the elimination of Fire Division ambulance transportation in favor of the franchising of private ambulance company(s) as a cost effective alternative.
Author: Christopher H. Olson
Publisher:
ISBN:
Category :
Languages : en
Pages : 33
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Book Description
The City of Englewood, Colorado, a community of 33,000 people in the Denver metropolitan area has provided free ambulance transportation service through it's Division of Fire, for at least fifty years. Because of the continued stagnation of the local and state economies, it has been suggested by some members of the community that this is no longer a municipal service that can be justified, even though a non-resident transportation fee was imposed in 1989 to help offset the costs. In response to this concern, a study was undertaken to evaluate the elimination of Fire Division ambulance transportation in favor of the franchising of private ambulance company(s) as a cost effective alternative.
Author:
Publisher:
ISBN:
Category : Emergency medical services
Languages : en
Pages : 522
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Author: Arthur J. Chiang
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
This paper undertakes an analysis of the decision to utilize public or private providers for the local provision of emergency medical services (EMS) in cities. We provide a historical overview of the EMS industry from the mid-1860s to the present day. EMS services are commonly broken into two components: first response and transport. While first response is generally kept within the purview of local fire departments, transport is maintained in-house by public agencies, contracted out to private providers, or provided by some combination of the two. The decision to employ public or private providers for EMS transport services involves a fundamental trade-off between incentives for innovation/flexibility among private providers and infrastructural advantages posed by maintaining in-house transport services. The degree to which cities value the competing advantages of each method of provision is a result of a number of city-level factors, including population, urban density, population age, health status, the likelihood of major emergency events, crime levels, the location of fire departments and trauma centers, and the strength of labor unions. This paper poses a number of hypotheses regarding how each of the above factors is likely to affect incentives to utilize public or private EMS providers. Some of these interactions are examined empirically using data on EMS contracting decisions in the 200 largest US cities. We conclude by discussing the strongest relationships between city-specific characteristics and the method of EMS provision, and identify avenues for future research in this arena.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309253468
Category : Medical
Languages : en
Pages : 0
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Book Description
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.
Author: United States. Congress
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 1394
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Book Description
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309101743
Category : Medical
Languages : en
Pages : 311
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Book Description
Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Author:
Publisher:
ISBN:
Category : Fire extinction
Languages : en
Pages : 106
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Author: United States. National Highway Traffic Safety Administration
Publisher:
ISBN:
Category : Emergency medical services
Languages : en
Pages : 580
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Book Description
Author: Dean T. Jamison
Publisher: World Bank Publications
ISBN: 0821361805
Category : Medical
Languages : en
Pages : 1449
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Book Description
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Author:
Publisher:
ISBN:
Category : Emergency medical services
Languages : en
Pages : 90
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Book Description
