id sid tid token lemma pos ecj-1516 1 1 hrev_master hrev_master NOUN ecj-1516 2 1 [ [ X ecj-1516 2 2 page page NOUN ecj-1516 2 3 22 22 NUM ecj-1516 2 4 ] ] PUNCT ecj-1516 3 1 [ [ X ecj-1516 3 2 emergency emergency NOUN ecj-1516 3 3 care care NOUN ecj-1516 3 4 journal journal NOUN ecj-1516 3 5 2013 2013 NUM ecj-1516 3 6 ; ; PUNCT ecj-1516 3 7 9 9 NUM ecj-1516 3 8 : : PUNCT ecj-1516 3 9 e8 e8 PROPN ecj-1516 3 10 ] ] PUNCT ecj-1516 3 11 the the DET ecj-1516 3 12 need need NOUN ecj-1516 3 13 of of ADP ecj-1516 3 14 a a DET ecj-1516 3 15 health health NOUN ecj-1516 3 16 technology technology NOUN ecj-1516 3 17 assessment assessment NOUN ecj-1516 3 18 perspective perspective NOUN ecj-1516 3 19 in in ADP ecj-1516 3 20 emergency emergency NOUN ecj-1516 3 21 medicine medicine NOUN ecj-1516 3 22 primiano primiano PROPN ecj-1516 3 23 iannone iannone NOUN ecj-1516 3 24 emergency emergency NOUN ecj-1516 3 25 department department PROPN ecj-1516 3 26 , , PUNCT ecj-1516 3 27 local local ADJ ecj-1516 3 28 health health NOUN ecj-1516 3 29 unit unit NOUN ecj-1516 3 30 , , PUNCT ecj-1516 3 31 chiavari chiavari PROPN ecj-1516 3 32 , , PUNCT ecj-1516 3 33 italy italy PROPN ecj-1516 3 34     SPACE ecj-1516 3 35 when when SCONJ ecj-1516 3 36 considering consider VERB ecj-1516 3 37 the the DET ecj-1516 3 38 classical classical ADJ ecj-1516 3 39 definition definition NOUN ecj-1516 3 40 of of ADP ecj-1516 3 41 health health NOUN ecj-1516 3 42 technology technology NOUN ecj-1516 3 43 as as ADP ecj-1516 3 44 any any DET ecj-1516 3 45 drug drug NOUN ecj-1516 3 46 , , PUNCT ecj-1516 3 47 device device NOUN ecj-1516 3 48 , , PUNCT ecj-1516 3 49 medical medical ADJ ecj-1516 3 50 or or CCONJ ecj-1516 3 51 surgical surgical ADJ ecj-1516 3 52 procedure procedure NOUN ecj-1516 3 53 devoted devote VERB ecj-1516 3 54 to to ADP ecj-1516 3 55 disease disease NOUN ecj-1516 3 56 prevention prevention NOUN ecj-1516 3 57 , , PUNCT ecj-1516 3 58 diagnosis diagnosis NOUN ecj-1516 3 59 , , PUNCT ecj-1516 3 60 treatment treatment NOUN ecj-1516 3 61 or or CCONJ ecj-1516 3 62 rehabilitation rehabilitation NOUN ecj-1516 3 63 , , PUNCT ecj-1516 3 64 one one PRON ecj-1516 3 65 acknowledges acknowledge VERB ecj-1516 3 66 how how SCONJ ecj-1516 3 67 many many ADJ ecj-1516 3 68 aspects aspect NOUN ecj-1516 3 69 of of ADP ecj-1516 3 70 pre pre ADJ ecj-1516 3 71 - - ADJ ecj-1516 3 72 hospital hospital ADJ ecj-1516 3 73 and and CCONJ ecj-1516 3 74 emergency emergency NOUN ecj-1516 3 75 care care NOUN ecj-1516 3 76 are be AUX ecj-1516 3 77 merged merge VERB ecj-1516 3 78 into into ADP ecj-1516 3 79 the the DET ecj-1516 3 80 technology technology NOUN ecj-1516 3 81 bundle bundle NOUN ecj-1516 3 82 : : PUNCT ecj-1516 3 83 from from ADP ecj-1516 3 84 the the DET ecj-1516 3 85 nasopharyngeal nasopharyngeal NOUN ecj-1516 3 86 cannula cannula NOUN ecj-1516 3 87 to to ADP ecj-1516 3 88 advanced advanced ADJ ecj-1516 3 89 airway airway NOUN ecj-1516 3 90 management management NOUN ecj-1516 3 91 devices device NOUN ecj-1516 3 92 , , PUNCT ecj-1516 3 93 from from ADP ecj-1516 3 94 o2 o2 PROPN ecj-1516 3 95 saturimeter saturimeter NOUN ecj-1516 3 96 to to ADP ecj-1516 3 97 the the DET ecj-1516 3 98 blood blood NOUN ecj-1516 3 99 gas gas NOUN ecj-1516 3 100 analyzer analyzer NOUN ecj-1516 3 101 , , PUNCT ecj-1516 3 102 from from ADP ecj-1516 3 103 the the DET ecj-1516 3 104 electrocardiograph electrocardiograph NOUN ecj-1516 3 105 to to ADP ecj-1516 3 106 ultrasound ultrasound NOUN ecj-1516 3 107 machines machine NOUN ecj-1516 3 108 , , PUNCT ecj-1516 3 109 from from ADP ecj-1516 3 110 the the DET ecj-1516 3 111 point point NOUN ecj-1516 3 112 of of ADP ecj-1516 3 113 care care NOUN ecj-1516 3 114 testing testing NOUN ecj-1516 3 115 devices device NOUN ecj-1516 3 116 to to ADP ecj-1516 3 117 complex complex ADJ ecj-1516 3 118 health health NOUN ecj-1516 3 119 information information NOUN ecj-1516 3 120 and and CCONJ ecj-1516 3 121 communication communication NOUN ecj-1516 3 122 technologies technology NOUN ecj-1516 3 123 . . PUNCT ecj-1516 4 1 unfortunately unfortunately ADV ecj-1516 4 2 , , PUNCT ecj-1516 4 3 the the DET ecj-1516 4 4 view view NOUN ecj-1516 4 5 that that SCONJ ecj-1516 4 6 new new ADJ ecj-1516 4 7 , , PUNCT ecj-1516 4 8 costly costly ADJ ecj-1516 4 9 and and CCONJ ecj-1516 4 10 glamorous glamorous ADJ ecj-1516 4 11 health health NOUN ecj-1516 4 12 technologies technology NOUN ecj-1516 4 13 automatically automatically ADV ecj-1516 4 14 lead lead VERB ecj-1516 4 15 to to ADP ecj-1516 4 16 better well ADJ ecj-1516 4 17 health health NOUN ecj-1516 4 18 outcomes outcome NOUN ecj-1516 4 19 is be AUX ecj-1516 4 20 unsubstantiated unsubstantiated ADJ ecj-1516 4 21 and and CCONJ ecj-1516 4 22 overoptimistic overoptimistic ADJ ecj-1516 4 23 . . PUNCT ecj-1516 5 1 several several ADJ ecj-1516 5 2 cases case NOUN ecj-1516 5 3 may may AUX ecj-1516 5 4 help help VERB ecj-1516 5 5 show show VERB ecj-1516 5 6 the the DET ecj-1516 5 7 risks risk NOUN ecj-1516 5 8 and and CCONJ ecj-1516 5 9 wastes waste NOUN ecj-1516 5 10 of of ADP ecj-1516 5 11 injudicious injudicious ADJ ecj-1516 5 12 use use NOUN ecj-1516 5 13 of of ADP ecj-1516 5 14 technologies technology NOUN ecj-1516 5 15 , , PUNCT ecj-1516 5 16 with with ADP ecj-1516 5 17 particular particular ADJ ecj-1516 5 18 regard regard NOUN ecj-1516 5 19 to to ADP ecj-1516 5 20 the the DET ecj-1516 5 21 emergency emergency NOUN ecj-1516 5 22 medicine medicine NOUN ecj-1516 5 23 world world NOUN ecj-1516 5 24 , , PUNCT ecj-1516 5 25 and and CCONJ ecj-1516 5 26 why why SCONJ ecj-1516 5 27 a a DET ecj-1516 5 28 sound sound NOUN ecj-1516 5 29 perspective perspective NOUN ecj-1516 5 30 on on ADP ecj-1516 5 31 the the DET ecj-1516 5 32 issue issue NOUN ecj-1516 5 33 is be AUX ecj-1516 5 34 so so ADV ecj-1516 5 35 important important ADJ ecj-1516 5 36 . . PUNCT ecj-1516 6 1 the the DET ecj-1516 6 2 unintended unintended ADJ ecj-1516 6 3 consequences consequence NOUN ecj-1516 6 4 of of ADP ecj-1516 6 5 high high ADJ ecj-1516 6 6 - - PUNCT ecj-1516 6 7 tech tech NOUN ecj-1516 6 8 medical medical ADJ ecj-1516 6 9 imaging imaging NOUN ecj-1516 6 10 and and CCONJ ecj-1516 6 11 the the DET ecj-1516 6 12 fastest fast ADJ ecj-1516 6 13 growing grow VERB ecj-1516 6 14 medical medical ADJ ecj-1516 6 15 expenditure expenditure NOUN ecj-1516 6 16 have have AUX ecj-1516 6 17 been be AUX ecj-1516 6 18 pointed point VERB ecj-1516 6 19 out out ADP ecj-1516 6 20 clearly clearly ADV ecj-1516 6 21 : : PUNCT ecj-1516 6 22 an an DET ecj-1516 6 23 evidence evidence NOUN ecj-1516 6 24 base base NOUN ecj-1516 6 25 often often ADV ecj-1516 6 26 inconsistent inconsistent ADJ ecj-1516 6 27 , , PUNCT ecj-1516 6 28 the the DET ecj-1516 6 29 needless needless ADJ ecj-1516 6 30 exposure exposure NOUN ecj-1516 6 31 to to ADP ecj-1516 6 32 downstream downstream ADJ ecj-1516 6 33 tests test NOUN ecj-1516 6 34 to to PART ecj-1516 6 35 reduce reduce VERB ecj-1516 6 36 uncertainty uncertainty NOUN ecj-1516 6 37 and and CCONJ ecj-1516 6 38 to to ADP ecj-1516 6 39 ( ( PUNCT ecj-1516 6 40 often often ADV