A methodology for evaluating multielement emergency medical services systems is presented. To overcome the usual problems in evaluation of patient outcomes between existing and optimal systems, the methodology uses parameters assessable for their impact on system effectiveness and related to elements and subelements of the medical services system. Quantitative assessment complications due to local conditions and influences and to subjective criteria on recovery are handled by separating evaluation into administrative and operational elements and by using indirect parameters where subjective criteria are present. System effectiveness parameters for emergency medical services include: extent of system availability and accessibility, response time factors, quality of equipment and emergency care, and system evaluation/audit/monitoring. Subelements of an emergency medical services system are evaluated as organization, personnel, equipment, operations, and records/statistics. These parameters and elements are arranged in a two-dimensional matrix to link data for each element with the effectiveness parameter(s) on which it impacts. Weighting of these elements is also arranged, before tallying, according to grading criteria (ranging from outstanding and highly advanced to inadequate with major deficiencies). The procedural evaluation permits weak areas in service systems to be identified, develops comparisons and ranks system elements according to their contributions to outcome, and helps establish priorities for funding allocations.

  • Supplemental Notes:
    • Published in IEEE Transactions on Vehicular Technology Vol. VT25, No. 4 pp 128-141, November 1976.
  • Corporate Authors:

    National Highway Traffic Safety Administration

    1200 New Jersey Avenue, SE
    Washington, DC  United States  20590
  • Authors:
    • Stephany, S J
  • Publication Date: 1976

Media Info

  • Pagination: 4 p.

Subject/Index Terms

Filing Info

  • Accession Number: 00185659
  • Record Type: Publication
  • Source Agency: National Technical Information Service
  • Files: TRIS, USDOT
  • Created Date: Dec 29 1979 12:00AM