The adoption and impact of advanced emergency response services:
This paper studies the causes and consequences of the adoption of technology by hospitals and public emergency response systems, focusing on Basic and Enhanced 911 services. Basic 911 allows people within a given locality to access specialized call-takers and ambulance dispatchers using the single t...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Cambridge, Mass.
1998
|
| Schriftenreihe: | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series
6595 |
| Schlagworte: | |
| Online-Zugang: | kostenfrei |
| Zusammenfassung: | This paper studies the causes and consequences of the adoption of technology by hospitals and public emergency response systems, focusing on Basic and Enhanced 911 services. Basic 911 allows people within a given locality to access specialized call-takers and ambulance dispatchers using the single telephone number 911. Enhanced 911 is characterized by telecommunications equipment and information technology which identifies the location of emergency callers. We begin by exploring the distribution of 911 systems among counties in the U.S., showing that this locally provided service responds to income and political factors as well as population and density of a county. Then, using a database of cardiac patients in Pennsylvania in 1995, we are able to characterize some of the productivity efforts of 911 services. We show that Enhanced 911 reduces response times, which in turn reduce mortality. Further, we find that the pre-hospital system interacts with the allocation of patients to hospitals in several ways. First, patient severity affect the allocation of patients to high-technology hospitals. Second, conditional on the availability of advanced cardiac care facilities, counties with 911 systems allocate cardiac patients to hospitals with better technology. Finally, hospitals with more advanced emergency and cardiac technology treat a higher share of cardiac patients who make use of the pre- hospital system. |
| Beschreibung: | 37 S. graph. Darst. |
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| 520 | |a This paper studies the causes and consequences of the adoption of technology by hospitals and public emergency response systems, focusing on Basic and Enhanced 911 services. Basic 911 allows people within a given locality to access specialized call-takers and ambulance dispatchers using the single telephone number 911. Enhanced 911 is characterized by telecommunications equipment and information technology which identifies the location of emergency callers. We begin by exploring the distribution of 911 systems among counties in the U.S., showing that this locally provided service responds to income and political factors as well as population and density of a county. Then, using a database of cardiac patients in Pennsylvania in 1995, we are able to characterize some of the productivity efforts of 911 services. We show that Enhanced 911 reduces response times, which in turn reduce mortality. Further, we find that the pre-hospital system interacts with the allocation of patients to hospitals in several ways. First, patient severity affect the allocation of patients to high-technology hospitals. Second, conditional on the availability of advanced cardiac care facilities, counties with 911 systems allocate cardiac patients to hospitals with better technology. Finally, hospitals with more advanced emergency and cardiac technology treat a higher share of cardiac patients who make use of the pre- hospital system. | ||
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| indexdate | 2024-07-09T18:22:15Z |
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| language | English |
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| physical | 37 S. graph. Darst. |
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| series | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |
| series2 | National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series |
| spelling | Athey, Susan 1970- Verfasser (DE-588)128978961 aut The adoption and impact of advanced emergency response services Susan Athey ; Scott Stern Cambridge, Mass. 1998 37 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 6595 This paper studies the causes and consequences of the adoption of technology by hospitals and public emergency response systems, focusing on Basic and Enhanced 911 services. Basic 911 allows people within a given locality to access specialized call-takers and ambulance dispatchers using the single telephone number 911. Enhanced 911 is characterized by telecommunications equipment and information technology which identifies the location of emergency callers. We begin by exploring the distribution of 911 systems among counties in the U.S., showing that this locally provided service responds to income and political factors as well as population and density of a county. Then, using a database of cardiac patients in Pennsylvania in 1995, we are able to characterize some of the productivity efforts of 911 services. We show that Enhanced 911 reduces response times, which in turn reduce mortality. Further, we find that the pre-hospital system interacts with the allocation of patients to hospitals in several ways. First, patient severity affect the allocation of patients to high-technology hospitals. Second, conditional on the availability of advanced cardiac care facilities, counties with 911 systems allocate cardiac patients to hospitals with better technology. Finally, hospitals with more advanced emergency and cardiac technology treat a higher share of cardiac patients who make use of the pre- hospital system. Ökonometrisches Modell Emergency medical services United States Econometric models Telephone United States Emergency reporting systems USA Stern, Scott Verfasser aut Erscheint auch als Online-Ausgabe National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 6595 (DE-604)BV002801238 6595 http://papers.nber.org/papers/w6595.pdf kostenfrei Volltext |
| spellingShingle | Athey, Susan 1970- Stern, Scott The adoption and impact of advanced emergency response services National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series Ökonometrisches Modell Emergency medical services United States Econometric models Telephone United States Emergency reporting systems |
| title | The adoption and impact of advanced emergency response services |
| title_auth | The adoption and impact of advanced emergency response services |
| title_exact_search | The adoption and impact of advanced emergency response services |
| title_full | The adoption and impact of advanced emergency response services Susan Athey ; Scott Stern |
| title_fullStr | The adoption and impact of advanced emergency response services Susan Athey ; Scott Stern |
| title_full_unstemmed | The adoption and impact of advanced emergency response services Susan Athey ; Scott Stern |
| title_short | The adoption and impact of advanced emergency response services |
| title_sort | the adoption and impact of advanced emergency response services |
| topic | Ökonometrisches Modell Emergency medical services United States Econometric models Telephone United States Emergency reporting systems |
| topic_facet | Ökonometrisches Modell Emergency medical services United States Econometric models Telephone United States Emergency reporting systems USA |
| url | http://papers.nber.org/papers/w6595.pdf |
| volume_link | (DE-604)BV002801238 |
| work_keys_str_mv | AT atheysusan theadoptionandimpactofadvancedemergencyresponseservices AT sternscott theadoptionandimpactofadvancedemergencyresponseservices |