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Favourable cost-ben...
Favourable cost-benefit in an early defibrillation programme using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest
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- Sund, Björn, 1972- (författare)
- Örebro universitet,Handelshögskolan vid Örebro universitet
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- Svensson, Leif (författare)
- Department of Cardiology, Karolinska Institute, South Hospital, Stockholm
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- Rosenqvist, Mårten (författare)
- Department of Cardiology, Karolinska Institute, South Hospital, Stockholm
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- Hollenberg, Jacob (författare)
- Department of Cardiology, Karolinska Institute, South Hospital, Stockholm
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(creator_code:org_t)
- Engelska.
- Relaterad länk:
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https://oru.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Aims: Out-of-hospital cardiac arrest (OHCA) 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 evaluatethe effects of dual dispatch defibrillation. The increased survival rates were estimated from a real-world implemented intervention, and the monetary value of a life (€ 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 € 13 000 and the cost per saved life was € 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.
Ämnesord
- SAMHÄLLSVETENSKAP -- Ekonomi och näringsliv -- Nationalekonomi (hsv//swe)
- SOCIAL SCIENCES -- Economics and Business -- Economics (hsv//eng)
Nyckelord
- cost-benefit analysis
- cost-utility analysis
- cost-effectiveness analysis
- out-of-hospital cardiac arrest
- dual dispatch
- defibrillation
- Economics
- Nationalekonomi
- SOCIAL SCIENCES
- SAMHÄLLSVETENSKAP
- Economics
- Nationalekonomi
Publikations- och innehållstyp
- vet (ämneskategori)
- ovr (ämneskategori)