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New and fringe residential development and emergency medical services response times in the United States


  • Lambert, Thomas
  • Meyer, Peter


Much has been written over the years about longer emergency medical services (EMS) response times in rural areas as opposed to urban areas. Yet within urban areas, outside of case studies of certain cities, not much has been written about longer EMS response times in newer, fringe suburban or ex-urban areas. Examining first the largest county within each metro area and next the municipalities and unincorporated areas of all of the counties of metropolitan areas, the findings of this exploratory research note show that the density and age of different residential areas or jurisdictions explain some of the variation in average EMS response times between urban and suburban or ex-urban locations. Holding other things constant, those who live in more sparsely settled and newer developments tend to have longer waiting times for EMS. The implications for regional growth management are discussed.

Suggested Citation

  • Lambert, Thomas & Meyer, Peter, 2008. "New and fringe residential development and emergency medical services response times in the United States," MPRA Paper 38891, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:38891

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    References listed on IDEAS

    1. Thomas E. Lambert & Peter B. Meyer, 2006. "Ex-Urban Sprawl as a Factor in Traffic Fatalities and EMS Response Times in the Southeastern United States," Journal of Economic Issues, Taylor & Francis Journals, vol. 40(4), pages 941-953, December.
    2. Kvalseth, T.O. & Deems, J.M., 1979. "Statistical models of the demand for emergency medical services in an urban area," American Journal of Public Health, American Public Health Association, vol. 69(3), pages 250-255.
    3. Felder, Stefan & Brinkmann, Henrik, 2002. "Spatial allocation of emergency medical services: minimising the death rate or providing equal access?," Regional Science and Urban Economics, Elsevier, vol. 32(1), pages 27-45, January.
    4. John Carruthers, 2003. "Growth at the fringe: The influence of political fragmentation in United States metropolitan areas," Economics of Governance, Springer, vol. 82(4), pages 475-499, November.
    5. John I Carruthers & Gudmundur F Ulfarsson, 2003. "Urban Sprawl and the Cost of Public Services," Environment and Planning B, , vol. 30(4), pages 503-522, August.
    6. Adrian C. Darnell, 1994. "A Dictionary Of Econometrics," Books, Edward Elgar Publishing, number 118.
    7. Michael O. Ball & Feng L. Lin, 1993. "A Reliability Model Applied to Emergency Service Vehicle Location," Operations Research, INFORMS, vol. 41(1), pages 18-36, February.
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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. Lambert, Thomas & Srinivasan, Arun & Dufrene, Uric & Min, Hokey, 2010. "Urban Location and the Success of Casinos in Five States: A Data Envelopment Analysis Approach," MPRA Paper 69740, University Library of Munich, Germany.
    3. 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..
    4. Thomas E. Lambert & Arun Kumar Srinivasan & Uric B. Dufrene & Hokey Min, 2010. "Urban Location And The Success Of Casinos In Five States," International Journal of Management and Marketing Research, The Institute for Business and Finance Research, vol. 3(3), pages 1-16.
    5. Min, Hokey & Lambert, Thomas, 2013. "An Exploratory Evaluation of State Road Provision to Commuters and Shippers using Data Envelopment Analysis and Tobit Regression," MPRA Paper 47196, University Library of Munich, Germany.
    6. Christopher Coyne & Abigail Hall & Patrick McLaughlin & Ann Zerkle, 2014. "A hidden cost of war: the impact of mobilizing reserve troops on emergency response times," Public Choice, Springer, vol. 161(3), pages 289-303, December.

    More about this item


    urban sprawl; emergency services; delay;

    JEL classification:

    • P25 - Economic Systems - - Socialist Systems and Transition Economies - - - Urban, Rural, and Regional Economics


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