Impact of the implementation of an emergency care service on the deaths due to traffic accidents: The case of SAME in the province of Buenos Aires

Authors

DOI:

https://doi.org/10.52292/j.estudecon.2023.3056

Keywords:

Emergency service, SAME, Deaths from traffic accidents, Road safety, Differences in Differences, Impact evaluation

Abstract

This paper evaluates the impact of the implementation of the Emergency Medical Attention Service (SAME) in the province of Buenos Aires, Argentina, on deaths from road accidents. Based on monthly information on traffic accidents of the 135 municipalities of the province for the years 2016, 2017 and 2018, we exploit the variability at the time of implementation among municipalities and the fact that some never adopted the service for identify the average effect of the intervention in municipalities with SAME using the Differences in Differences methodology. The results suggest that the adoption of the SAME produced an average reduction of 19% in the death rate per thousand injured with respect to the baseline.

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References

Agencia Nacional de Seguridad Vial (2021). Anuario Estadístico de siniestralidad vial. Dirección Nacional de Observatorio Vial, Ministerio de Transporte. https://www.argentina.gob.ar/seguridadvial/observatoriovialnacional/estadisticas-observatorio

Bentham, G. (1986). Proximity to hospital and mortality from motor vehicle traffic accidents. Social Science and Medicine 23(10), 1021-1026. https://doi.org/10.1016/0277-9536(86)90260-1 DOI: https://doi.org/10.1016/0277-9536(86)90260-1

Brodsky, H. (1993). The call for help after an injury road accident. Accident Analysis and Prevention 25(2), 123-130. https://doi.org/10.1016/0001-4575(93)90051-W DOI: https://doi.org/10.1016/0001-4575(93)90051-W

Brodsky, H. (1992). Delay in ambulance dispatch to road accidents. American Journal of Public Health 82(6), 873-875. https://doi.org/10.2105/AJPH.82.6.873 DOI: https://doi.org/10.2105/AJPH.82.6.873

Brodsky, H. (1990). Emergency medical service rescue time in fatal road accidents. Transportation Research Records 1270, 89–96. https://trid.trb.org/view/348945

Card, D. & Krueger, A. (1994). Minimum Wages and Employment: A case of Study of the Fast-Food industry in New Jersey and Pennsylvania. American Economic Review 84(4), 772- 793. DOI: https://doi.org/10.3386/w4509

Card, D. (1990). “The Impact of the Mariel Boatlift on the Miami Labor Market”. Industrial and Labor Relations Review 43(2), 245-257. https://doi.org/10.1177/001979399004300205 DOI: https://doi.org/10.1177/001979399004300205

Castillo-Manzano, J. I., Castro-Nuño, M., & Fageda, X. (2014). Can health public expenditure reduce the tragic consequences of road traffic accidents? The EU-27 experience. The European Journal of Health Economics, 15(6), 645-652. https://doi.org/10.1007/s10198-013-0512-1 DOI: https://doi.org/10.1007/s10198-013-0512-1

Clark, D. E. & Cushing, B. M. (2002). Predicted effect of automatic crash notification on traffic mortality. Accident Analysis and Prevention 34(4), 507-513. https://doi.org/10.1016/S0001-4575(01)00048-3 DOI: https://doi.org/10.1016/S0001-4575(01)00048-3

Clark, D. E., Qian, J., Sihler, K. C., Hallagan, L. D. & Betensky, R. A. (2012). The distribution of survival times after injury. World J. Surg., 36(7), 1562-1570. https://doi.org/10.1007/s00268-012-1549-5 DOI: https://doi.org/10.1007/s00268-012-1549-5

Clark, D. E., Winchella, R. J., Betensky, R. A. (2013). Estimating the effect of emergency care on early survival after traffic crashes. Accident Analysis & Prevention, 60, 141-147. https://doi.org/10.1016/j.aap.2013.08.019. DOI: https://doi.org/10.1016/j.aap.2013.08.019

Dirección Provincial de Estadística [DPE] (2019). Estadísticas de incidentes viales con fallecidos y lesionados de la provincia de Buenos Aires. Dirección Provincial de Estadística, Ministerio de Economía de Buenos Aires. http://www.gob.gba.gov.ar/UF/Informe.pdf

Durkin, M., McElroy, J., Guan, H., Bigelow, W. & Brazelton, T. (2005). Geographic analysis of traffic injury in Wisconsin: impact on case fatality of distance to Level I/II trauma care. Wisconsin Medical Journal 104, 26-31. https://web.archive.org/web/20170809133117id_/https://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/104/2/26.pdf

Evanco, W. M. (1999). The potential impact of rural mayday systems on vehicular crash fatalities. Accident Analysis and Prevention 31, 455-462. https://doi.org/10.1016/S0001-4575(98)00083-9 DOI: https://doi.org/10.1016/S0001-4575(98)00083-9

Gertler, P. J., Martinez, S., Premand, P., Rawlings, L. B. & Vermeersch, C. M. (2011). Impact evaluation in practice. Washington DC: The World Bank. DOI: https://doi.org/10.1596/978-0-8213-8541-8