ecj-1516 6 41 risky risky ADJ ecj-1516 6 42 ) ) PUNCT ecj-1516 6 43 treatments treatment NOUN ecj-1516 6 44 due due ADJ ecj-1516 6 45 to to ADP ecj-1516 6 46 over over ADP ecj-1516 6 47 diagnosis diagnosis NOUN ecj-1516 6 48 , , PUNCT ecj-1516 6 49 the the DET ecj-1516 6 50 so so ADV ecj-1516 6 51 called call VERB ecj-1516 6 52 shot shot NOUN ecj-1516 6 53 gun gun NOUN ecj-1516 6 54 approach approach NOUN ecj-1516 6 55 favored favor VERB ecj-1516 6 56 by by ADP ecj-1516 6 57 the the DET ecj-1516 6 58 overweight overweight NOUN ecj-1516 6 59 of of ADP ecj-1516 6 60 small small ADJ ecj-1516 6 61 risks risk NOUN ecj-1516 6 62 and and CCONJ ecj-1516 6 63 liability liability NOUN ecj-1516 6 64 for for ADP ecj-1516 6 65 under under ADP ecj-1516 6 66 use use NOUN ecj-1516 6 67 much much ADV ecj-1516 6 68 more more ADJ ecj-1516 6 69 than than ADP ecj-1516 6 70 for for ADP ecj-1516 6 71 overuse overuse NOUN ecj-1516 6 72 , , PUNCT ecj-1516 6 73 leading lead VERB ecj-1516 6 74 to to PART ecj-1516 6 75 deliberate deliberate VERB ecj-1516 6 76 defensive defensive ADJ ecj-1516 6 77 medicine medicine NOUN ecj-1516 6 78 strategies strategy NOUN ecj-1516 6 79 . . PUNCT ecj-1516 7 1 unfortunately unfortunately ADV ecj-1516 7 2 , , PUNCT ecj-1516 7 3 all all DET ecj-1516 7 4 these these DET ecj-1516 7 5 aspects aspect NOUN ecj-1516 7 6 and and CCONJ ecj-1516 7 7 attitudes attitude NOUN ecj-1516 7 8 are be AUX ecj-1516 7 9 common common ADJ ecj-1516 7 10 among among ADP ecj-1516 7 11 emergency emergency NOUN ecj-1516 7 12 physicians physician NOUN ecj-1516 7 13 . . PUNCT ecj-1516 8 1 in in ADP ecj-1516 8 2 fact fact NOUN ecj-1516 8 3 , , PUNCT ecj-1516 8 4 one one NUM ecj-1516 8 5 of of ADP ecj-1516 8 6 the the DET ecj-1516 8 7 best good ADJ ecj-1516 8 8 cases case NOUN ecj-1516 8 9 studied study VERB ecj-1516 8 10 is be AUX ecj-1516 8 11 the the DET ecj-1516 8 12 increase increase NOUN ecj-1516 8 13 of of ADP ecj-1516 8 14 computed computed ADJ ecj-1516 8 15 tomographic tomographic NOUN ecj-1516 8 16 ( ( PUNCT ecj-1516 8 17 ct ct NOUN ecj-1516 8 18 ) ) PUNCT ecj-1516 8 19 pulmonary pulmonary ADJ ecj-1516 8 20 angiography angiography NOUN ecj-1516 8 21 for for ADP ecj-1516 8 22 suspected suspect VERB ecj-1516 8 23 pulmonary pulmonary ADJ ecj-1516 8 24 embolism embolism NOUN ecj-1516 8 25 , , PUNCT ecj-1516 8 26 which which PRON ecj-1516 8 27 leads lead VERB ecj-1516 8 28 to to ADP ecj-1516 8 29 a a DET ecj-1516 8 30 substantial substantial ADJ ecj-1516 8 31 over over ADP ecj-1516 8 32 diagnosis diagnosis NOUN ecj-1516 8 33 of of ADP ecj-1516 8 34 cases case NOUN ecj-1516 8 35 of of ADP ecj-1516 8 36 doubtful doubtful ADJ ecj-1516 8 37 clinical clinical ADJ ecj-1516 8 38 significance significance NOUN ecj-1516 8 39 . . PUNCT ecj-1516 9 1 similar similar ADJ ecj-1516 9 2 uncertainties uncertainty NOUN ecj-1516 9 3 surround surround VERB ecj-1516 9 4 the the DET ecj-1516 9 5 real real ADJ ecj-1516 9 6 benefit benefit NOUN ecj-1516 9 7 derived derive VERB ecj-1516 9 8 by by ADP ecj-1516 9 9 the the DET ecj-1516 9 10 increased increase VERB ecj-1516 9 11 use use NOUN ecj-1516 9 12 of of ADP ecj-1516 9 13 whole whole ADJ ecj-1516 9 14 body body NOUN ecj-1516 9 15 ct ct NUM ecj-1516 9 16 in in ADP ecj-1516 9 17 emergency emergency NOUN ecj-1516 9 18 departments department NOUN ecj-1516 9 19 for for ADP ecj-1516 9 20 major major ADJ ecj-1516 9 21 traumas trauma NOUN ecj-1516 9 22 . . PUNCT ecj-1516 10 1 also also ADV ecj-1516 10 2 medical medical ADJ ecj-1516 10 3 devices device NOUN ecj-1516 10 4 , , PUNCT ecj-1516 10 5 adopted adopt VERB ecj-1516 10 6 with with ADP ecj-1516 10 7 approval approval NOUN ecj-1516 10 8 procedures procedure NOUN ecj-1516 10 9 far far ADV ecj-1516 10 10 more more ADV ecj-1516 10 11 imperfect imperfect ADJ ecj-1516 10 12 and and CCONJ ecj-1516 10 13 permissive permissive ADJ ecj-1516 10 14 than than ADP ecj-1516 10 15 those those PRON ecj-1516 10 16 used use VERB ecj-1516 10 17 for for ADP ecj-1516 10 18 new new ADJ ecj-1516 10 19 drugs drug NOUN ecj-1516 10 20 , , PUNCT ecj-1516 10 21 are be AUX ecj-1516 10 22 another another DET ecj-1516 10 23 example example NOUN ecj-1516 10 24 of of ADP ecj-1516 10 25 the the DET ecj-1516 10 26 problematic problematic ADJ ecj-1516 10 27 health health NOUN ecj-1516 10 28 technology technology NOUN ecj-1516 10 29 misuse misuse NOUN ecj-1516 10 30 , , PUNCT ecj-1516 10 31 fueled fuel VERB ecj-1516 10 32 by by ADP ecj-1516 10 33 disease disease NOUN ecj-1516 10 34 mongering mongering NOUN ecj-1516 10 35 , , PUNCT ecj-1516 10 36 aggressive aggressive ADJ ecj-1516 10 37 marketing marketing NOUN ecj-1516 10 38 campaigns campaign NOUN ecj-1516 10 39 made make VERB ecj-1516 10 40 by by ADP ecj-1516 10 41 producers producer NOUN ecj-1516 10 42 of of ADP ecj-1516 10 43 health health NOUN ecj-1516 10 44 technologies technology NOUN ecj-1516 10 45 , , PUNCT ecj-1516 10 46 and and CCONJ ecj-1516 10 47 direct direct ADJ ecj-1516 10 48 consumers consumer NOUN ecj-1516 10 49 ’ ' PUNCT ecj-1516 10 50 advertising advertising NOUN ecj-1516 10 51 . . PUNCT ecj-1516 11 1 in in ADP ecj-1516 11 2 fact fact NOUN ecj-1516 11 3 , , PUNCT ecj-1516 11 4 not not PART ecj-1516 11 5 only only ADV ecj-1516 11 6 the the DET ecj-1516 11 7 effectiveness effectiveness NOUN ecj-1516 11 8 , , PUNCT ecj-1516 11 9 but but CCONJ ecj-1516 11 10 also also ADV ecj-1516 11 11 the the DET ecj-1516 11 12 risks risk NOUN ecj-1516 11 13 of of ADP ecj-1516 11 14 these these DET ecj-1516 11 15 new new ADJ ecj-1516 11 16 devices device NOUN ecj-1516 11 17 often often ADV ecj-1516 11 18 are be AUX ecj-1516 11 19 not not PART ecj-1516 11 20 evaluated evaluate VERB ecj-1516 11 21 accurately accurately ADV ecj-1516 11 22 before before ADP ecj-1516 11 23 their their PRON ecj-1516 11 24 widespread widespread ADJ ecj-1516 11 25 and and CCONJ ecj-1516 11 26 uncritical uncritical ADJ ecj-1516 11 27 adoption adoption NOUN ecj-1516 11 28 . . PUNCT ecj-1516 12 1 in in ADP ecj-1516 12 2 the the DET ecj-1516 12 3 pre pre NOUN ecj-1516 12 4 - - NOUN ecj-1516 12 5 hospital hospital ADJ ecj-1516 12 6 and and CCONJ ecj-1516 12 7 emergency emergency NOUN ecj-1516 12 8 medicine medicine NOUN ecj-1516 12 9 field field NOUN ecj-1516 12 10 , , PUNCT ecj-1516 12 11 for for ADP ecj-1516 12 12 example example NOUN ecj-1516 12 13 , , PUNCT ecj-1516 12 14 mechanical mechanical ADJ ecj-1516 12 15 chest chest NOUN ecj-1516 12 16 compression compression NOUN ecj-1516 12 17 devices device NOUN ecj-1516 12 18 have have VERB ecj-1516 12 19 an an DET ecj-1516 12 20 inconsistent inconsistent ADJ ecj-1516 12 21 evidence evidence NOUN ecj-1516 12 22 of of ADP ecj-1516 12 23 effectiveness effectiveness NOUN ecj-1516 12 24 , , PUNCT ecj-1516 12 25 whereas whereas SCONJ ecj-1516 12 26 in in ADP ecj-1516 12 27 emergency emergency NOUN ecj-1516 12 28 and and CCONJ ecj-1516 12 29 critical critical ADJ ecj-1516 12 30 care care NOUN ecj-1516 12 31 , , PUNCT ecj-1516 12 32 colloids colloid NOUN ecj-1516 12 33 are be AUX ecj-1516 12 34 still still ADV ecj-1516 12 35 largely largely ADV ecj-1516 12 36 