Strategic ambulance location for heterogeneous regions

Leknes, Håkon; Aartun, Eirik Skorge; Andersson, Henrik; Christiansen, Marielle; Granberg, Tobias Andersson

doi:10.1016/j.ejor.2016.12.020

Cited by 45 publications

(28 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ambulance service area (Figure ) is a dynamic function of strategic, tactical, and operational variables (Leknes et al, ). Strategic issues of ambulance station location impacts service area in regards to response‐time as many ambulance stations are located in cities and towns; therefore, access to urban areas is possible under a short 7 min response‐time while access to remote rural areas requires a longer response‐time (Leknes et al, ; Van Barneveld, Bhulai, & Van der Mei, ).…”

Section: Discussionmentioning

confidence: 99%

“…Although the provision of ambulance services in flood emergency plans promotes the safeguarding of society by evacuation, to minimise injury and fatality (Alexander, ; Chang, Tseng, & Chen, ; Lumbroso & Vinet, ; McEntire & Myers, ), for improved efficiency, the plans require greater details of accessibility, area coverage, evacuation routes, and financial expenses (Lumbroso, Stone, & Vinet, ; Lumbroso & Vinet, ). This corresponds with the in‐situ dependence of ambulance response on the static identification of floodable pathways and at‐risk individuals and facilities, in addition to the dynamic aspects of flood hazard evolution, evacuee behaviour and strategic, tactical and operational variables associated with responder coordination and interactions, which are co‐occurring on the ground (DEFRA, ; Leknes, Aartun, Andersson, Christiansen, & Granberg, ; Powell, Jaillet, & Odoni, ; Shahabi & Wilson, ).…”

Section: Introductionmentioning

confidence: 88%

See 1 more Smart Citation

From flooding to finance: NHS ambulance‐assisted evacuations of care home residents in Norfolk and Suffolk, UK

Johnson

2020

J Flood Risk Management

View full text Add to dashboard Cite

Focusing on the counties of Norfolk and Suffolk (UK), this investigation examines the effect of coastal and fluvial flooding on the use of ambulance service vehicles in the assisted evacuation of care home residents and quantifies the cost of this service to the NHS under flood conditions. This was completed using GIS Network Analyst functions to identify the impacts of flood probability (high: 1 in 30, medium: 1 in 30 to 1 in 100, and low: 1 in 100 to 1 in 1000) and target ambulance response-times (7, 18, 120, and 180 min) on ambulance service area, road network accessibility, the number of vulnerable care homes and their accessibility, the appropriateness of pre-identified evacuation routes, and the drive-time based evacuation cost to the National Health Service (NHS). The results indicate that approximately 68 care homes and 2,320 residents in Norfolk and Suffolk are at risk of inundation, and care home accessibility, in addition to ambulance service area, decreases with shorter ambulance response-times and lower flood probabilities. Additionally, the use of pre-identified evacuation routes, by the ambulance service, promotes efficient navigation between ambulance stations, care homes, and rest centres, but can unfavourably cause network clustering if unmanaged. In association with these routes, an estimated cost of evacuation based on ambulance drivetime was calculated at £34,000-£42,000 depending on flood probability. The importance of this research is highlighted by the current lack of identified flood evacuation and accessibility maps for emergency responder use, and the associated lack of evacuation cost estimations to be used by the government and NHS to budget for aid assistance during these natural disasters. Therefore, the application of this approach at a national level in the flood emergency planning process would be beneficial to promote strategic efficiency and financial preparedness of ambulance services for the purpose of ambulance-assisted flood evacuations. K E Y W O R D Scoastal, economic assessment, emergency response and evacuation, fluvial

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 88%

From flooding to finance: NHS ambulance‐assisted evacuations of care home residents in Norfolk and Suffolk, UK

Johnson

2020

J Flood Risk Management

View full text Add to dashboard Cite

show abstract

“…Obviously, the emergency medical services have been paid attention from many prior scholars. Nevertheless, to our best knowledge, there are few prior studies address the importance of parking locations of Advanced Life Support (ALS) ambulance in emergency medical services [4,5]. The identification of appropriate ALS parking locations is a challenge and complex task.…”

Section: Introductionmentioning

confidence: 99%

An Optimization Model for Advanced Life Support Ambulance Facility Location Problem

