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Favourable cost-benefit in an early defibrillation programme using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest
Örebro University, Örebro University School of Business.
Department of Cardiology, South Hospital, Karolinska Institute, Stockholm, Sweden.
Department of Cardiology, South Hospital, Karolinska Institute, Stockholm, Sweden.
Department of Cardiology, South Hospital, Karolinska Institute, Stockholm, Sweden.
2012 (English)In: European Journal of Health Economics, ISSN 1618-7598, E-ISSN 1618-7601, Vol. 13, no 6, p. 811-818Article in journal (Refereed) Published
Abstract [en]

AIMS: Out-of-hospital cardiac arrest is fatal without treatment, and time to defibrillation is an extremely important factor in relation to survival. We performed a cost-benefit analysis of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm, Sweden.

METHODS AND RESULTS: A cost-benefit analysis was performed to evaluate the effects of dual dispatch defibrillation. The increased survival rates were estimated from a real-world implemented intervention, and the monetary value of a life (<euro> 2.2 million) was applied to this benefit by using results from a recent stated-preference study. The estimated costs include defibrillators (including expendables/maintenance), training, hospitalisation/health care, fire service call-outs, overhead resources and the dispatch centre. The estimated number of additional saved lives was 16 per year, yielding a benefit-cost ratio of 36. The cost per quality-adjusted life years (QALY) was estimated to be <euro> 13,000, and the cost per saved life was <euro> 60,000.

CONCLUSIONS: The intervention of dual dispatch defibrillation by ambulance and fire services in the County of Stockholm had positive economic effects. For the cost-benefit analysis, the return on investment was high and the cost-effectiveness showed levels below the threshold value for economic efficiency used in Sweden. The cost-utility analysis categorises the cost per QALY as medium.

Place, publisher, year, edition, pages
Springer, 2012. Vol. 13, no 6, p. 811-818
Keywords [en]
Cost-benefit analysis; Cost-utility analysis; Cost-effectiveness analysis; Out-of-hospital cardiac arrest; Defibrillation; Fire services; Ambulance
National Category
Economics
Research subject
Economics
Identifiers
URN: urn:nbn:se:oru:diva-26327DOI: 10.1007/s10198-011-0338-7ISI: 000313009800011PubMedID: 21739334Scopus ID: 2-s2.0-84870483443OAI: oai:DiVA.org:oru-26327DiVA, id: diva2:562882
Available from: 2012-10-26 Created: 2012-10-26 Last updated: 2017-12-07Bibliographically approved

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