used use VERB ecj-1516 12 37 for for ADP ecj-1516 12 38 treatment treatment NOUN ecj-1516 12 39 of of ADP ecj-1516 12 40 shock shock NOUN ecj-1516 12 41 , , PUNCT ecj-1516 12 42 in in ADP ecj-1516 12 43 spite spite NOUN ecj-1516 12 44 of of ADP ecj-1516 12 45 their their PRON ecj-1516 12 46 demonstrated demonstrate VERB ecj-1516 12 47 lack lack NOUN ecj-1516 12 48 of of ADP ecj-1516 12 49 effectiveness effectiveness NOUN ecj-1516 12 50 , , PUNCT ecj-1516 12 51 higher high ADJ ecj-1516 12 52 costs cost NOUN ecj-1516 12 53 and and CCONJ ecj-1516 12 54 risks risk VERB ecj-1516 12 55 respect respect NOUN ecj-1516 12 56 to to ADP ecj-1516 12 57 crystalloids crystalloid NOUN ecj-1516 12 58 . . PUNCT ecj-1516 13 1 nonetheless nonetheless ADV ecj-1516 13 2 , , PUNCT ecj-1516 13 3 considering consider VERB ecj-1516 13 4 a a DET ecj-1516 13 5 broader broad ADJ ecj-1516 13 6 definition definition NOUN ecj-1516 13 7 of of ADP ecj-1516 13 8 medical medical ADJ ecj-1516 13 9 technology technology NOUN ecj-1516 13 10 embracing embrace VERB ecj-1516 13 11 not not PART ecj-1516 13 12 only only ADV ecj-1516 13 13 devices device NOUN ecj-1516 13 14 and and CCONJ ecj-1516 13 15 procedures procedure NOUN ecj-1516 13 16 , , PUNCT ecj-1516 13 17 but but CCONJ ecj-1516 13 18 also also ADV ecj-1516 13 19 the the DET ecj-1516 13 20 way way NOUN ecj-1516 13 21 health health NOUN ecj-1516 13 22 services service NOUN ecj-1516 13 23 are be AUX ecj-1516 13 24 organized organize VERB ecj-1516 13 25 and and CCONJ ecj-1516 13 26 delivered deliver VERB ecj-1516 13 27 , , PUNCT ecj-1516 13 28 there there PRON ecj-1516 13 29 are be VERB ecj-1516 13 30 many many ADJ ecj-1516 13 31 aspects aspect NOUN ecj-1516 13 32 of of ADP ecj-1516 13 33 the the DET ecj-1516 13 34 emergency emergency NOUN ecj-1516 13 35 health health NOUN ecj-1516 13 36 system system NOUN ecj-1516 13 37 which which PRON ecj-1516 13 38 can can AUX ecj-1516 13 39 be be AUX ecj-1516 13 40 analyzed analyze VERB ecj-1516 13 41 from from ADP ecj-1516 13 42 this this DET ecj-1516 13 43 perspective perspective NOUN ecj-1516 13 44 . . PUNCT ecj-1516 14 1 thus thus ADV ecj-1516 14 2 , , PUNCT ecj-1516 14 3 the the DET ecj-1516 14 4 apparently apparently ADV ecj-1516 14 5 trustworthy trustworthy ADJ ecj-1516 14 6 belief belief NOUN ecj-1516 14 7 on on ADP ecj-1516 14 8 the the DET ecj-1516 14 9 capacity capacity NOUN ecj-1516 14 10 of of ADP ecj-1516 14 11 advanced advanced ADJ ecj-1516 14 12 life life NOUN ecj-1516 14 13 support support NOUN ecj-1516 14 14 ( ( PUNCT ecj-1516 14 15 als als NOUN ecj-1516 14 16 ) ) PUNCT ecj-1516 14 17 to to PART ecj-1516 14 18 improve improve VERB ecj-1516 14 19 the the DET ecj-1516 14 20 outcomes outcome NOUN ecj-1516 14 21 of of ADP ecj-1516 14 22 out out ADV ecj-1516 14 23 - - PUNCT ecj-1516 14 24 of of ADP ecj-1516 14 25 - - PUNCT ecj-1516 14 26 hospital hospital NOUN ecj-1516 14 27 cardiac cardiac ADJ ecj-1516 14 28 arrest arrest NOUN ecj-1516 14 29 has have AUX ecj-1516 14 30 been be AUX ecj-1516 14 31 challenged challenge VERB ecj-1516 14 32 by by ADP ecj-1516 14 33 several several ADJ ecj-1516 14 34 lines line NOUN ecj-1516 14 35 of of ADP ecj-1516 14 36 evidence evidence NOUN ecj-1516 14 37 , , PUNCT ecj-1516 14 38 going go VERB ecj-1516 14 39 from from ADP ecj-1516 14 40 randomized randomized ADJ ecj-1516 14 41 controlled control VERB ecj-1516 14 42 trials trial NOUN ecj-1516 14 43 to to ADP ecj-1516 14 44 epidemiological epidemiological ADJ ecj-1516 14 45 studies study NOUN ecj-1516 14 46 , , PUNCT ecj-1516 14 47 where where SCONJ ecj-1516 14 48 a a DET ecj-1516 14 49 substantial substantial ADJ ecj-1516 14 50 advantage advantage NOUN ecj-1516 14 51 of of ADP ecj-1516 14 52 als als NOUN ecj-1516 14 53 over over ADP ecj-1516 14 54 a a DET ecj-1516 14 55 well well ADV ecj-1516 14 56 defined define VERB ecj-1516 14 57 system system NOUN ecj-1516 14 58 already already ADV ecj-1516 14 59 optimized optimize VERB ecj-1516 14 60 for for ADP ecj-1516 14 61 basic basic ADJ ecj-1516 14 62 life life NOUN ecj-1516 14 63 support support NOUN ecj-1516 14 64 has have AUX ecj-1516 14 65 not not PART ecj-1516 14 66 been be AUX ecj-1516 14 67 demonstrated demonstrate VERB ecj-1516 14 68 . . PUNCT ecj-1516 15 1 also also ADV ecj-1516 15 2 , , PUNCT ecj-1516 15 3 for for ADP ecj-1516 15 4 pre pre ADJ ecj-1516 15 5 - - ADJ ecj-1516 15 6 hospital hospital ADJ ecj-1516 15 7 management management NOUN ecj-1516 15 8 of of ADP ecj-1516 15 9 major major ADJ ecj-1516 15 10 traumas trauma NOUN ecj-1516 15 11 , , PUNCT ecj-1516 15 12 as as SCONJ ecj-1516 15 13 recently recently ADV ecj-1516 15 14 pointed point VERB ecj-1516 15 15 out out ADP ecj-1516 15 16 by by ADP ecj-1516 15 17 the the DET ecj-1516 15 18 world world PROPN ecj-1516 15 19 health health PROPN ecj-1516 15 20 organization organization NOUN ecj-1516 15 21 , , PUNCT ecj-1516 15 22 evidence evidence NOUN ecj-1516 15 23 of of ADP ecj-1516 15 24 effectiveness effectiveness NOUN ecj-1516 15 25 decreases decrease NOUN ecj-1516 15 26 as as ADP ecj-1516 15 27 complexity complexity NOUN ecj-1516 15 28 of of ADP ecj-1516 15 29 organization organization NOUN ecj-1516 15 30 , , PUNCT ecj-1516 15 31 expenditures expenditure NOUN ecj-1516 15 32 and and CCONJ ecj-1516 15 33 technologies technology NOUN ecj-1516 15 34 devoted devote VERB ecj-1516 15 35 to to ADP ecj-1516 15 36 prehospital prehospital NOUN ecj-1516 15 37 trauma trauma NOUN ecj-1516 15 38 systems system NOUN ecj-1516 15 39 increases increase NOUN ecj-1516 15 40 ( ( PUNCT ecj-1516 15 41 law law NOUN ecj-1516 15 42 of of ADP ecj-1516 15 43 diminishing diminish VERB ecj-1516 15 44 returns return NOUN ecj-1516 15 45 ) ) PUNCT ecj-1516 15 46 . . PUNCT ecj-1516 16 1 we we PRON ecj-1516 16 2 also also ADV ecj-1516 16 3 cite cite VERB ecj-1516 16 4 the the DET ecj-1516 16 5 case case NOUN ecj-1516 16 6 of of ADP ecj-1516 16 7 how how SCONJ ecj-1516 16 8 it it PRON ecj-1516 16 9 is be AUX ecj-1516 16 10 difficult difficult ADJ ecj-1516 16 11 to to PART ecj-1516 16 12 disentangle disentangle VERB ecj-1516 16 13 the the DET ecj-1516 16 14 benefits benefit NOUN ecj-1516 16 15 of of ADP ecj-1516 16 16 costly costly ADJ ecj-1516 16 17 helicopter helicopter NOUN ecj-1516 16 18 emergency emergency NOUN ecj-1516 16 19 medical medical ADJ ecj-1516 16 20 services service NOUN ecj-1516 16 21 from from ADP ecj-1516 16 22 the the DET ecj-1516 16 23 cures cure NOUN ecj-1516 16 24 offered offer VERB ecj-1516 16 25 by by ADP ecj-1516 16 26 major major ADJ ecj-1516 16 27 trauma trauma NOUN ecj-1516 16 28 centers center NOUN ecj-1516 16 29 and and CCONJ ecj-1516 16 30 a a DET ecj-1516 16 31 well well ADV ecj-1516 16 32 organized organize VERB ecj-1516 16 33 regionalized regionalize VERB ecj-1516 16 34 system system NOUN ecj-1516 16 35 of of ADP ecj-1516 16 36 trauma trauma NOUN ecj-1516 16 37 care care NOUN ecj-1516 16 38 . . PUNCT ecj-1516 17 1 the the DET ecj-1516 17 2 overcrowding overcrowding NOUN ecj-1516 17 3 of of ADP ecj-1516 17 4 emergency emergency NOUN ecj-1516 17 5 departments department NOUN ecj-1516 17 6 is