Goodman-Bacon, A. (2021). Difference-in-differences with variation in treatment timing. Journal of Econometrics, 225(2), 254-277. https://doi.org/10.1016/j.jeconom.2021.03.014 DOI: https://doi.org/10.1016/j.jeconom.2021.03.014

Iserson, K. V. & Moskop, J. C. (2007). Triage in medicine, part I: concept, history, and types. Annals of emergency medicine, 49(3), 275-281. https://doi.org/10.1016/j.annemergmed.2006.05.019 DOI: https://doi.org/10.1016/j.annemergmed.2006.05.019

Jacobs, G., Aeron-Thomas, A. & Astrop, A. (2000). Estimating Global Road Fatalities. (Transport Research Laboratory, Report No. 445) https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.174.5207&rep=rep1&type=pdf

Li, M. D., Doong, J. L., Chang, K. K., Lu, T. H. & Jeng, M. C. (2008). Differences in urban and rural accident characteristics and medical service utilization for traffic fatalities in less-motorized societies. Journal of Safety Research 39(6), 623-630. https://doi.org/10.1016/j.jsr.2008.10.008 DOI: https://doi.org/10.1016/j.jsr.2008.10.008

Ministerio de Salud de la Provincia de Buenos Aires (2017). Manual de Atención de Emergencias Médicas de SAME Provincia de Buenos Aires. (Documento interno del Ministerio de Salud de la Provincia de Buenos Aires).

Muelleman, R. L. & Mueller, K. (1996). Fatal motor vehicle crashes: variations of crash characteristics within rural regions of different population densities. The Journal of Trauma: Injury, Infection and Critical Care 4(2), 315-320. https://doi.org/10.1097/00005373-199608000-00020 DOI: https://doi.org/10.1097/00005373-199608000-00020

Murad, M. K., Issa, D. B., Mustafa, F. M., Hassan, H. O. & Husum, H. (2012). Prehospital trauma system reduces mortality in severe trauma: a controlled study of road traffic casualties in Iraq. Prehospital and disaster medicine, 27(1), 36-41. https://doi.org/10.1017/S1049023X11006819 DOI: https://doi.org/10.1017/S1049023X11006819

Noland, R. B. (2003). Medical treatment and traffic fatality reductions in industrialized countries. Accident Analysis and Prevention 35(6), 877-883. https://doi.org/10.1016/S0001-4575(02)00093-3 DOI: https://doi.org/10.1016/S0001-4575(02)00093-3

Noland, R. B. & Quddus, M. A. (2004). Improvements in medical care and technology and reductions in traffic-related fatalities in Great Britain. Accident Analysis and Prevention 36(1), 103-113. https://doi.org/10.1016/S0001-4575(02)00132-X DOI: https://doi.org/10.1016/S0001-4575(02)00132-X

Sanchez-Mangas, R., Garcia-Ferrrer, A., de Juan, A. & Arroyo, A. M. (2010). The probability of death in road traffic accidents. How important is a quick medical response? Accident Analysis and Prevention, 42(4), 1048-1056. https://doi.org/10.1016/j.aap.2009.12.012 DOI: https://doi.org/10.1016/j.aap.2009.12.012

Travis, L. L., Clark, D. E., Haskins, A. E. & Kilch, J. A. (2012). Mortality in rural locations after severe injuries from motor vehicle crashes. Journal of Safety Research, 43(5-6), 375-380. https://doi.org/10.1016/j.jsr.2012.10.004 DOI: https://doi.org/10.1016/j.jsr.2012.10.004

Vasudevan, V., Singh, P. & Basu, S. (2016). Importance of awareness in improving performance of emergency medical services (EMS) systems in enhancing traffic safety: A lesson from India. Traffic injury prevention, 17(7), 699-704. https://doi.org/10.1080/15389588.2016.1163689 DOI: https://doi.org/10.1080/15389588.2016.1163689

World Health Organization [WHO] (2015). Global status report on road safety 2015. https://www.afro.who.int/publications/global-status-report-road-safety-2015

World Health Organization [WHO] (2018). Global status report on road safety 2018. https://www.who.int/publications-detail-redirect/9789241565684

World Health Organization [WHO] (20 de junio de 2022). Traumatismos causados por el tránsito. [Artículo de prensa en línea]. https://www.who.int/es/news-room/fact-sheets/detail/road-traffic-injuries

Zwerling, C., Peek-Asa, C., Whitten, P. S., Choi, S. W., Sprince, N. L. & Jones, M. P. (2005). Fatal motor vehicles crashes in rural and urban areas: decomposing rates into contributing factors. Injury Prevention 11, 24-28. https://doi.org/10.1136/ip.2004.005959 DOI: https://doi.org/10.1136/ip.2004.005959

Published

2022-12-28

How to Cite

Benzaquén, I., Epele, N., & Marchionni, M. (2022). Impact of the implementation of an emergency care service on the deaths due to traffic accidents: The case of SAME in the province of Buenos Aires. Estudios económicos, 40(80), 43–76. https://doi.org/10.52292/j.estudecon.2023.3056

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Articles