Emergency Medical Services Research


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Emergency Medical Services


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.




Emergency Medical Services Support Act


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Emergency Medical Services Systems Authorization


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Emergency Medical Services/Trauma Systems. Funding in the United States and Proposed Legislation for Texas


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Funding for Emergency Medical Services (EMS)/Trauma Systems is being brought to the forefront of debate as states struggle to reduce budgets and federal funding shrinks. All state EMS directors or health departments having responsibility over emergency and trauma program planning, were contacted during a telephone survey in September 1996 and asked seven questions designed to elicit specific funding limits, sources of those funds and current state positions and policies on funding EMS and trauma programs. Cumulatively, the states spent $14.5 million in fiscal year 1996 from federal government sources and $161.6 million in state monies to fund EMS and trauma. The national average for per capita expenditures on EMS and trauma is $0.57. There is no consistency in how states fund EMS and trauma programs. Most states fund both programs from one budget and few actually denote funds specially for trauma programs. The states that receive revenues from fines assessed on traffic violations and fees from motor vehicle registration have the best funding. These states consistently fund EMS/ Trauma systems above the national per capita average and have reduced or no dependence on federal funding. Seven states have very successful programs which are not dependent on federal funding and utilize monies generated by fines assessed on moving traffic violations. Texas should follow the lead of these states since current funding levels fail to provide adequate resources to operate a comprehensive statewide EMS/Trauma system.




Emergency Medical Services Systems


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