be AUX ecj-1516 17 7 another another DET ecj-1516 17 8 good good ADJ ecj-1516 17 9 example example NOUN ecj-1516 17 10 of of ADP ecj-1516 17 11 the the DET ecj-1516 17 12 inherent inherent ADJ ecj-1516 17 13 complexity complexity NOUN ecj-1516 17 14 of of ADP ecj-1516 17 15 a a DET ecj-1516 17 16 problem problem NOUN ecj-1516 17 17 still still ADV ecj-1516 17 18 requiring require VERB ecj-1516 17 19 a a DET ecj-1516 17 20 careful careful ADJ ecj-1516 17 21 evaluation evaluation NOUN ecj-1516 17 22 of of ADP ecj-1516 17 23 all all DET ecj-1516 17 24 the the DET ecj-1516 17 25 input input NOUN ecj-1516 17 26 , , PUNCT ecj-1516 17 27 throughput throughput NOUN ecj-1516 17 28 and and CCONJ ecj-1516 17 29 output output NOUN ecj-1516 17 30 components component NOUN ecj-1516 17 31 , , PUNCT ecj-1516 17 32 as as ADV ecj-1516 17 33 well well ADV ecj-1516 17 34 as as ADP ecj-1516 17 35 the the DET ecj-1516 17 36 proper proper ADJ ecj-1516 17 37 definition definition NOUN ecj-1516 17 38 of of ADP ecj-1516 17 39 relevant relevant ADJ ecj-1516 17 40 metrics metric NOUN ecj-1516 17 41 and and CCONJ ecj-1516 17 42 outcomes outcome NOUN ecj-1516 17 43 , , PUNCT ecj-1516 17 44 for for ADP ecj-1516 17 45 which which PRON ecj-1516 17 46 no no DET ecj-1516 17 47 magic magic ADJ ecj-1516 17 48 bullet bullet NOUN ecj-1516 17 49 solutions solution NOUN ecj-1516 17 50 have have AUX ecj-1516 17 51 been be AUX ecj-1516 17 52 found find VERB ecj-1516 17 53 so so ADV ecj-1516 17 54 far far ADV ecj-1516 17 55 . . PUNCT ecj-1516 18 1 unfortunately unfortunately ADV ecj-1516 18 2 , , PUNCT ecj-1516 18 3 the the DET ecj-1516 18 4 traditional traditional ADJ ecj-1516 18 5 research research NOUN ecj-1516 18 6 approaches approach NOUN ecj-1516 18 7 aiming aim VERB ecj-1516 18 8 to to PART ecj-1516 18 9 address address VERB ecj-1516 18 10 and and CCONJ ecj-1516 18 11 resolve resolve VERB ecj-1516 18 12 the the DET ecj-1516 18 13 emergency emergency NOUN ecj-1516 18 14 health health NOUN ecj-1516 18 15 care care NOUN ecj-1516 18 16 questions question NOUN ecj-1516 18 17 above above ADP ecj-1516 18 18 mentioned mention VERB ecj-1516 18 19 failed fail VERB ecj-1516 18 20 to to PART ecj-1516 18 21 identify identify VERB ecj-1516 18 22 the the DET ecj-1516 18 23 complex complex ADJ ecj-1516 18 24 tradeoff tradeoff NOUN ecj-1516 18 25 between between ADP ecj-1516 18 26 degree degree NOUN ecj-1516 18 27 of of ADP ecj-1516 18 28 innovation innovation NOUN ecj-1516 18 29 , , PUNCT ecj-1516 18 30 marginal marginal ADJ ecj-1516 18 31 benefits benefit NOUN ecj-1516 18 32 , , PUNCT ecj-1516 18 33 effectiveness effectiveness NOUN ecj-1516 18 34 , , PUNCT ecj-1516 18 35 costs cost NOUN ecj-1516 18 36 , , PUNCT ecj-1516 18 37 safety safety NOUN ecj-1516 18 38 , , PUNCT ecj-1516 18 39 equity equity NOUN ecj-1516 18 40 of of ADP ecj-1516 18 41 access access NOUN ecj-1516 18 42 , , PUNCT ecj-1516 18 43 impact impact NOUN ecj-1516 18 44 on on ADP ecj-1516 18 45 health health NOUN ecj-1516 18 46 organization organization NOUN ecj-1516 18 47 and and CCONJ ecj-1516 18 48 fairness fairness NOUN ecj-1516 18 49 of of ADP ecj-1516 18 50 new new ADJ ecj-1516 18 51 technologies technology NOUN ecj-1516 18 52 . . PUNCT ecj-1516 19 1 so so ADV ecj-1516 19 2 , , PUNCT ecj-1516 19 3 the the DET ecj-1516 19 4 health health NOUN ecj-1516 19 5 technology technology NOUN ecj-1516 19 6 assessment assessment NOUN ecj-1516 19 7 ( ( PUNCT ecj-1516 19 8 hta hta PROPN ecj-1516 19 9 ) ) PUNCT ecj-1516 19 10 , , PUNCT ecj-1516 19 11 defined define VERB ecj-1516 19 12 as as ADP ecj-1516 19 13 the the DET ecj-1516 19 14 multi multi ADJ ecj-1516 19 15 - - ADJ ecj-1516 19 16 disciplinary disciplinary ADJ ecj-1516 19 17 field field NOUN ecj-1516 19 18 of of ADP ecj-1516 19 19 policy policy NOUN ecj-1516 19 20 analysis analysis NOUN ecj-1516 19 21 that that PRON ecj-1516 19 22 examines examine VERB ecj-1516 19 23 the the DET ecj-1516 19 24 medical medical ADJ ecj-1516 19 25 , , PUNCT ecj-1516 19 26 economic economic ADJ ecj-1516 19 27 , , PUNCT ecj-1516 19 28 social social ADJ ecj-1516 19 29 and and CCONJ ecj-1516 19 30 ethical ethical ADJ ecj-1516 19 31 implications implication NOUN ecj-1516 19 32 of of ADP ecj-1516 19 33 the the DET ecj-1516 19 34 incremental incremental ADJ ecj-1516 19 35 value value NOUN ecj-1516 19 36 , , PUNCT ecj-1516 19 37 diffusion diffusion NOUN ecj-1516 19 38 and and CCONJ ecj-1516 19 39 use use NOUN ecj-1516 19 40 of of ADP ecj-1516 19 41 a a DET ecj-1516 19 42 medical medical ADJ ecj-1516 19 43 technology technology NOUN ecj-1516 19 44 in in ADP ecj-1516 19 45 health health NOUN ecj-1516 19 46 care care NOUN ecj-1516 19 47 , , PUNCT ecj-1516 19 48 is be AUX ecj-1516 19 49 intended intend VERB ecj-1516 19 50 to to PART ecj-1516 19 51 provide provide VERB ecj-1516 19 52 a a DET ecj-1516 19 53 bridge bridge NOUN ecj-1516 19 54 between between ADP ecj-1516 19 55 the the DET ecj-1516 19 56 world world NOUN ecj-1516 19 57 of of ADP ecj-1516 19 58 the the DET ecj-1516 19 59 biomedical biomedical ADJ ecj-1516 19 60 research research NOUN ecj-1516 19 61 and and CCONJ ecj-1516 19 62 that that PRON ecj-1516 19 63 of of ADP ecj-1516 19 64 the the DET ecj-1516 19 65 decision decision NOUN ecj-1516 19 66 - - PUNCT ecj-1516 19 67 making making NOUN ecj-1516 19 68 . . PUNCT ecj-1516 20 1 in in ADP ecj-1516 20 2 this this DET ecj-1516 20 3 sense sense NOUN ecj-1516 20 4 , , PUNCT ecj-1516 20 5 hta hta PROPN ecj-1516 20 6 is be AUX ecj-1516 20 7 a a DET ecj-1516 20 8 tool tool NOUN ecj-1516 20 9 to to PART ecj-1516 20 10 advise advise VERB ecj-1516 20 11 policymakers policymaker NOUN ecj-1516 20 12 , , PUNCT ecj-1516 20 13 patients patient NOUN ecj-1516 20 14 and and CCONJ ecj-1516 20 15 physicians physician NOUN ecj-1516 20 16 to to PART ecj-1516 20 17 locate locate VERB ecj-1516 20 18 properly properly ADV ecj-1516 20 19 the the DET ecj-1516 20 20 value value NOUN ecj-1516 20 21 of of ADP ecj-1516 20 22 a a DET ecj-1516 20 23 technology technology NOUN ecj-1516 20 24 within within ADP ecj-1516 20 25 its its PRON ecj-1516 20 26 lifetime lifetime NOUN ecj-1516 20 27 cycle cycle NOUN ecj-1516 20 28 , , PUNCT ecj-1516 20 29 the the DET ecj-1516 20 30 potential potential ADJ ecj-1516 20 31 role role NOUN ecj-1516 20 32 and and CCONJ ecj-1516 20 33 effects effect NOUN ecj-1516 20 34 of of ADP ecj-1516 20 35 its its PRON ecj-1516 20 36 adoption adoption NOUN ecj-1516 20 37 according accord VERB ecj-1516 20 38 to to ADP ecj-1516 20 39 a a DET ecj-1516 20 40 multidisciplinary multidisciplinary ADJ ecj-1516 20 41 evaluation evaluation NOUN ecj-1516 20 42 framework framework NOUN ecj-1516 20 43 , , PUNCT ecj-1516 20 44 helping help VERB ecj-1516 20 45 to to PART ecj-1516 20 46 prioritize prioritize VERB ecj-1516 20 47 the the DET ecj-1516 20 48 most most ADV ecj-1516 20 49 useful useful ADJ ecj-1516 20 50 , , PUNCT ecj-1516 20 51 cost cost NOUN ecj-1516 20 52 effective effective ADJ ecj-1516 20 53 and and CCONJ ecj-1516 20 54 promising promise VERB ecj-1516 20 55 within within ADP ecj-1516 20 56 the the DET ecj-1516 20 57 