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How Good Reforms Fail: The Warning Example of Alberta's Borderless EMS System.
Janna Newton1, Travis Carpenter2, Jennifer Zwicker3
1Student, School of Public Policy, University of Calgary, Calgary, AB.
Healthcare Policy = Politiques De Sante
|February 25, 2025
Summary
Alberta
Area of Science:
- Healthcare policy
- Emergency medical services (EMS) research
Background:
- Alberta's centralized emergency medical services (EMS) system, operated by Alberta Health Services (AHS), is a primary point of contact for Albertans seeking healthcare.
- Media reports highlight significant concerns regarding EMS performance, including slow response times, ambulance shortages, and challenging paramedic working conditions.
Purpose of the Study:
- To examine lessons learned from previous EMS system restructurings in Alberta.
- To emphasize the importance of incorporating front-line paramedic feedback into EMS policy development and implementation.
- To propose policy recommendations for optimizing EMS operations and enhancing the paramedic work environment.
Main Methods:
- Analysis of prior EMS restructuring initiatives in Alberta.
- Review of media articulations of public and professional concerns.
- Identification of key areas for policy intervention.
Main Results:
- Previous EMS restructurings offer valuable insights for current reforms.
- Addressing paramedic concerns is critical for successful policy implementation.
- Operational optimization and improved working conditions are key long-term goals.
Conclusions:
- Current Alberta EMS restructuring efforts must consider historical lessons and prioritize front-line staff input.
- Policy recommendations should focus on sustainable operational improvements and a better work environment for paramedics to ensure effective emergency medical services.
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