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Updated: Jul 8, 2025

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Dynamic ambulance relocation: a scoping review.

Julia Becker1, Lisa Kurland2,3, Erik Höglund2,4

  • 1Institute for Disaster and Emergency Management, Berlin, Germany.

BMJ Open
|December 15, 2023
PubMed
Summary
This summary is machine-generated.

Dynamic ambulance relocation optimizes emergency response by strategically repositioning ambulances. Current research focuses on mathematical models for optimal placement, but lacks data on patient outcomes and real-world impacts.

Keywords:
accident & emergency medicinehealth services administration & managementorganisation of health servicessystematic review

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Area of Science:

  • Emergency medical services research
  • Operations research in healthcare
  • Public health preparedness

Background:

  • Dynamic ambulance relocation involves strategically repositioning ambulances to improve future emergency response.
  • This practice aims to optimize coverage and minimize response times during medical emergencies.

Purpose of the Study:

  • To conduct a scoping review of existing research on dynamic ambulance relocation.
  • To identify current knowledge and research gaps in this field.

Main Methods:

  • A structured literature search was performed across PubMed, Scopus, and Web of Science.
  • Twenty-one relevant papers were included in the review.

Main Results:

  • Most studies utilized mathematical models to determine optimal ambulance placement, considering factors like distance, demographics, and service hours.
  • Only one study evaluated models in real-time; no studies reported on patient outcomes or real-life effects of relocation.
  • Research predominantly focuses on optimizing response times rather than patient outcomes.

Conclusions:

  • Current research on dynamic ambulance relocation is heavily based on mathematical modeling and technical data, prioritizing response times over patient outcomes.
  • Significant knowledge gaps exist regarding the impact on patient outcomes, rural ambulance utilization, turnaround times, domino effects, and the EMS personnel working environment.
  • Future research should address these gaps to provide a comprehensive understanding of dynamic ambulance relocation's effectiveness and implications.