economic economic ADJ ecj-1516 20 58 constraints constraint NOUN ecj-1516 20 59 of of ADP ecj-1516 20 60 public public ADJ ecj-1516 20 61 health health NOUN ecj-1516 20 62 systems system NOUN ecj-1516 20 63 , , PUNCT ecj-1516 20 64 as as ADV ecj-1516 20 65 well well ADV ecj-1516 20 66 as as ADP ecj-1516 20 67 to to PART ecj-1516 20 68 identify identify VERB ecj-1516 20 69 areas area NOUN ecj-1516 20 70 of of ADP ecj-1516 20 71 uncertainty uncertainty NOUN ecj-1516 20 72 needing need VERB ecj-1516 20 73 further further ADJ ecj-1516 20 74 research research NOUN ecj-1516 20 75 or or CCONJ ecj-1516 20 76 careful careful ADJ ecj-1516 20 77 synthesis synthesis NOUN ecj-1516 20 78 of of ADP ecj-1516 20 79 existing exist VERB ecj-1516 20 80 evidence evidence NOUN ecj-1516 20 81 , , PUNCT ecj-1516 20 82 and and CCONJ ecj-1516 20 83 to to PART ecj-1516 20 84 inform inform VERB ecj-1516 20 85 the the DET ecj-1516 20 86 adoption adoption NOUN ecj-1516 20 87 and and CCONJ ecj-1516 20 88 coverage coverage NOUN ecj-1516 20 89 decisions decision NOUN ecj-1516 20 90 . . PUNCT ecj-1516 21 1 this this DET ecj-1516 21 2 approach approach NOUN ecj-1516 21 3 reveals reveal VERB ecj-1516 21 4 its its PRON ecj-1516 21 5 usefulness usefulness NOUN ecj-1516 21 6 with with ADP ecj-1516 21 7 increasing increase VERB ecj-1516 21 8 level level NOUN ecj-1516 21 9 of of ADP ecj-1516 21 10 complexity complexity NOUN ecj-1516 21 11 of of ADP ecj-1516 21 12 interventions intervention NOUN ecj-1516 21 13 , , PUNCT ecj-1516 21 14 not not PART ecj-1516 21 15 amenable amenable ADJ ecj-1516 21 16 to to ADP ecj-1516 21 17 classic classic ADJ ecj-1516 21 18 investigation investigation NOUN ecj-1516 21 19 methods method NOUN ecj-1516 21 20 such such ADJ ecj-1516 21 21 as as ADP ecj-1516 21 22 randomized randomized ADJ ecj-1516 21 23 trials trial NOUN ecj-1516 21 24 , , PUNCT ecj-1516 21 25 or or CCONJ ecj-1516 21 26 when when SCONJ ecj-1516 21 27 there there PRON ecj-1516 21 28 is be VERB ecj-1516 21 29 lack lack NOUN ecj-1516 21 30 of of ADP ecj-1516 21 31 studies study NOUN ecj-1516 21 32 in in ADP ecj-1516 21 33 the the DET ecj-1516 21 34 early early ADJ ecj-1516 21 35 lifetime lifetime NOUN ecj-1516 21 36 ( ( PUNCT ecj-1516 21 37 cutting cut VERB ecj-1516 21 38 edge edge NOUN ecj-1516 21 39 or or CCONJ ecj-1516 21 40 leading leading ADJ ecj-1516 21 41 edge edge NOUN ecj-1516 21 42 ) ) PUNCT ecj-1516 21 43 of of ADP ecj-1516 21 44 the the DET ecj-1516 21 45 technology technology NOUN ecj-1516 21 46 blade blade NOUN ecj-1516 21 47 by by ADP ecj-1516 21 48 mikhail mikhail PROPN ecj-1516 21 49 et et PROPN ecj-1516 21 50 al al PROPN ecj-1516 21 51 . . PROPN ecj-1516 21 52 ,1 ,1 PROPN ecj-1516 21 53 requiring require VERB ecj-1516 21 54 ad ad NOUN ecj-1516 21 55 hoc hoc X ecj-1516 21 56 methods method NOUN ecj-1516 21 57 such such ADJ ecj-1516 21 58 as as ADP ecj-1516 21 59 horizon horizon NOUN ecj-1516 21 60 scanning scanning NOUN ecj-1516 21 61 , , PUNCT ecj-1516 21 62 coverage coverage NOUN ecj-1516 21 63 under under ADP ecj-1516 21 64 evidence evidence NOUN ecj-1516 21 65 development development NOUN ecj-1516 21 66 , , PUNCT ecj-1516 21 67 payback payback NOUN ecj-1516 21 68 decisions decision NOUN ecj-1516 21 69 and and CCONJ ecj-1516 21 70 other other ADJ ecj-1516 21 71 interpolation interpolation NOUN ecj-1516 21 72 systems system NOUN ecj-1516 21 73 used use VERB ecj-1516 21 74 to to PART ecj-1516 21 75 assess assess VERB ecj-1516 21 76 their their PRON ecj-1516 21 77 potential potential ADJ ecj-1516 21 78 impact impact NOUN ecj-1516 21 79 and/or and/or CCONJ ecj-1516 21 80 to to PART ecj-1516 21 81 steer steer VERB ecj-1516 21 82 their their PRON ecj-1516 21 83 controlled control VERB ecj-1516 21 84 introduction introduction NOUN ecj-1516 21 85 in in ADP ecj-1516 21 86 the the DET ecj-1516 21 87 health health NOUN ecj-1516 21 88 system system NOUN ecj-1516 21 89 . . PUNCT ecj-1516 22 1 in in ADP ecj-1516 22 2 any any DET ecj-1516 22 3 case case NOUN ecj-1516 22 4 , , PUNCT ecj-1516 22 5 hta hta PROPN ecj-1516 22 6 can can AUX ecj-1516 22 7 offer offer VERB ecj-1516 22 8 a a DET ecj-1516 22 9 substantial substantial ADJ ecj-1516 22 10 contribute contribute NOUN ecj-1516 22 11 to to PART ecj-1516 22 12 decide decide VERB ecj-1516 22 13 the the DET ecj-1516 22 14 wise wise ADJ ecj-1516 22 15 allocation allocation NOUN ecj-1516 22 16 of of ADP ecj-1516 22 17 the the DET ecj-1516 22 18 limited limited ADJ ecj-1516 22 19 resources resource NOUN ecj-1516 22 20 devoted devote VERB ecj-1516 22 21 to to ADP ecj-1516 22 22 health health NOUN ecj-1516 22 23 care care NOUN ecj-1516 22 24 , , PUNCT ecj-1516 22 25 and and CCONJ ecj-1516 22 26 to to PART ecj-1516 22 27 stop stop VERB ecj-1516 22 28 the the DET ecj-1516 22 29 relentless relentless ADJ ecj-1516 22 30 rise rise NOUN ecj-1516 22 31 of of ADP ecj-1516 22 32 health health NOUN ecj-1516 22 33 care care NOUN ecj-1516 22 34 wastes waste NOUN ecj-1516 22 35 ( ( PUNCT ecj-1516 22 36 such such ADJ ecj-1516 22 37 as as ADP ecj-1516 22 38 over over ADP ecj-1516 22 39 treatment treatment NOUN ecj-1516 22 40 , , PUNCT ecj-1516 22 41 failure failure NOUN ecj-1516 22 42 of of ADP ecj-1516 22 43 care care NOUN ecj-1516 22 44 co co NOUN ecj-1516 22 45 - - NOUN ecj-1516 22 46 ordination ordination NOUN ecj-1516 22 47 and and CCONJ ecj-1516 22 48 processes process NOUN ecj-1516 22 49 , , PUNCT ecj-1516 22 50 pricing pricing NOUN ecj-1516 22 51 failures failure NOUN ecj-1516 22 52 , , PUNCT ecj-1516 22 53 over over ADP ecj-1516 22 54 diagnosis diagnosis NOUN ecj-1516 22 55 and and CCONJ ecj-1516 22 56 defensive defensive ADJ ecj-1516 22 57 medicine medicine NOUN ecj-1516 22 58 ) ) PUNCT ecj-1516 22 59 , , PUNCT ecj-1516 22 60 seriously seriously ADV ecj-1516 22 61 threatening threaten VERB ecj-1516 22 62 the the DET ecj-1516 22 63 sustainability sustainability NOUN ecj-1516 22 64 of of ADP ecj-1516 22 65 publicly publicly ADV ecj-1516 22 66 based base VERB ecj-1516 22 67 health health NOUN ecj-1516 22 68 care care NOUN ecj-1516 22 69 systems system NOUN ecj-1516 22 70 , , PUNCT ecj-1516 22 71 and and CCONJ ecj-1516 22 72 respecting respect VERB ecj-1516 22 73 the the DET ecj-1516 22 74 law law NOUN ecj-1516 22 75 of of ADP ecj-1516 22 76 diminishing diminish VERB ecj-1516 22 77 returns return NOUN ecj-1516 22 78 , , PUNCT ecj-1516 22 79 according accord VERB ecj-1516 22 80 to to ADP ecj-1516 22 81 donabedian donabedian PROPN ecj-1516 22 82 ’s ’s PART ecj-1516 22 83 definition:2 definition:2 VERB ecj-1516 22 84 the the DET ecj-1516 22 85 balancing balancing NOUN ecj-1516 22 86 of of ADP ecj-1516 22 87 improvements improvement NOUN ecj-1516 22 88 in in ADP ecj-1516 22 89 health health NOUN ecj-1516 22 90 against against ADP ecj-1516 22 91 the the DET ecj-1516 22 92 cost cost NOUN ecj-1516 22 93 of of ADP ecj-1516 22 94 such such ADJ ecj-1516 22 95 improvements improvement NOUN ecj-1516 22 96 . . PUNCT ecj-1516 23 1 the the DET ecj-1516 23 2 definition definition NOUN ecj-1516 23 3 implies imply VERB ecj-1516 23 4 there there PRON ecj-1516 23 5 is