Study IV

Study IV

Understanding EMS response times

Machine-learning-based analysis of response-time variability and system delay mechanisms in emergency medical services.

Publication

Hill P, Lederman J, Jonsson D, Bolin P, Vicente V. Understanding EMS response times: a machine learning-based analysis. BMC Medical Informatics and Decision Making. 2025;25:143.

DOI: 10.1186/s12911-025-02975-z

Study aim

The study examined EMS response-time variability and explored how system, temporal, geographic, and operational factors contribute to delayed ambulance arrival.

Analytical approach

The study used routinely collected EMS data and machine-learning-based analysis to inspect nonlinear associations and system-level delay patterns. The purpose was to improve interpretability and operational understanding, not to produce an autonomous allocation model.

System delay

Response-time variation reflects multiple interacting system factors rather than a single operational bottleneck.

Operational context

Workload, geography, time of day, priority, and resource availability contribute to response-time patterns.

Governance relevance

The findings support more transparent discussion of performance, capacity, and risk distribution in EMS governance.

Response time should be interpreted as an emergent system measure. Median values alone may conceal important variation, especially in the tail of the distribution.