Cost of Running a Rural Ambulance Service
This study will address the cost of running ambulance services in rural areas by organizational structure/source of funding, the factors contributing to differences in costs, and factors contributing to differences in financial viability. The study will use a mixed- methods approach, incorporating quantitative analysis of the National Emergency Medical Services Information System (NEMSIS) data and qualitative data collected from key informant interviews and surveys addressing the costs of running an ambulance service. The study will include a minimum of two case studies of rural ambulance services per state in eight states evenly dispersed among each of the 4 Census Regions (i.e. a minimum of 16 case studies) to address factors contributing to differences in costs.