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The Adoption and Impact of Advanced Emergency Response Services

In: The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions

Author

Listed:
  • Susan Athey
  • Scott Stern

Abstract

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.
(This abstract was borrowed from another version of this item.)
(This abstract was borrowed from another version of this item.)
(This abstract was borrowed from another version of this item.)

Suggested Citation

  • Susan Athey & Scott Stern, 2000. "The Adoption and Impact of Advanced Emergency Response Services," NBER Chapters, in: The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions, pages 113-168, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberch:6762
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    References listed on IDEAS

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    1. Zvi Griliches, 1998. "Productivity, R&D, and the Data Constraint," NBER Chapters, in: R&D and Productivity: The Econometric Evidence, pages 347-374, National Bureau of Economic Research, Inc.
    2. McClellan, Mark & Newhouse, Joseph P., 1997. "The marginal cost-effectiveness of medical technology: A panel instrumental-variables approach," Journal of Econometrics, Elsevier, vol. 77(1), pages 39-64, March.
    3. Timothy F. Bresnahan & Robert J. Gordon, 1996. "The Economics of New Goods," NBER Books, National Bureau of Economic Research, Inc, number bres96-1.
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    Cited by:

    1. Elizabeth T. Wilde, 2008. "Do Response Times Matter? The Impact of EMS Response Times on Health Outcomes," Working Papers 1065, Princeton University, Department of Economics, Industrial Relations Section..
    2. Justin G. Trogdon, 2009. "Demand For And Regulation Of Cardiac Services," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 50(4), pages 1183-1204, November.
    3. Justin G. Trogdon, 2004. "Regionalization of Cardiac Services and the Responsiveness of Treatment Choices," HEW 0411001, University Library of Munich, Germany.
    4. Elizabeth Ty Wilde, 2013. "Do Emergency Medical System Response Times Matter For Health Outcomes?," Health Economics, John Wiley & Sons, Ltd., vol. 22(7), pages 790-806, July.
    5. Elizabeth Wilde, 2008. "Do Response Times Matter? The Impact of EMS Response Times on Health Outcomes," Working Papers 1065, Princeton University, Department of Economics, Industrial Relations Section..

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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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