TY  - JOUR
AB  - The paper discusses how a decision analytic framework has been used by an English health authority in relation to the commissioning of ambulance cardiac services. Strategies for the management by ambulance personnel of victims of cardiac arrest and persons with acute chest pain of cardiac origin were modelled in a decision‐event tree, and a bibliographic database established. The international research literature prior to 1997 was searched in order to derive probability values for the tree. However, after checking whether the sub‐groupings of results in the papers were in accordance with the variables in the tree, the number of useful papers on acute chest pain was found to be only two. In the almost complete absence of information ‐ even from small observational studies ‐ on the management of the great majority of patients with cardiac symptoms transported by ambulance, the local ambulance service and the main providers of hospital services in the district are now collaborating in field studies of cardiac care in order to improve the inputs into the model.
VL  - 12
IS  - 2
SN  - 0268-9235
DO  - 10.1108/02689239810227100
UR  - https://doi.org/10.1108/02689239810227100
AU  - Dowie Robin
AU  - Gregory Richard P.F.
AU  - Rowsell Kathleen V.
AU  - Annis Shân
AU  - Gick A.D.
AU  - Harrison Christopher J.
PY  - 1998
Y1  - 1998/01/01
TI  - A decision analytic approach to commissioning ambulance cardiac services
T2  - Journal of Management in Medicine
PB  - MCB UP Ltd
SP  - 81
EP  - 91
Y2  - 2024/04/25
ER  -