National Technical Reports Library

The National Technical Information Service acquires, indexes, abstracts, and archives the largest collection of U.S. government-sponsored technical reports in existence. The NTRL offers online, free and open access to these authenticated government technical reports. Technical reports and documents in its repository may be available online for free either from the issuing federal agency, the U.S. Government Publishing Office’s Federal Digital System website, or through search engines.

Details

Regional Planning of Critical Emergency Medical Care.

HRP0016521

Publication Date	1976
Personal Author	Nachlas, J. A.
Page Count	320
Abstract	An analytical planning methodology is developed and applied to an urban emergency medical system to evaluate the gap between clinical advances in emergency medical care technology and the level of care typically rendered in life-threatening emergencies. The objective of the methodology is to reduce mortality and disability that result from emergencies. It is intended to provide a systematic technique for the identification of appropriate allocation schemes for emergency medical care resources. Two mathematical models constitute the methodology: a semi-Markovian representation of the acute disease experience of a target population, and a representation of relationships between the services provided by components of an emergency medical system and the costs of operating the system. The results of the methodology's application to cardiac care emergencies in Allegheny County, Pa., are presented. It is suggested that the allocation of a high level of emergency cardiac care capability may not be cost-effective. Consideration is given to the extent to which operations research practitioners are limited by the availability of actual data in the investigation of complex social problems and whether knowledgeable experts can construct management solutions to such problems. Potential areas for further research are identified. Additional information on the application of the methodology in Allegheny County including tabular data is appended. A bibliography is provided.
Keywords	Emergency medical services System analysis State regions Quality assurance Pennsylvania Operations research Methodology Measurement Mathematical models Health care Health care services Health care costs Economics Economic studies Data processing Data processing systems Data analysis Cost effectiveness Benefit cost analysis Regional health planning Health planning HRP/KC HRP/ZA HRP/RBC HRP/TBCEA HRP/DEC HRP/EJA HRP/QACA HRP/TBCECAA HRPGEO/YPA HRPGEO/YCN HRPOCC/X Urban health services Evaluation
Source Agency	Bureau of Health Planning and Resources Development Health Research Administration
NTIS Subject Category	44K - Health Services 91F - Health Services 44A - Planning Methodology
Corporate Authors	Pittsburgh Univ., PA. School of Engineering.
Supplemental Notes	Submitted to the School of Engineering, Univ. of Pittsburgh, Pa., in partial fulfillment of the requirements for the degree of Doctor of Philosophy.
Document Type	Thesis
Title Note	Doctoral thesis.
NTIS Issue Number	197808

Regional Planning of Critical Emergency Medical Care.

Regional Planning of Critical Emergency Medical Care.
HRP0016521

Publication Date	1976
Personal Author	Nachlas, J. A.
Page Count	320
Abstract	An analytical planning methodology is developed and applied to an urban emergency medical system to evaluate the gap between clinical advances in emergency medical care technology and the level of care typically rendered in life-threatening emergencies. The objective of the methodology is to reduce mortality and disability that result from emergencies. It is intended to provide a systematic technique for the identification of appropriate allocation schemes for emergency medical care resources. Two mathematical models constitute the methodology: a semi-Markovian representation of the acute disease experience of a target population, and a representation of relationships between the services provided by components of an emergency medical system and the costs of operating the system. The results of the methodology's application to cardiac care emergencies in Allegheny County, Pa., are presented. It is suggested that the allocation of a high level of emergency cardiac care capability may not be cost-effective. Consideration is given to the extent to which operations research practitioners are limited by the availability of actual data in the investigation of complex social problems and whether knowledgeable experts can construct management solutions to such problems. Potential areas for further research are identified. Additional information on the application of the methodology in Allegheny County including tabular data is appended. A bibliography is provided.
Keywords	Emergency medical services System analysis State regions Quality assurance Pennsylvania Operations research Methodology Measurement Mathematical models Health care Health care services Health care costs Economics Economic studies Data processing Data processing systems Data analysis Cost effectiveness Benefit cost analysis Regional health planning Health planning HRP/KC HRP/ZA HRP/RBC HRP/TBCEA HRP/DEC HRP/EJA HRP/QACA HRP/TBCECAA HRPGEO/YPA HRPGEO/YCN HRPOCC/X Urban health services Evaluation
Source Agency	Bureau of Health Planning and Resources Development Health Research Administration
NTIS Subject Category	44K - Health Services 91F - Health Services 44A - Planning Methodology
Corporate Authors	Pittsburgh Univ., PA. School of Engineering.
Supplemental Notes	Submitted to the School of Engineering, Univ. of Pittsburgh, Pa., in partial fulfillment of the requirements for the degree of Doctor of Philosophy.
Document Type	Thesis
Title Note	Doctoral thesis.
NTIS Issue Number	197808