Scandinavian Working Papers in Economics
Working Papers,
Örebro University, School of Business
No 2010:13: Favourable cost-benefit in an early defibrillation program using dual dispatch of ambulance and fire services in out-of-hospital cardiac arrest
Björn Sund (), Leif Svensson, Mårten Rosenqvist and Jacob Hollenberg
Additional contact information
Björn Sund: Department of Business, Economics, Statistics and Informatics, Postal: Örebro University, Swedish Business School, SE - 701 82 ÖREBRO, Sweden
Leif Svensson: Department of Cardiology, Postal: Karolinska Institute, South Hospital, Stockholm, Sweden
Mårten Rosenqvist: Department of Cardiology, Postal: Karolinska Institute, South Hospital, Stockholm, Sweden
Jacob Hollenberg: Department of Cardiology, Postal: Karolinska Institute, South Hospital, Stockholm, Sweden
Abstract:
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.
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.
Keywords: Cost-benefit analysis; cost-utility analysis; cost-effectiveness analysis; cardiac arrest; defibrillation; ambulance; fire services
26 pages, October 19, 2010
Full text files
wp-13-2010.pdf
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