Working Papers, School of Business, Örebro University
Favourable cost-benefit in an early defibrillation program using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest
(), Leif Svensson, Mårten Rosenqvist and Jacob Hollenberg
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 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, call-outs for the fire services,
overhead resources and costs for 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.
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.
Keywords: Cost-benefit analysis; cost-utility analysis; cost-effectiveness analysis; cardiac arrest; defibrillation; ambulance; fire services; (follow links to similar papers)
JEL-Codes: D61; H43; I18; (follow links to similar papers)
26 pages, October 19, 2010
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