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A Comprehensive Framework for Determining the Cost of an Emergency Medical Services System

Lerner, E. Brooke; Nichol, Graham; Spaite, Daniel W.; Garrison, Herbert G.; Maio, Ronald F.; Lyttle, Mark D; Cheek, John A

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Authors

E. Brooke Lerner

Graham Nichol

Daniel W. Spaite

Herbert G. Garrison

Ronald F. Maio

Mark D Lyttle

John A Cheek



Abstract

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. © 2007 American College of Emergency Physicians.

Journal Article Type Article
Acceptance Date Sep 22, 2006
Online Publication Date Nov 20, 2006
Publication Date Mar 1, 2007
Deposit Date Nov 16, 2018
Publicly Available Date Nov 16, 2018
Journal Annals of Emergency Medicine
Print ISSN 0196-0644
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 49
Issue 3
Pages 304-313
DOI https://doi.org/10.1016/j.annemergmed.2006.09.019
Keywords head injury, paediatric, cost effectiveness
Public URL https://uwe-repository.worktribe.com/output/1029361
Publisher URL http://dx.doi.org/10.1016/j.annemergmed.2006.09.019
Contract Date Nov 16, 2018

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