alexa Regulation of ambulance response times in California.
Engineering

Engineering

Industrial Engineering & Management

Author(s): Narad RA, Driesbock KR

Abstract Share this page

Abstract OBJECTIVES: To identify regulatory programs for ambulance response times used by California counties, to inventory their foci and application, and to identify differences around the state. By studying the variety of programs used in one state, this study establishes a framework for evaluation of state and local regulatory programs elsewhere. METHODS: This study surveyed all California local EMS agencies (LEMSAs), California's equivalent of regional EMS organizations. The survey achieved a 100\% response rate and all data involve population parameters obviating the need for inferential statistics. RESULTS: Fifty-seven percent of California counties regulate response times. Large-population counties and those that operate their own LEMSAs are more likely to use response time regulations than are small counties and those that participate in multicounty EMS agencies. Most of the counties with response time standards measure from dispatch to arrival at the scene and most use a fractile measurement to determine compliance. Many of the ambulance enforcement programs in California have enforcement mechanisms that are unlikely to promote compliance. CONCLUSIONS: Response time regulations are intended to improve the effectiveness of prehospital care. Few counties use standards that comply with recommended state standards. A large number of counties are unable to determine how well ambulance services actually comply with the standards and are not in a position to enforce them. The use of these regulatory programs is questionable based on their application.
This article was published in Prehosp Emerg Care and referenced in Industrial Engineering & Management

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords