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Favourable cost-ben...
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Sund, Björn,1972-Örebro universitet,Handelshögskolan vid Örebro Universitet
(författare)
Favourable cost-benefit in an early defibrillation programme using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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2011-07-08
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Springer,2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-26327
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-26327URI
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https://doi.org/10.1007/s10198-011-0338-7DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:125869912URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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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 ( 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.
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Svensson, LeifKarolinska Institutet
(författare)
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Rosenquist, MårtenKarolinska Institutet
(författare)
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Hollenberg, JacobKarolinska Institutet
(författare)
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Örebro universitetHandelshögskolan vid Örebro Universitet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Health Economics: Springer13:6, s. 811-8181618-75981618-7601
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