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undertook three steps. First, legislation was sought to establish thirteen ambulance districts, each roughly equivalent to the patient shed of one or more of the 19 hospitals with emergency rooms. This legislation gave the districts broad powers to plan, regulate or even operate ambulance services, and gave the State Health Department authority to license and regulate ambulances. The intent was that this legislation would promote improvement of individual services throughout the state and would encourage regionwide rather than very localized planning for emergency services. The legislation was passed, but within a climate of concern by several legislators and some of the ambulance units about the potential threat of too much state control. Therefore, in order for state regulations to be operational in any district, the legislature required that they be approved not only by the state but by the district boards as well. Second, a communication system was established with the assistance of the Department of Transportation matching funds to provide voice contact between the ambulance and the hospital. At present 15 of the 19 hospitals and 50 of 92 ambulance services have such radio communication either installed or on order. Third, a search was started for a
American Journal of Public Health – American Public Health Association
Published: Jul 1, 1973
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