Published: December 31, 2001
Supported by the National Highway Traffic Safety
Administration, Department of Transportation
and
the Maternal and Child Health Bureau, Health Resources
Services Administration, Department of Health and Human Services
Grant: DTN 22-99-H-05100
Table of Contents
Abstract
Dedication
Preface
Process
Similar Efforts
Definition of EMS for this Document
Federal Agencies Can Help Advance EMS
Research
Executive Summary
Develop Researchers
Facilitate Collaboration
Establish a Reliable Funding Stream
Establish Alternative Funding Sources
Recognize The Need for EMS Research
View Research as Necessary for the Improvement
of Patient Care
Create Reliable Information Systems
Enhance Ethical Approaches to Research
Conclusion
Introduction
EMS Impact
Is EMS Cost-effective?
Need for Outcome Measurement
Organized Research Effort Needed
History of EMS Research
Federal Involvement in EMS Begins
Beginning of EMS Research
A Case Study In EMS Research
The Present State of EMS Research
Appeals for Advancement
Peer Review Journals
Methodological Constraints and Concerns
Current Literature in EMS
Research Domains
Clinical Research
Systems Research
Education
Overcoming the Barriers to EMS Research
Primary Barriers: Developing Researchers
Primary Barriers: Funding
Secondary Barriers: Recognizing the Need for
EMS Research
The
Culture of EMS
EMS
Systems
EMS
Education
The
Public and Policy Makers
EMS
Professionals
Secondary Barriers: Information Systems
Data
Definitions
Hardware and Software Infrastructure
Data
Set Linkages
Statistical Implications of Large Databases
Secondary Barriers: Ethical Concerns
Principles
Informed Consent
IRBs
and EMS Research
Valuing Individual Autonomy
Summary
Appendix A: The National EMS Research
Agenda Writing Team
Appendix B: Organizations Invited to
Participate in the National Review Team
Appendix C: Ethical Standards and IRB
Requirements
Appendix D
Inclusion Of Women And Minorities In Research
Study Populations Involving Human Subjects
Inclusion Of Children As Participants In
Research Involving Human Subjects
Appendix E: Bibliographic List of
Internet Links
Appendix F: Published EMS Randomized
Clinical Trials
References