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Where are you? The problem of location during emergencies

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  • Elena Lucchese

Abstract

Rapid response to an emergency call is crucial to its outcome, but little is known about the determinants of response time. Using a difference-in-differences strategy, it is shown that the time it takes to find the patient's location accounts for 30% of response time. The analysis compares the time required to cover each segment of the ambulance trip - from the hospital to the patient's location and then back to the hospital - according to whether the patient is at home or at some other location that responders can more easily locate. The magnitude of the effect does not appear to be affected by the distance travelled. It is suggested that introducing a technology that gives care providers precise information about a patient's location would substantially improve performance at a minimal cost.

Suggested Citation

  • Elena Lucchese, 2020. "Where are you? The problem of location during emergencies," Working Papers 439, University of Milano-Bicocca, Department of Economics, revised Apr 2020.
    • Handle: RePEc:mib:wpaper:439
    as

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    References listed on IDEAS

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    1. Amitabh Chandra & Douglas O. Staiger, 2007. "Productivity Spillovers in Health Care: Evidence from the Treatment of Heart Attacks," Journal of Political Economy, University of Chicago Press, vol. 115(1), pages 103-140.
    2. Avdic, Daniel, 2016. "Improving efficiency or impairing access? Health care consolidation and quality of care: Evidence from emergency hospital closures in Sweden," Journal of Health Economics, Elsevier, vol. 48(C), pages 44-60.
    3. David, Guy & Harrington, Scott E., 2010. "Population density and racial differences in the performance of emergency medical services," Journal of Health Economics, Elsevier, vol. 29(4), pages 603-615, July.
    4. Susan Athey & Scott Stern, 2002. "The Impact of Information Technology on Emergency Health Care Outcomes," RAND Journal of Economics, The RAND Corporation, vol. 33(3), pages 399-432, Autumn.
    5. Viscusi, W Kip & Aldy, Joseph E, 2003. "The Value of a Statistical Life: A Critical Review of Market Estimates throughout the World," Journal of Risk and Uncertainty, Springer, vol. 27(1), pages 5-76, August.
    6. Amitabh Chandra & Amy Finkelstein & Adam Sacarny & Chad Syverson, 2016. "Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector," American Economic Review, American Economic Association, vol. 106(8), pages 2110-2144, August.
    7. Jonathan Skinner & Douglas Staiger, 2015. "Technology Diffusion and Productivity Growth in Health Care," The Review of Economics and Statistics, MIT Press, vol. 97(5), pages 951-964, December.
    8. 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.
    9. Amy Finkelstein & Matthew Gentzkow & Heidi Williams, 2016. "Sources of Geographic Variation in Health Care: Evidence From PatientMigration," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1681-1726.
    10. repec:reg:rpubli:282 is not listed on IDEAS
    11. Elena Lucchese, 2020. "It could be worse...it could be raining: Ambulance response time and health outcomes," Working Papers 429, University of Milano-Bicocca, Department of Economics, revised Feb 2020.
    12. Caroline Berchet, 2015. "Emergency Care Services: Trends, Drivers and Interventions to Manage the Demand," OECD Health Working Papers 83, OECD Publishing.
    13. Guy David & Tanguy Brachet, 2011. "On the Determinants of Organizational Forgetting," American Economic Journal: Microeconomics, American Economic Association, vol. 3(3), pages 100-123, August.
    14. Kevin M. Murphy & Robert H. Topel, 2006. "The Value of Health and Longevity," Journal of Political Economy, University of Chicago Press, vol. 114(5), pages 871-904, October.
    15. Katherine Baicker & Amitabh Chandra & Jonathan S. Skinner, 2012. "Saving Money or Just Saving Lives? Improving the Productivity of US Health Care Spending," Annual Review of Economics, Annual Reviews, vol. 4(1), pages 33-56, July.
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    More about this item

    Keywords

    Ambulance; Emergency; Organizational Performance; Response Time.;
    All these keywords.

    JEL classification:

    • D29 - Microeconomics - - Production and Organizations - - - Other
    • D90 - Microeconomics - - Micro-Based Behavioral Economics - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • R41 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Transportation Economics - - - Transportation: Demand, Supply, and Congestion; Travel Time; Safety and Accidents; Transportation Noise

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