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Évaluation économique de l'implantation du service de premiers répondants au sein du Service de Sécurité Incendie de Montréal

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Author Info

  • Nathalie de Marcellis-Warin

    ()

  • Ingrid Peignier

    ()

  • David Boisclair

Abstract

This report, about the implementation of first responder service in Montreal, fits in the context of the new Quebec act on prehospital emergency care passed on December 2002 (Bill 96), and also in the context of the merger of fire services in Montreal. The CIRANO was contracted to perform an economic analysis of the implementation of a first responder service in Montreal involving the evaluation of the costs associated with this type of services, as well as the benefits that it brought to the society (especially the reduction of public healthcare costs). On-going research shows that the existence of such services present considerable potential (in terms of effectiveness and impacts), even if some problems of financing and organizing aren't to neglect. Thus the CIRANO's research project regroups all the elements necessary to conduct the economic analysis about the implementation of a first responder service in the Montreal fire department as well as to evaluate its profitability (methodology used for the cost/benefit analysis is also explain). C'est dans le cadre de la Loi nº 96 sur les services préhospitaliers d'urgence de décembre 2002 et de la fusion des services d'incendie de l'Île de Montréal, que s'inscrit le présent rapport sur l'implantation d'un service de premiers répondants à Montréal. Le mandat du CIRANO consiste à effectuer une étude exploratoire des coûts et des bénéfices économiques (notamment la réduction des coûts sociaux de santé) des services de premiers répondants. Les recherches en cours montrent que l'existence d'un service de premiers répondants présente des potentialités considérables (en termes d'efficacité et d'impacts), même si souvent des problèmes relatifs à l'organisation et au financement ne manquent pas de se manifester. Le projet de recherche du CIRANO regroupe donc l'ensemble des éléments nécessaires pour permettre de bien structurer la réflexion concernant la mise en place d'un service de premiers répondants au sein du service incendie de la ville de Montréal ainsi qu'à évaluer sa rentabilité (ses enjeux pour la collectivité). Toutefois, les premiers répondants sont l'un des maillons de la chaîne d'intervention des services préhospitaliers d'urgence et l'évaluation des impacts doit tenir compte de l'ensemble de cette chaîne. Pour conclure, ce rapport propose un examen sommaire des principales options de financement à la disposition du SSIM, à partir d'une réflexion économique et de la réalité vécue dans d'autres juridictions, superposées à l'analyse coûts-bénéfices développée dans les chapitres précédents.

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File URL: http://www.cirano.qc.ca/pdf/publication/2004RP-02.pdf
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Bibliographic Info

Paper provided by CIRANO in its series CIRANO Project Reports with number 2004rp-02.

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Date of creation: 01 Jan 2004
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Handle: RePEc:cir:cirpro:2004rp-02

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Postal: 2020 rue University, 25e étage, Montréal, Quéc, H3A 2A5
Phone: (514) 985-4000
Fax: (514) 985-4039
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Web page: http://www.cirano.qc.ca/
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Related research

Keywords: prehospital emergency system; first responders; firefighters; response time; economic analysis; costs and benefits analysis; système préhospitalier d'urgence; premiers répondants; pompiers; temps de réponse; évaluation économique; coûts et bénéfices;

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