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Statewide Ambulance Coverage of a Mixed Region of Urban, Rural and Frontier under Travel Time Catchment Areas

Author

Listed:
  • EunSu Lee

    (Management Department, New Jersey City University, Jersey City, NJ 07311, USA)

  • Melanie McDonald

    (Management Department, New Jersey City University, Jersey City, NJ 07311, USA)

  • Erin O’Neill

    (Health Sciences Department, New Jersey City University, Jersey City, NJ 07305, USA)

  • William Montgomery

    (Earth and Environmental Sciences Department, New Jersey City University, Jersey City, NJ 07305, USA)

Abstract

This study examines the statewide service coverage of emergency medical services (EMS) in view of public health planners, policy makers, and ambulance service managers. The study investigates the statewide service coverage in a mixed region of urban, rural, and frontier regions to address the importance of ambulance service coverage at a large scale. The study incorporated statewide road networks for ambulance travel time, census blocks for population, and backup service coverage using geographic information systems (GIS). The catchment areas were delineated by the travel time after subtracting chute time for each Census Block as an analysis zone. Using the catchment areas from the ambulance base to the centroid of Census Block, the population and land coverage were calculated. The service shortage and multiple coverage areas were identified by the catchment areas. The study found that both reducing chute time and increasing the speed of emergency vehicles at the same time was significantly more effective than improving only one of two factors. The study shows that the service is improved significantly in frontier and urban areas by increasing driving time and chute time. However, in rural areas, the improvement is marginal owing to wider distribution than urban areas and shorter threshold response time than frontier areas. The public health planners and EMS managers benefit from the study to identify underserved areas and redistribute limited public resources.

Suggested Citation

  • EunSu Lee & Melanie McDonald & Erin O’Neill & William Montgomery, 2021. "Statewide Ambulance Coverage of a Mixed Region of Urban, Rural and Frontier under Travel Time Catchment Areas," IJERPH, MDPI, vol. 18(5), pages 1-21, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2638-:d:511534
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    References listed on IDEAS

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    1. Baker, Joanna R. & Clayton, Edward R. & Moore, Laurence J., 1989. "Redesign of primary response areas for county ambulance services," European Journal of Operational Research, Elsevier, vol. 41(1), pages 23-32, July.
    2. G Erdoğan & E Erkut & A Ingolfsson & G Laporte, 2010. "Scheduling ambulance crews for maximum coverage," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(4), pages 543-550, April.
    3. Kathleen Hogan & Charles ReVelle, 1986. "Concepts and Applications of Backup Coverage," Management Science, INFORMS, vol. 32(11), pages 1434-1444, November.
    4. Rajan Batta & Narasimha R. Mannur, 1990. "Covering-Location Models for Emergency Situations That Require Multiple Response Units," Management Science, INFORMS, vol. 36(1), pages 16-23, January.
    5. Susan Budge & Armann Ingolfsson & Dawit Zerom, 2010. "Empirical Analysis of Ambulance Travel Times: The Case of Calgary Emergency Medical Services," Management Science, INFORMS, vol. 56(4), pages 716-723, April.
    6. Pieter L van den Berg & Peter Fiskerstrand & Karen Aardal & Jørgen Einerkjær & Trond Thoresen & Jo Røislien, 2019. "Improving ambulance coverage in a mixed urban-rural region in Norway using mathematical modeling," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-14, April.
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    Cited by:

    1. Abdullah Alamri, 2023. "A Smart Spatial Routing and Accessibility Analysis System for EMS Using Catchment Areas of Voronoi Spatial Model and Time-Based Dijkstra’s Routing Algorithm," IJERPH, MDPI, vol. 20(3), pages 1-15, January.

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