|Title:||Cost-effectiveness analysis of telemedical devices for pre-clinical traffic accident emergency rescue in Germany|
|Authors :||Auerbach, Holger|
|Published in :||Technology and Health Care : official journal of the European Society for Engineering and Medicine|
|Publisher / Ed. Institution :||IOS Press|
|License (according to publishing contract) :||Licence according to publishing contract|
|Type of review:||Peer review (Abstract)|
|Subjects :||Cost-benefit analysis; Telemedicine; Traffic-accident; Emergency medical service; Ambulance; Traffic accident|
|Subject (DDC) :||362: Health and social services |
610: Medicine and health
|Abstract:||Objective: Since the European Commission set a goal of reducing the number of road accident deaths across the EU by 2010 to one half, the use of telemedicine for pre-clinical traffic accident emergency rescue is very high on the agenda. This study assesses the cost-effectiveness of two equipment versions of a telemedical device for pre-clinical traffic accident emergency rescues in Germany compared at baseline assumptions. Methods: Cost-effectiveness analysis with multi-way sensitivity-analysis is performed from a societal perspective. Costs resulting from personal injury, wasted journeys and erroneous dispatching of rescue services are based on data from the German Federal Highway Research Institute. The effects (life years gained) are based on probabilities for reducing therapy-free intervals and improvements in first-aid provided by laypersons derived from two logistic regression models, based on data from the GIDAS database. Results: The cost-effectiveness ratio of the version ?Automatic Accident Alert? (? 247,977 per life year gained) would be slightly higher than of the full equipment version (? 239,524 per life year gained). Decreasing costs of devices would disproportionately reduce total costs and rapid market penetration would largely increase the cost-effectiveness ratio of both devices. Conclusion: The net costs per life year gained in the application of the two versions of the telemedical device are very high. The implementation of the devices seems only realistic as part of a larger European co-ordinated initiative.|
|Departement:||School of Management and Law|
|Publication type:||Article in scientific Journal|
|Appears in Collections:||Publikationen School of Management and Law|
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