Published doctoral thesis
The doctoral thesis
Adaptive emergency medical services allocation: Crafting the patient safety net in prehospital emergency care
A systems-oriented synthesis of how emergency medical services can allocate finite capacity while protecting patients under uncertainty.
The thesis connects dispatch stewardship, time-sensitive triage, response-time variability and queue governance into a systems-oriented account of EMS allocation under uncertainty.
Ambulance systems operate with uncertain information, fluctuating demand, geographic variation and finite resources. Every allocation decision shapes who receives help first, who waits and how safety margins are distributed across the system.
Who can safely wait — and how does the system keep that patient safe while certainty is still unavailable?
02 / The doctoral thesis
Four studies. One safety net.
Dispatch stewardship
How professionals govern scarce response capacity.
Clinical risk
How time, patient characteristics and presentation interact.
System delays
Why averages conceal variability and tail delays.
Safety-net synthesis
The queue as a safety-critical virtual waiting room.
03 / All studies
Four studies.
One systems question.
Stewarding scarce response capacity
How dispatchers prioritise patients, govern the queue and preserve readiness when ambulance capacity is constrained.
02Breathing emergencies and nonlinear risk
How response time, age and sex interact with high-risk time-sensitive triage among 132,395 breathing-problem missions.
03Infectious presentations and concordance
How dispatch suspicion, on-scene phenotype and high-risk time-sensitive triage align in infectious presentations.
04Understanding EMS response times
How priority, workload, geography, weather and operational intervals shape variability and tail delays.