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Roger L. Youmans, MD; Richard A. Brose, DPH

JAMA. 1970;213(10):1647-1651.

Abstract
The primary role of an emergency service to provide care for the acutely and seriously ill or injured patient must not be neglected because of the rapidly rising use of emergency rooms for routine and ambulatory patient care. A community-wide approach to the problem is essential and several basic principles are presented in establishing continuity of care and specifying responsibility for quality of care. A survey was carried out involving all 28 hospitals providing emergency care in the metropolitan Kansas City area by the same team of examiners. Standards were established, and the hospitals were informed on their particular strengths and weaknesses. Three classifications of emergency services were defined and called "Major Emergency Facilities," "Emergency Facilities," and "Provisional Emergency Facilities."

Author Affiliations
From the University of Kansas Medical Center (Dr. Youmans) and the University of Kansas Medical School (Drs. Youmans and Brose), Kansas City.

Footnotes
Reprint requests to University of Kansas Medical Center, Rainbow at 39th Street, Kansas City, Kan 66103 (Dr. Brose).

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