Emergency Medical Services Systems in the United States and China: A Developmental Comparison

Frederick M. Burkle, Faap Facep, Xiaoping Zhang, Walter Potrick, Edward Kalinowski, Zonghao Li

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


International emergency medical services (EMS) consultation requires many sensitivities to cross-cultural issues. Contemporary EMS models in developed countries have, by necessity, a systems framework. This study compares evolving EMS systems in the United States and China. It is concluded, that, no matter what the potential and cultural differences might be, a systems framework inherently will emerge in EMS development. As such, the EMS components recognized often will expose an evolving systems approach with more similarities than differences and can reveal strategies for improvement. Providing a developmental comparison process is a necessary first phase in analysis of a country's systems development or restructuring. Prehospital and Disaster Medicine 1994; 9(4):244-251.

Original languageEnglish (US)
Pages (from-to)244-251
Number of pages8
JournalPrehospital and disaster medicine
Issue number4
StatePublished - Dec 1994
Externally publishedYes


  • China
  • EMS system development
  • EMS systems
  • United States
  • disasters
  • emergency
  • health care
  • international health care
  • linkages
  • medical services
  • provisions

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency


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