Spatial allocation of emergency medical services: minimising the death rate or providing equal access?
Spatial allocation of emergency medical services: minimising the death rate or providing equal access?
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DOI：
10.1016/s0166-0462(01)00074-6
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发表时间：
2002-01-01
影响因子：
3.1
通讯作者：
Brinkmann, H
中科院分区：
文献类型：
--
作者：
Felder, S;Brinkmann, H
紧急医疗服务（EMS）挽救的生命数量和质量都取决于响应时间。由于提供的成本在各个地区不同，因此提供对EMS的同等可选访问会导致股票效率折衷。我们提供了EMS规定的理论，将平等访问政策的结果与旨在最大化生存的政策进行对比。 EMS的成本和输出数据来自14个德国Lander，支持以下假设：德国政策制定者在选择响应时间时采用了效率方法。最大响应时间选择的差异可以通过EMS成本的差异来解释。在适用统一响应时间的区域的EMS数据使我们能够估计由平等访问策略所产生的生活价值的区域内变化的大小。 （c）2002 Elsevier Science B.V.保留所有权利。
Both the quantity and quality of lives saved by Emergency Medical Services (EMS) crucially depend on the response time. Since the cost of provision differs across regions, providing equal optional access to EMS results in an equity-efficiency trade-off. We offer a theory of EMS provision to contrast the results of an equal access policy to a policy aimed at maximising survival. EMS cost and output data from 14 German Lander support the hypothesis that German policy makers are adopting an efficiency approach in choosing response time. Differences in the choice of maximal response time can be accounted for by differences in EMS cost. EMS data for a region where a uniform response time applies allow us to estimate the magnitude of the intra-regional variations in the value of life resulting from an equal access policy. (C) 2002 Elsevier Science B.V. All rights reserved.