Sumrit

Thongsiriruengchai

2020

Innovation Aviation &Amp;amp; Aerospace Industry - International Conference 2020

View full text Add to dashboard Cite

The survival rate of the patients in medical emergencies depends on the minimize ambulance arrival time on-sites and promptly provides medical care to the patients. Advanced Life Support (ALS) ambulances play a critical role in reducing the fatal and severity rate of emergency patients. The several areas in big cities always encounter with traffic congestion, which is a significant obstacle for ALS ambulances to achieve their service time window target (predetermine as less than 8 min). In light of prior research, arranging appropriate parking locations can solve such a problem. This study proposes a mathematical model of facility location problem to identify the ALS ambulances parking locations. This paper simultaneously considers the minimize of the total number of ALS ambulance parking locations while covering the service areas and service time window are fulfilled. One part of business centers in Bangkok was chosen to correct the data and test the proposed model. This study is distinguished from others in these areas by the only possible parking places, i.e., schools, temples, police stations, and gas stations, which are taking into consideration. IBM ILOG CPLEX Optimization Studio Version 12.6.1 was utilized to solve the problem. The result indicates that there are 26 parking locations, which can enable the service coverage areas. As well as achieve a 54% service time window target.

show abstract

“…Modern IS applications have enabled and accelerated the emergence of different forms of collaboration in the public sector. In ERSs, cross-sector forms of collaboration are supported by such approaches as dynamic resource handling systems, optimisation systems, graphical positioning systems and mobile applications (Leknes et al 2017;Andersson Granberg and Värbrand, 2007). New applications have been developed in parallel with the establishment of cross-sector collaboration; for example, optimising the location of ambulances and fire services (Leknes et al, 2017), designing digital simulation-based training environments (Rybing et al, 2017) or introducing new communication platforms (e.g.…”

Section: Emerging Forms Of Cross-sector Collaboration In the New Publmentioning

confidence: 99%

“…As to IS, the need for the proper and optimised positioning of professional resources for faster response have been shown in several studies (e.g. Leknes et al 2017;Andersson Granberg and Värbrand, 2007). Turoff et al (2004) identify the needs for system training and exercises, accessing vital, up-to-date and correct information and the free exchange of information.…”

Section: Is Development For Ers Cross-sector Collaborationsmentioning

confidence: 99%

Information Systems Development for Emerging Public Sector Cross-sector Collaborations: The Case of Swedish Emergency Response

Mojir¹

View full text Add to dashboard Cite

Information systems (IS) seem prevalent in modern societies and this has resulted in the rapid digitalisation of different societal sectors. One application domain of IS is emergency response systems (ERSs), which are responsible for delivering essential services to save lives and minimise environmental damage in both small, frequent and large-scale emergencies. Specific IS applications are in turn used in ERSs to support such aspects as decision-making, communication, information sharing and the dispatching of resources. Public sector cutbacks and a lack of professional resources have negatively affected emergency response at the same time as natural and man-made disasters (e.g. forest fires, storms, terror attacks) have intensified in recent decades. At the same time, frequent, small-scale accidents continue to occur, both in urban and sparsely populated areas. As a result, emergency response actors, first responders, are often placed under severe pressure. An emerging trend in response to these challenges, both in Sweden and internationally, is to create cross-sector forms of collaboration, by combining alternative resources from various sectors. Since these collaborations are relatively new and involve heterogeneous stakeholders, it is essential to understand the context, as well as actors' tasks and needs in related IS development processes. When the work on this thesis started, there was a perceived lack of knowledge relating to ERS cross-sector collaboration and the associated needs for digitalisation/IS support; for example, in which situations actors should be involved, what they should do, what challenges they may face and how these may affect IS.Organisational and needs analyses are deemed essential first steps that can be used to understand the nature of these collaborations, their heterogeneous users and stakeholders, potential needs, and related opportunities and challenges. One way to do this is to enable user participation, gaining help from stakeholders who may know the context. However, despite the many perceived benefits, user participation is also associated with several challenges; for example, how to identify and involve relevant stakeholders, especially when they are numerous and heterogeneous. These challenges have been discussed in relation to the new public sector but not specifically in the development of cross-sector collaborations in ERSs. Furthermore, using different frameworks for performing organisational/stakeholder/needs analysis in new domains can help to structure them. At the beginning of the work on this thesis, there was a perceived lack of broad frameworks for ERS cross-sector collaborations that could be used as tools in the related analysis and user participation activities. Finally, at a theoretical level, it was deemed interesting to use network governance as an analytical lens to enable a further understanding of the ERS cross-sector collaboration phenomenon.The thesis objective is thus to explore IS-related opportunities, challenges and needs aimed at supporting heter...

show abstract

Strategic ambulance location for heterogeneous regions

Cited by 45 publications

References 32 publications

From flooding to finance: NHS ambulance‐assisted evacuations of care home residents in Norfolk and Suffolk, UK

From flooding to finance: NHS ambulance‐assisted evacuations of care home residents in Norfolk and Suffolk, UK

An Optimization Model for Advanced Life Support Ambulance Facility Location Problem

Information Systems Development for Emerging Public Sector Cross-sector Collaborations: The Case of Swedish Emergency Response

Contact Info

Product

Resources

About