be VERB ecj-1516 23 6 a a DET ecj-1516 23 7 best good ADJ ecj-1516 23 8 or or CCONJ ecj-1516 23 9 optimum optimum ADJ ecj-1516 23 10 relationship relationship NOUN ecj-1516 23 11 between between ADP ecj-1516 23 12 costs cost NOUN ecj-1516 23 13 and and CCONJ ecj-1516 23 14 benefits benefit NOUN ecj-1516 23 15 of of ADP ecj-1516 23 16 health health NOUN ecj-1516 23 17 care care NOUN ecj-1516 23 18 , , PUNCT ecj-1516 23 19 a a DET ecj-1516 23 20 point point NOUN ecj-1516 23 21 below below ADP ecj-1516 23 22 which which PRON ecj-1516 23 23 more more ADJ ecj-1516 23 24 benefits benefit NOUN ecj-1516 23 25 could could AUX ecj-1516 23 26 be be AUX ecj-1516 23 27 obtained obtain VERB ecj-1516 23 28 at at ADP ecj-1516 23 29 costs cost NOUN ecj-1516 23 30 that that PRON ecj-1516 23 31 are be AUX ecj-1516 23 32 low low ADJ ecj-1516 23 33 relative relative ADJ ecj-1516 23 34 to to ADP ecj-1516 23 35 benefits benefit NOUN ecj-1516 23 36 and and CCONJ ecj-1516 23 37 above above ADP ecj-1516 23 38 which which PRON ecj-1516 23 39 additional additional ADJ ecj-1516 23 40 benefits benefit NOUN ecj-1516 23 41 are be AUX ecj-1516 23 42 obtained obtain VERB ecj-1516 23 43 at at ADP ecj-1516 23 44 costs cost NOUN ecj-1516 23 45 too too ADV ecj-1516 23 46 large large ADJ ecj-1516 23 47 relative relative ADJ ecj-1516 23 48 to to ADP ecj-1516 23 49 corresponding corresponding ADJ ecj-1516 23 50 benefits benefit NOUN ecj-1516 23 51 . . PUNCT ecj-1516 24 1 the the DET ecj-1516 24 2 multidisciplinary multidisciplinary ADJ ecj-1516 24 3 approach approach NOUN ecj-1516 24 4 and and CCONJ ecj-1516 24 5 the the DET ecj-1516 24 6 broadened broaden VERB ecj-1516 24 7 perspectives perspective NOUN ecj-1516 24 8 allowed allow VERB ecj-1516 24 9 by by ADP ecj-1516 24 10 hta hta PROPN ecj-1516 24 11 could could AUX ecj-1516 24 12 be be AUX ecj-1516 24 13 extremely extremely ADV ecj-1516 24 14 useful useful ADJ ecj-1516 24 15 in in ADP ecj-1516 24 16 the the DET ecj-1516 24 17 pre pre NOUN ecj-1516 24 18 - - NOUN ecj-1516 24 19 hospital hospital ADJ ecj-1516 24 20 and and CCONJ ecj-1516 24 21 emergency emergency NOUN ecj-1516 24 22 care care NOUN ecj-1516 24 23 settings setting NOUN ecj-1516 24 24 , , PUNCT ecj-1516 24 25 for for ADP ecj-1516 24 26 the the DET ecj-1516 24 27 reasons reason NOUN ecj-1516 24 28 above above ADP ecj-1516 24 29 emergency emergency NOUN ecj-1516 24 30 care care NOUN ecj-1516 24 31 journal journal NOUN ecj-1516 24 32 ; ; PUNCT ecj-1516 24 33 volume volume NOUN ecj-1516 24 34 9 9 NUM ecj-1516 24 35 : : PUNCT ecj-1516 24 36 e8 e8 PROPN ecj-1516 24 37 correspondence correspondence NOUN ecj-1516 24 38 : : PUNCT ecj-1516 24 39 primiano primiano PROPN ecj-1516 24 40 iannone iannone NOUN ecj-1516 24 41 , , PUNCT ecj-1516 24 42 emergency emergency NOUN ecj-1516 24 43 department department NOUN ecj-1516 24 44 , , PUNCT ecj-1516 24 45 local local ADJ ecj-1516 24 46 health health NOUN ecj-1516 24 47 unit unit NOUN ecj-1516 24 48 , , PUNCT ecj-1516 24 49 via via ADP ecj-1516 24 50 g.b g.b PROPN ecj-1516 24 51 . . PROPN ecj-1516 24 52 ghio ghio PROPN ecj-1516 24 53 9 9 NUM ecj-1516 24 54 , , PUNCT ecj-1516 24 55 16043 16043 NUM ecj-1516 24 56 chiavari chiavari NOUN ecj-1516 24 57 , , PUNCT ecj-1516 24 58 italy italy PROPN ecj-1516 24 59 . . PUNCT ecj-1516 25 1 tel./fax tel./fax NOUN ecj-1516 25 2 : : PUNCT ecj-1516 26 1 +39.0185.329111 +39.0185.329111 PROPN ecj-1516 26 2 . . PUNCT ecj-1516 27 1 e e X ecj-1516 27 2 - - NOUN ecj-1516 27 3 mail mail NOUN ecj-1516 27 4 : : PUNCT ecj-1516 27 5 p.iannone@live.com p.iannone@live.com X ecj-1516 27 6 conflict conflict NOUN ecj-1516 27 7 of of ADP ecj-1516 27 8 interests interest NOUN ecj-1516 27 9 : : PUNCT ecj-1516 27 10 the the DET ecj-1516 27 11 author author NOUN ecj-1516 27 12 declares declare VERB ecj-1516 27 13 no no DET ecj-1516 27 14 potential potential ADJ ecj-1516 27 15 conflict conflict NOUN ecj-1516 27 16 of of ADP ecj-1516 27 17 interests interest NOUN ecj-1516 27 18 . . PUNCT ecj-1516 28 1 received receive VERB ecj-1516 28 2 for for ADP ecj-1516 28 3 publication publication NOUN ecj-1516 28 4 : : PUNCT ecj-1516 28 5 21 21 NUM ecj-1516 28 6 march march NOUN ecj-1516 28 7 2013 2013 NUM ecj-1516 28 8 . . PUNCT ecj-1516 29 1 accepted accept VERB ecj-1516 29 2 for for ADP ecj-1516 29 3 publication publication NOUN ecj-1516 29 4 : : PUNCT ecj-1516 29 5 27 27 NUM ecj-1516 29 6 may may PROPN ecj-1516 29 7 2013 2013 NUM ecj-1516 29 8 . . PUNCT ecj-1516 30 1 this this DET ecj-1516 30 2 work work NOUN ecj-1516 30 3 is be AUX ecj-1516 30 4 licensed license VERB ecj-1516 30 5 under under ADP ecj-1516 30 6 a a DET ecj-1516 30 7 creative creative ADJ ecj-1516 30 8 commons common NOUN ecj-1516 30 9 attribution attribution NOUN ecj-1516 30 10 3.0 3.0 NUM ecj-1516 30 11 license license NOUN ecj-1516 30 12 ( ( PUNCT ecj-1516 30 13 by by ADP ecj-1516 30 14 - - PUNCT ecj-1516 30 15 nc nc PROPN ecj-1516 30 16 3.0 3.0 NUM ecj-1516 30 17 ) ) PUNCT ecj-1516 30 18 . . PUNCT ecj-1516 31 1 © © NOUN ecj-1516 31 2 copyright copyright NOUN ecj-1516 31 3 p. p. PROPN ecj-1516 31 4 iannone iannone NOUN ecj-1516 31 5 , , PUNCT ecj-1516 31 6 2013 2013 NUM ecj-1516 31 7 licensee licensee NOUN ecj-1516 31 8 pagepress pagepress NOUN ecj-1516 31 9 , , PUNCT ecj-1516 31 10 italy italy PROPN ecj-1516 31 11 emergency emergency PROPN ecj-1516 31 12 care care PROPN ecj-1516 31 13 journal journal PROPN ecj-1516 31 14 2013 2013 NUM ecj-1516 31 15 ; ; PUNCT ecj-1516 31 16 9 9 NUM ecj-1516 31 17 : : PUNCT ecj-1516 31 18 e8 e8 PROPN ecj-1516 31 19 doi:10.4081 doi:10.4081 PROPN ecj-1516 31 20 / / SYM ecj-1516 31 21 ecj.2013.e8 ecj.2013.e8 PROPN ecj-1516 31 22 non non PROPN ecj-1516 32 1 -co -co PROPN ecj-1516 32 2 mmerc mmerc PROPN ecj-1516 32 3 ial ial PROPN ecj-1516 32 4 us us PROPN ecj-1516 33 1 e e NOUN ecj-1516 33 2 o o X ecj-1516 33 3 nly nly ADV ecj-1516 33 4 [ [ X ecj-1516 33 5 emergency emergency NOUN ecj-1516 33 6 care care NOUN ecj-1516 33 7 journal journal NOUN ecj-1516 33 8 2013 2013 NUM ecj-1516 33 9 ; ; PUNCT ecj-1516 33 10 9 9 NUM ecj-1516 33 11 : : PUNCT ecj-1516 33 12 e8 e8 PROPN ecj-1516 33 13 ] ] X ecj-1516 34 1 [ [ X ecj-1516 34 2 page page NOUN ecj-1516 34 3 23 23 NUM ecj-1516 34 4 ] ] PUNCT ecj-1516 34 5 explained explain VERB ecj-1516 34 6 , , PUNCT ecj-1516 34 7 and and CCONJ ecj-1516 34 8 considering consider VERB ecj-1516 34 9 the the DET ecj-1516 34 10 particular particular ADJ ecj-1516 34 11 scope scope NOUN ecj-1516 34 12 and and CCONJ ecj-1516 34 13 remit remit NOUN ecj-1516 34 14 of of ADP ecj-1516 34 15 emergency emergency NOUN ecj-1516 34 16 medicine medicine NOUN ecj-1516 34 17 , , PUNCT ecj-1516 34 18 at at ADP ecj-1516 34 19 the the DET ecj-1516 34 20 crossroad crossroad NOUN ecj-1516 34 21 between between ADP ecj-1516 34 22 primary primary ADJ ecj-1516 34 23 and and CCONJ ecj-1516 34 24 higher high ADJ ecj-1516 34 25 levels level NOUN ecj-1516 34 26 of of ADP ecj-1516 34 27 care care NOUN ecj-1516 34 28 , , PUNCT ecj-1516 34 29 with with ADP ecj-1516 34 30 special special ADJ ecj-1516 34 31 theme theme NOUN ecj-1516 34 