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Published online by Cambridge University Press: 28 June 2012
A Delphi survey was conducted to determine the current and future issues facing emergency medical services systems. The information provided by this study can be used by individuals involved in emergency medical services systems for strategic planning and evaluation. The issues identified are categorized and listed by priority. A tiered priority model is utilized to represent the interrelations between these issues. Economics, leadership, research, and human resources are the foremost issues identified in this study. Further detailed analysis and refinement of these issues is recommended for local application. Emergency medical services systems need information to drive the decision-making process.