Annals of Emergency Medicine
Volume 49, Issue 3 , Pages 304-313 , March 2007

A Comprehensive Framework for Determining the Cost of an Emergency Medical Services System

  • E. Brooke Lerner, PhD

      Affiliations

    • Department of Emergency Medicine and Department of Community and Preventive Medicine, University of Rochester, Rochester, NY (Lerner)
    • Department of Emergency Medicine at the Medical College of Wisconsin, Milwaukee, WI
    • Corresponding Author InformationAddress for correspondence: E. Brooke Lerner, PhD, Department of Emergency Medicine, Medical College of Wisconsin, Froedtert Hospital, 9200 W. Wisconsin Ave, Milwaukee, WI 53226; 414-805-0113, fax 414-805-6464
  • ,
  • Graham Nichol, MD, MPH

      Affiliations

    • University of Washington–Harborview Center for Prehospital Emergency Care and Emergency Services, Harborview Medical Center, University of Washington, Seattle, WA (Nichol)
  • ,
  • Daniel W. Spaite, MD

      Affiliations

    • Arizona Emergency Medicine Research Center, Department of Emergency Medicine, College of Medicine, University of Arizona, Tucson, AZ (Spaite)
  • ,
  • Herbert G. Garrison, MD, MPH

      Affiliations

    • Department of Emergency Medicine, East Carolina University, Greenville, NC (Garrison)
  • ,
  • Ronald F. Maio, DO, MS

      Affiliations

    • Department of Emergency Medicine, University of Michigan, Ann Arbor, MI (Maio)

Received 31 May 2006 ,Revised 21 September 2006 ,Accepted 22 September 2006.

  • Image Result

    Components of the EMS cost framework.

    Components of the EMS cost framework.

  • Image Result

    EMS system cost framework.

    EMS system cost framework.

  • Image Result

    From a societal perspective, the cost of EMS will be shared among sectors, including the EMS sector itself. Further, in some cases the benefit of some costs may be reaped by a sector different from th

    From a societal perspective, the cost of EMS will be shared among sectors, including the EMS sector itself. Further, in some cases the benefit of some costs may be reaped by a sector different from the one that paid for it.

 Supervising editor: Donald M. Yealy, MD

 Funding and support: This work was funded by the National Highway Traffic Safety Administration through Cooperative Agreement DTNH22-98-H-05117 awarded to the National Association of State EMS Directors.

 Reprints not available from the authors.

PII: S0196-0644(06)02274-8

doi: 10.1016/j.annemergmed.2006.09.019

Annals of Emergency Medicine
Volume 49, Issue 3 , Pages 304-313 , March 2007