32 convergence convergence NOUN ecj-1516 34 33 with with ADP ecj-1516 34 34 public public ADJ ecj-1516 34 35 health health NOUN ecj-1516 34 36 issues issue NOUN ecj-1516 34 37 and and CCONJ ecj-1516 34 38 considering consider VERB ecj-1516 34 39 the the DET ecj-1516 34 40 big big ADJ ecj-1516 34 41 direct direct ADJ ecj-1516 34 42 and and CCONJ ecj-1516 34 43 indirect indirect ADJ ecj-1516 34 44 costs cost NOUN ecj-1516 34 45 emergency emergency NOUN ecj-1516 34 46 medicine medicine NOUN ecj-1516 34 47 moves move VERB ecj-1516 34 48 through through ADP ecj-1516 34 49 its its PRON ecj-1516 34 50 role role NOUN ecj-1516 34 51 of of ADP ecj-1516 34 52 gatekeeper gatekeeper NOUN ecj-1516 34 53 of of ADP ecj-1516 34 54 the the DET ecj-1516 34 55 hospital hospital NOUN ecj-1516 34 56 based base VERB ecj-1516 34 57 health health NOUN ecj-1516 34 58 system system NOUN ecj-1516 34 59 . . PUNCT ecj-1516 35 1 however however ADV ecj-1516 35 2 , , PUNCT ecj-1516 35 3 there there PRON ecj-1516 35 4 is be VERB ecj-1516 35 5 limited limited ADJ ecj-1516 35 6 evidence evidence NOUN ecj-1516 35 7 that that SCONJ ecj-1516 35 8 this this PRON ecj-1516 35 9 nowadays nowadays ADV ecj-1516 35 10 occurs occur VERB ecj-1516 35 11 and and CCONJ ecj-1516 35 12 this this PRON ecj-1516 35 13 constitutes constitute VERB ecj-1516 35 14 a a DET ecj-1516 35 15 major major ADJ ecj-1516 35 16 knowledge knowledge NOUN ecj-1516 35 17 and and CCONJ ecj-1516 35 18 research research NOUN ecj-1516 35 19 gap gap NOUN ecj-1516 35 20 in in ADP ecj-1516 35 21 the the DET ecj-1516 35 22 emergency emergency NOUN ecj-1516 35 23 medicine medicine NOUN ecj-1516 35 24 field field NOUN ecj-1516 35 25 . . PUNCT ecj-1516 36 1 according accord VERB ecj-1516 36 2 to to ADP ecj-1516 36 3 the the DET ecj-1516 36 4 north north ADJ ecj-1516 36 5 american american ADJ ecj-1516 36 6 counterpart counterpart NOUN ecj-1516 36 7 of of ADP ecj-1516 36 8 hta hta PROPN ecj-1516 36 9 , , PUNCT ecj-1516 36 10 the the DET ecj-1516 36 11 comparative comparative ADJ ecj-1516 36 12 effectiveness effectiveness NOUN ecj-1516 36 13 research research NOUN ecj-1516 36 14 program program NOUN ecj-1516 36 15 recently recently ADV ecj-1516 36 16 set set VERB ecj-1516 36 17 forth forth ADV ecj-1516 36 18 , , PUNCT ecj-1516 36 19 the the DET ecj-1516 36 20 attention attention NOUN ecj-1516 36 21 has have AUX ecj-1516 36 22 also also ADV ecj-1516 36 23 been be AUX ecj-1516 36 24 directed direct VERB ecj-1516 36 25 toward toward ADP ecj-1516 36 26 time time NOUN ecj-1516 36 27 sensitive sensitive ADJ ecj-1516 36 28 and and CCONJ ecj-1516 36 29 episodic episodic ADJ ecj-1516 36 30 emergency emergency NOUN ecj-1516 36 31 care care NOUN ecj-1516 36 32 . . PUNCT ecj-1516 37 1 therefore therefore ADV ecj-1516 37 2 , , PUNCT ecj-1516 37 3 a a DET ecj-1516 37 4 conceptual conceptual ADJ ecj-1516 37 5 framework framework NOUN ecj-1516 37 6 for for ADP ecj-1516 37 7 hta hta PROPN ecj-1516 37 8 / / SYM ecj-1516 37 9 comparative comparative ADJ ecj-1516 37 10 effectiveness effectiveness NOUN ecj-1516 37 11 research research NOUN ecj-1516 37 12 has have AUX ecj-1516 37 13 been be AUX ecj-1516 37 14 proposed propose VERB ecj-1516 37 15 to to PART ecj-1516 37 16 describe describe VERB ecj-1516 37 17 a a DET ecj-1516 37 18 hta hta NOUN ecj-1516 37 19 roadmap roadmap NOUN ecj-1516 37 20 for for ADP ecj-1516 37 21 emergency emergency NOUN ecj-1516 37 22 medicine medicine NOUN ecj-1516 37 23 , , PUNCT ecj-1516 37 24 going go VERB ecj-1516 37 25 from from ADP ecj-1516 37 26 the the DET ecj-1516 37 27 prioritization prioritization NOUN ecj-1516 37 28 of of ADP ecj-1516 37 29 populations population NOUN ecj-1516 37 30 and and CCONJ ecj-1516 37 31 conditions condition NOUN ecj-1516 37 32 to to PART ecj-1516 37 33 be be AUX ecj-1516 37 34 studied study VERB ecj-1516 37 35 in in ADP ecj-1516 37 36 real real ADJ ecj-1516 37 37 world world NOUN ecj-1516 37 38 settings setting NOUN ecj-1516 37 39 , , PUNCT ecj-1516 37 40 using use VERB ecj-1516 37 41 adequate adequate ADJ ecj-1516 37 42 study study NOUN ecj-1516 37 43 methods method NOUN ecj-1516 37 44 , , PUNCT ecj-1516 37 45 outcome outcome NOUN ecj-1516 37 46 measures measure NOUN ecj-1516 37 47 and and CCONJ ecj-1516 37 48 the the DET ecj-1516 37 49 proper proper ADJ ecj-1516 37 50 dissemination dissemination NOUN ecj-1516 37 51 and and CCONJ ecj-1516 37 52 translation translation NOUN ecj-1516 37 53 of of ADP ecj-1516 37 54 the the DET ecj-1516 37 55 results result NOUN ecj-1516 37 56 . . PUNCT ecj-1516 38 1 a a DET ecj-1516 38 2 similar similar ADJ ecj-1516 38 3 hta hta NOUN ecj-1516 38 4 approach approach NOUN ecj-1516 38 5 could could AUX ecj-1516 38 6 also also ADV ecj-1516 38 7 be be AUX ecj-1516 38 8 useful useful ADJ ecj-1516 38 9 for for ADP ecj-1516 38 10 european european ADJ ecj-1516 38 11 pre pre NOUN ecj-1516 38 12 - - ADJ ecj-1516 38 13 hospital hospital ADJ ecj-1516 38 14 and and CCONJ ecj-1516 38 15 emergency emergency NOUN ecj-1516 38 16 care care NOUN ecj-1516 38 17 systems system NOUN ecj-1516 38 18 , , PUNCT ecj-1516 38 19 to to PART ecj-1516 38 20 inform inform VERB ecj-1516 38 21 policymakers policymaker NOUN ecj-1516 38 22 and and CCONJ ecj-1516 38 23 clinicians clinician NOUN ecj-1516 38 24 on on ADP ecj-1516 38 25 how how SCONJ ecj-1516 38 26 to to PART ecj-1516 38 27 wisely wisely ADV ecj-1516 38 28 decide decide VERB ecj-1516 38 29 on on ADP ecj-1516 38 30 devices device NOUN ecj-1516 38 31 , , PUNCT ecj-1516 38 32 technologies technology NOUN ecj-1516 38 33 , , PUNCT ecj-1516 38 34 and and CCONJ ecj-1516 38 35 clinical clinical ADJ ecj-1516 38 36 pathways pathway NOUN ecj-1516 38 37 for for ADP ecj-1516 38 38 time time NOUN ecj-1516 38 39 - - PUNCT ecj-1516 38 40 sensitive sensitive ADJ ecj-1516 38 41 emergent emergent ADJ ecj-1516 38 42 conditions condition NOUN ecj-1516 38 43 , , PUNCT ecj-1516 38 44 especially especially ADV ecj-1516 38 45 when when SCONJ ecj-1516 38 46 costly costly ADJ ecj-1516 38 47 and and CCONJ ecj-1516 38 48 co co VERB ecj-1516 38 49 - - ADJ ecj-1516 38 50 ordinated ordinated ADJ ecj-1516 38 51 efforts effort NOUN ecj-1516 38 52 on on ADP ecj-1516 38 53 a a DET ecj-1516 38 54 hospital hospital NOUN ecj-1516 38 55 wide wide ADJ ecj-1516 38 56 or or CCONJ ecj-1516 38 57 regional regional ADJ ecj-1516 38 58 / / SYM ecj-1516 38 59 national national ADJ ecj-1516 38 60 basis basis NOUN ecj-1516 38 61 are be AUX ecj-1516 38 62 required require VERB ecj-1516 38 63 . . PUNCT ecj-1516 39 1 nonetheless nonetheless ADV ecj-1516 39 2 , , PUNCT ecj-1516 39 3 this this DET ecj-1516 39 4 ambitious ambitious ADJ ecj-1516 39 5 program program NOUN ecj-1516 39 6 needs need VERB ecj-1516 39 7 to to PART ecj-1516 39 8 be be AUX ecj-1516 39 9 fostered foster VERB ecj-1516 39 10 and and CCONJ ecj-1516 39 11 implemented implement VERB ecj-1516 39 12 through through ADP ecj-1516 39 13 the the DET ecj-1516 39 14 involvement involvement NOUN ecj-1516 39 15 of of ADP ecj-1516 39 16 many many ADJ ecj-1516 39 17 experts expert NOUN ecj-1516 39 18 able able ADJ ecj-1516 39 