umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Regional intensive care transports: a prospective analysis of distance, time and cost for road, helicopter and fixed-wing ambulances
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård. (Arcum)
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.ORCID-id: 0000-0002-1633-2179
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård. (Arcum)
2014 (engelsk)Inngår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, s. 36-Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: There are three different types of ambulance systems, all of which can manage the same secondary intensive care patient transport mission: road ambulance, rotor-wing ambulance, and fixed-wing ambulance. We hypothesized that costs for specific transport distances would differ between systems. We aimed to analyze distances and observed times for ambulance intensive care secondary transport missions together with system costs to assess this. Methods: We prospectively collected data for consecutive urgent intensive care transports into the regional tertiary care hospital in the northern region of Sweden. Distances and transport times were gathered, and a cost model was generated based on these together with fixed and operating costs from the three different ambulance systems. Distance-cost and time-cost estimations were then generated for each transport system. Results: Road ambulance cost relatively less for shorter distances (within 250 kilometers/155 miles) but were relatively time ineffective. The rotor-wing systems were most expensive regardless of distance; but were most time-effective up to 400-500 km (248-310 miles). Fixed-wing systems were more cost-effective for longer distance (300 km/186 miles), and time effective for transports over 500 km (310 miles). Conclusions: In summary, based on an economic model developed from observed regional ICU patient transports, and cost estimations, different ambulance system cost-distances could be compared. Distance-cost and time results show that helicopters can be effective up to moderate ICU transport distances (400-500), though are expensive to operate. For longer ICU patient transports, fixed-wing transport systems are both cost and time effective compared to helicopter-based systems.

sted, utgiver, år, opplag, sider
2014. Vol. 22, s. 36-
Emneord [en]
Ambulance, Intensive care transport, Helicopter, Road ambulance, Fixed-wing ambulance, Health economics
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-91277DOI: 10.1186/1757-7241-22-36ISI: 000338300200001OAI: oai:DiVA.org:umu-91277DiVA, id: diva2:735470
Tilgjengelig fra: 2014-07-28 Laget: 2014-07-28 Sist oppdatert: 2018-06-07bibliografisk kontrollert

Open Access i DiVA

fulltext(410 kB)405 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 410 kBChecksum SHA-512
a763b11aa918953cf28294d69aaa25de7ec7924965d5b3728eb73377de4969e39783ca1854d0241461ae0c2a494c6b1bbd1a050975b279c2b98305058d48ce9e
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekst

Personposter BETA

Brändström, HelgeWinsö, OlaLindholm, LarsHaney, Michael

Søk i DiVA

Av forfatter/redaktør
Brändström, HelgeWinsö, OlaLindholm, LarsHaney, Michael
Av organisasjonen
I samme tidsskrift
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 405 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 504 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf