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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- (author)
- Örebro universitet,Handelshögskolan vid Örebro Universitet
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- Svensson, Leif (author)
- Karolinska Institutet
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- Rosenquist, Mårten (author)
- Karolinska Institutet
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- Hollenberg, Jacob (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2011-07-08
- 2012
- English.
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In: European Journal of Health Economics. - : Springer. - 1618-7598 .- 1618-7601. ; 13:6, s. 811-818
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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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.
Subject headings
- SAMHÄLLSVETENSKAP -- Ekonomi och näringsliv -- Nationalekonomi (hsv//swe)
- SOCIAL SCIENCES -- Economics and Business -- Economics (hsv//eng)
Keyword
- Cost-benefit analysis; Cost-utility analysis; Cost-effectiveness analysis; Out-of-hospital cardiac arrest; Defibrillation; Fire services; Ambulance
- Economics
- Nationalekonomi
Publication and Content Type
- ref (subject category)
- art (subject category)
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