19 to to PART ecj-1516 39 20 address address VERB ecj-1516 39 21 the the DET ecj-1516 39 22 complexity complexity NOUN ecj-1516 39 23 underlying underlie VERB ecj-1516 39 24 the the DET ecj-1516 39 25 questions question NOUN ecj-1516 39 26 cited cite VERB ecj-1516 39 27 , , PUNCT ecj-1516 39 28 with with ADP ecj-1516 39 29 openly openly ADJ ecj-1516 39 30 methods method NOUN ecj-1516 39 31 and and CCONJ ecj-1516 39 32 in in ADP ecj-1516 39 33 an an DET ecj-1516 39 34 accountable accountable ADJ ecj-1516 39 35 , , PUNCT ecj-1516 39 36 conflict conflict NOUN ecj-1516 39 37 - - PUNCT ecj-1516 39 38 of of ADP ecj-1516 39 39 - - PUNCT ecj-1516 39 40 interest interest NOUN ecj-1516 39 41 - - PUNCT ecj-1516 39 42 free free ADJ ecj-1516 39 43 way way NOUN ecj-1516 39 44 . . PUNCT ecj-1516 40 1 how how SCONJ ecj-1516 40 2 many many ADJ ecj-1516 40 3 emergency emergency NOUN ecj-1516 40 4 physicians physician NOUN ecj-1516 40 5 do do AUX ecj-1516 40 6 have have VERB ecj-1516 40 7 the the DET ecj-1516 40 8 know know NOUN ecj-1516 40 9 - - PUNCT ecj-1516 40 10 how how NOUN ecj-1516 40 11 to to PART ecj-1516 40 12 do do VERB ecj-1516 40 13 so so ADV ecj-1516 40 14 , , PUNCT ecj-1516 40 15 with with SCONJ ecj-1516 40 16 the the DET ecj-1516 40 17 required required ADJ ecj-1516 40 18 expertise expertise NOUN ecj-1516 40 19 of of ADP ecj-1516 40 20 evidence evidence NOUN ecj-1516 40 21 based base VERB ecj-1516 40 22 medicine medicine NOUN ecj-1516 40 23 , , PUNCT ecj-1516 40 24 risk risk NOUN ecj-1516 40 25 management management NOUN ecj-1516 40 26 , , PUNCT ecj-1516 40 27 economic economic ADJ ecj-1516 40 28 analysis analysis NOUN ecj-1516 40 29 , , PUNCT ecj-1516 40 30 ethic ethic ADJ ecj-1516 40 31 issues issue NOUN ecj-1516 40 32 , , PUNCT ecj-1516 40 33 legal legal ADJ ecj-1516 40 34 questions question NOUN ecj-1516 40 35 , , PUNCT ecj-1516 40 36 health health NOUN ecj-1516 40 37 care care NOUN ecj-1516 40 38 policy policy NOUN ecj-1516 40 39 , , PUNCT ecj-1516 40 40 organizational organizational ADJ ecj-1516 40 41 and and CCONJ ecj-1516 40 42 teamwork teamwork NOUN ecj-1516 40 43 theories theory NOUN ecj-1516 40 44 is be AUX ecj-1516 40 45 unknown unknown ADJ ecj-1516 40 46 . . PUNCT ecj-1516 41 1 on on ADP ecj-1516 41 2 the the DET ecj-1516 41 3 other other ADJ ecj-1516 41 4 hand hand NOUN ecj-1516 41 5 , , PUNCT ecj-1516 41 6 it it PRON ecj-1516 41 7 is be AUX ecj-1516 41 8 unlikely unlikely ADJ ecj-1516 41 9 that that SCONJ ecj-1516 41 10 any any PRON ecj-1516 41 11 medical medical ADJ ecj-1516 41 12 sub sub NOUN ecj-1516 41 13 - - NOUN ecj-1516 41 14 specialty specialty NOUN ecj-1516 41 15 will will AUX ecj-1516 41 16 produce produce VERB ecj-1516 41 17 specialists specialist NOUN ecj-1516 41 18 with with ADP ecj-1516 41 19 the the DET ecj-1516 41 20 knowledge knowledge NOUN ecj-1516 41 21 , , PUNCT ecj-1516 41 22 skills skill NOUN ecj-1516 41 23 and and CCONJ ecj-1516 41 24 attitudes attitude NOUN ecj-1516 41 25 necessary necessary ADJ ecj-1516 41 26 to to PART ecj-1516 41 27 steer steer VERB ecj-1516 41 28 a a DET ecj-1516 41 29 hta hta NOUN ecj-1516 41 30 approach approach NOUN ecj-1516 41 31 autonomously autonomously ADV ecj-1516 41 32 . . PUNCT ecj-1516 42 1 maybe maybe ADV ecj-1516 42 2 this this DET ecj-1516 42 3 process process NOUN ecj-1516 42 4 would would AUX ecj-1516 42 5 help help VERB ecj-1516 42 6 emergency emergency NOUN ecj-1516 42 7 medicine medicine NOUN ecj-1516 42 8 to to PART ecj-1516 42 9 open open VERB ecj-1516 42 10 wide wide ADJ ecj-1516 42 11 its its PRON ecj-1516 42 12 research research NOUN ecj-1516 42 13 and and CCONJ ecj-1516 42 14 operational operational ADJ ecj-1516 42 15 perspectives perspective NOUN ecj-1516 42 16 , , PUNCT ecj-1516 42 17 shifting shift VERB ecj-1516 42 18 its its PRON ecj-1516 42 19 paradigm paradigm NOUN ecj-1516 42 20 from from ADP ecj-1516 42 21 an an DET ecj-1516 42 22 obsessive obsessive ADJ ecj-1516 42 23 attention attention NOUN ecj-1516 42 24 to to ADP ecj-1516 42 25 targets target NOUN ecj-1516 42 26 of of ADP ecj-1516 42 27 questionable questionable ADJ ecj-1516 42 28 benefit benefit NOUN ecj-1516 42 29 for for ADP ecj-1516 42 30 the the DET ecj-1516 42 31 patients patient NOUN ecj-1516 42 32 and and CCONJ ecj-1516 42 33 the the DET ecj-1516 42 34 society society NOUN ecj-1516 42 35 to to ADP ecj-1516 42 36 a a DET ecj-1516 42 37 more more ADV ecj-1516 42 38 ethical ethical ADJ ecj-1516 42 39 , , PUNCT ecj-1516 42 40 sustainable sustainable ADJ ecj-1516 42 41 and and CCONJ ecj-1516 42 42 evidence evidence NOUN ecj-1516 42 43 based base VERB ecj-1516 42 44 approach approach NOUN ecj-1516 42 45 , , PUNCT ecj-1516 42 46 i.e. i.e. X ecj-1516 42 47 from from ADP ecj-1516 42 48 an an DET ecj-1516 42 49 output output NOUN ecj-1516 42 50 driven drive VERB ecj-1516 42 51 to to ADP ecj-1516 42 52 an an DET ecj-1516 42 53 outcome outcome NOUN ecj-1516 42 54 driven drive VERB ecj-1516 42 55 emergency emergency NOUN ecj-1516 42 56 medicine medicine NOUN ecj-1516 42 57 model model NOUN ecj-1516 42 58 . . PUNCT ecj-1516 43 1 references reference NOUN ecj-1516 43 2 1 1 NUM ecj-1516 43 3 . . PUNCT ecj-1516 44 1 mikhail mikhail PROPN ecj-1516 44 2 o o PROPN ecj-1516 44 3 , , PUNCT ecj-1516 44 4 swint swint PROPN ecj-1516 44 5 jm jm PROPN ecj-1516 44 6 , , PUNCT ecj-1516 44 7 brinker brinker PROPN ecj-1516 44 8 mr mr PROPN ecj-1516 44 9 , , PUNCT ecj-1516 44 10 et et PROPN ecj-1516 44 11 al al PROPN ecj-1516 44 12 . . PUNCT ecj-1516 44 13 technology technology PROPN ecj-1516 44 14 evolution evolution NOUN ecj-1516 44 15 : : PUNCT ecj-1516 44 16 the the DET ecj-1516 44 17 technology technology NOUN ecj-1516 44 18 spectrum spectrum NOUN ecj-1516 44 19 and and CCONJ ecj-1516 44 20 its its PRON ecj-1516 44 21 application application NOUN ecj-1516 44 22 to to ADP ecj-1516 44 23 orthopedic orthopedic ADJ ecj-1516 44 24 technologies technology NOUN ecj-1516 44 25 . . PUNCT ecj-1516 45 1 int int NOUN ecj-1516 45 2 j j PROPN ecj-1516 45 3 technol technol PROPN ecj-1516 45 4 assess assess NOUN ecj-1516 45 5 1999;15 1999;15 NUM ecj-1516 45 6 : : PUNCT ecj-1516 45 7 254 254 NUM ecj-1516 45 8 - - SYM ecj-1516 45 9 63 63 NUM ecj-1516 45 10 . . PUNCT ecj-1516 45 11 2 2 X ecj-1516 45 12 . . X ecj-1516 45 13 donabedian donabedian PROPN ecj-1516 45 14 a. a. NOUN ecj-1516 46 1 an an DET ecj-1516 46 2 introduction introduction NOUN ecj-1516 46 3 to to ADP ecj-1516 46 4 quality quality NOUN ecj-1516 46 5 assurance assurance NOUN ecj-1516 46 6 in in ADP ecj-1516 46 7 health health NOUN ecj-1516 46 8 care care NOUN ecj-1516 46 9 . . PUNCT ecj-1516 47 1 oxoford oxoford NOUN ecj-1516 47 2 : : PUNCT ecj-1516 47 3 oxford oxford PROPN ecj-1516 47 4 university university PROPN ecj-1516 47 5 press press NOUN ecj-1516 47 6 ; ; PUNCT ecj-1516 47 7 2003 2003 NUM ecj-1516 47 8 . . PUNCT ecj-1516 48 1 editorial editorial NOUN ecj-1516 48 2 non non PROPN ecj-1516 48 3 -co -co PROPN ecj-1516 48 4 mmerc mmerc PROPN ecj-1516 48 5 ial ial PROPN ecj-1516 48 6 us us PROPN ecj-1516 48 7 e e NOUN ecj-1516 48 8 o o NOUN ecj-1516 48 9 nly nly ADV