Research Article
A Sustainable Ambulance Operation Model in a Low-Resource Country (the Democratic Republic of Congo)
Table 4
Analysis of prehospital emergency medical services based cost-service (units: USD).
| | Principal operator | personnel composition | Scenario | Service type | Daily op. rate | Op. costs |
| | Independent Emergency service team Operation-[Operation Control Center Manpower] | 3-crew physician model (physician + nurse + driver) | 1 | field-to-hospital | 100% | 22.27 | | 2 | field-to-hospital | 50% | -32.15 | | Hospital-to-hospital | 25% | 66.61 | | Home-visiting | 25% | 86.77 | | 2-crew physician model (physician + driver) | 3 | field-to-hospital | 100% | 18.16 | | 4 | field-to-hospital | 50% | -40.37 | | Hospital-to-hospital | 25% | 66.61 | | Home-visiting | 25% | 86.77 | | 3-crew EMT model (nurse + nurse + driver) | 5 | field-to-hospital | 100% | 18.16 | | 6 | field-to-hospital | 75% | 2.01 | | Hospital-to-hospital | 25% | 66.61 | | 2-crew EMT model (nurse + driver) | 7 | field-to-hospital | 100% | 14.05 | | 8 | field-to-hospital | 75% | -3.47 | | Hospital-to-hospital | 25% | 66.61 |
| | Hospital organization utilized | 3-crew physician model (physician+nurse+driver) | 9 | field-to-hospital | 100% | 21.93 | | 10 | field-to-hospital | 50% | -24.88 | | Hospital-to-hospital | 25% | 76.83 | | Home-visiting | 25% | 60.63 | | 2-crew physician model (physician+driver) | 11 | field-to-hospital | 100% | 17.82 | | 12 | field-to-hospital | 50% | -33.10 | | Hospital-to-hospital | 25% | 76.83 | | Home-visiting | 25% | 60.63 | | 3-crew physician incentive model (physician + nurse + driver) | 13 | field-to-hospital | 100% | 8.52 | | 14 | field-to-hospital | 50% | -51.68 | | Hospital-to-hospital | 25% | 76.83 | | Home-visiting | 25% | 60.63 | | 2-crew physician incentive model (physician + driver) | 15 | field-to-hospital | 100% | 8.24 | | 16 | field-to-hospital | 50% | -52.24 | | Hospital-to-hospital | 25% | 76.83 | | Home-visiting | 25% | 60.63 |
| | Police organization utilized | 3-crew EMT model (nurse + nurse + driver) | 17 | field-to-hospital | 100% | 17.82 | | 18 | field-to-hospital | 75% | 7.26 | | Hospital-to-hospital | 25% | 49.50 | | 2-crew EMT model (nurse + driver) | 19 | field-to-hospital | 100% | 13.71 | | 20 | field-to-hospital | 75% | 1.78 | | Hospital-to-hospital | 25% | 49.50 | | 3-crew EMT incentive model (nurse + nurse + driver) | 21 | field-to-hospital | 100% | 8.24 | | 22 | field-to-hospital | 75% | -5.51 | | Hospital-to-hospital | 25% | 49.50 | | 2-crew EMT incentive model (nurse + driver) | 23 | field-to-hospital | 100% | 7.96 | | 24 | field-to-hospital | 75% | -5.88 | | Hospital-to-hospital | 25% | 49.50 |
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denotes an income and Op. denotes operational cost. |
