The Adoption and Impact of Advanced Emergency Response Services
In: The Changing Hospital Industry: Comparing For-Profit and Not-for-Profit Institutions
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 chapter was published in: ||This item is provided by National Bureau of Economic Research, Inc in its series NBER Chapters with number
6762.||Handle:|| RePEc:nbr:nberch:6762||Contact details of provider:|| Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.|
Web page: http://www.nber.org
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- 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.
- Griliches, Zvi, 1994. "Productivity, R&D, and the Data Constraint," American Economic Review, American Economic Association, vol. 84(1), pages 1-23, March.
- Timothy F. Bresnahan & Robert J. Gordon, 1996. "The Economics of New Goods," NBER Books, National Bureau of Economic Research, Inc, number bres96-1, Enero-Jun.
- 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. Full references (including those not matched with items on IDEAS)