Title

Devolution or Downloading: The Financial and Service Effects of Local Services Realignment on Ontario Ambulance Services

Author

John Prno, Western University

Date of Award

8-1-2002

Degree Type

Major Research Paper

Degree Name

Master of Public Administration

Program

Political Science

Supervisor

Sancton, Andrew

Geographical Areas

Ontario

Abstract

This paper examines the devolution of ambulance services in Ontario from provincial to municipal control to determine whether it has resulted in a more efficient, accountable, less costly, and simplified process. Data from a sample of municipalities in the province is analyzed in an attempt to determine differences in cost and service levels between municipalities that choose to contract ambulance services and those that decide to deliver ambulance services themselves. The findings reveal that although ambulance services in Ontario have been historically under-resourced and have experienced increased service levels, the cost of providing the service has almost doubled since devolution to municipalities.

Recommended Citation

Prno, John, "Devolution or Downloading: The Financial and Service Effects of Local Services Realignment on Ontario Ambulance Services" (2002). MPA Major Research Papers. 38.
https://ir.lib.uwo.ca/lgp-mrps/38