Riediger G, Fleischmann-Sperber T
Am J Emerg Med. 1990 Jan;8(1):76-80. doi: 10.1016/0735-6757(90)90301-f.
A model study was performed by an economist in Lower Frankonia (a mostly rural area of West Germany with several urban centers) to examine the efficiency and cost-effectiveness of the emergency medical service that included prehospital physician presence. To perform this examination about $3.5 million were spent to improve organization and communication within the local emergency medical service, to purchase additional equipment and further emergency vehicles, and to install prehospital emergency physician service. The median response time was lowered to 6 minutes. This report surveys whether these reforms and extra fundings were beneficial and cost-efficient.
下弗兰肯行政区（西德一个大部分为农村地区但有多个城市中心的地方）的一位经济学家进行了一项模型研究，以检验包括院前配备医生在内的紧急医疗服务的效率和成本效益。为了进行这项研究，花费了约350万美元用于改善当地紧急医疗服务内部的组织和沟通、购置额外设备和更多急救车辆以及设立院前急救医生服务。平均响应时间降至了6分钟。本报告调查这些改革和额外资金投入是否有益且具有成本效益。
