Cost-Effectiveness Analysis of Telemedical Devices for Pre-Clinical Traffic Accident Emergency Rescue in Germany

Technology and Health Care, Vol. 14, No. 3, pp. 189-197, 2006

Posted: 29 Mar 2010 Last revised: 20 Aug 2010

See all articles by Holger Auerbach

Holger Auerbach

Winterthur Institute of Health Economics

Jonas Schreyoegg

University of Hamburg - Faculty of Economics and Business Administration

Reinhard Busse

Technische Universität Berlin (TU Berlin)

Date Written: 2006

Abstract

OBJECTIVES: The purpose of this study is to assess the cost-effectiveness (net costs per life year gained) of telemedical devices for pre-clinical traffic accident emergency rescue in Germany.

METHODS: Two equipment versions of a telemedical device are compared from a societal perspective with the baseline in Germany, i.e. the non-application of telemedicine in emergency rescues. The analysis is based on retrospective statistical data covering a period of 10 years with discounted costs not adjusted for inflation. Due to the uncertainty of data, certain assumptions and estimates were necessary. The outcome is measured in terms of "life years gained" by reducing therapy-free intervals and improvements in first-aid provided by laypersons.

RESULTS: The introduction of the basic equipment version, "Automatic Accident Alert", is associated with net costs per life year gained of euro 247,977 (at baseline assumptions). The full equipment version of the telemedical device would lead to estimated net costs of euro 239,524 per life year gained. Multi-way sensitivity-analysis with best and worst case scenarios suggests that decreasing system costs would disproportionately reduce total costs, and that rapid market penetration would largely increase the system's benefit, while simultaneously reducing costs.

CONCLUSION: The net costs per life year gained in the application of the two versions of the telemedical device for pre-clinical emergency rescue of traffic accidents are estimated as quite high. However, the implementation of the device as part of a larger European co-ordinated initiative is more realistic.

Suggested Citation

Auerbach, Holger and Schreyoegg, Jonas and Busse, Reinhard, Cost-Effectiveness Analysis of Telemedical Devices for Pre-Clinical Traffic Accident Emergency Rescue in Germany (2006). Technology and Health Care, Vol. 14, No. 3, pp. 189-197, 2006. Available at SSRN: https://ssrn.com/abstract=1574163

Holger Auerbach

Winterthur Institute of Health Economics ( email )

St.-Georgen-Strasse 70
P.O.Box
Winterthur, 8401
Switzerland

HOME PAGE: http://www.wig.ch

Jonas Schreyoegg (Contact Author)

University of Hamburg - Faculty of Economics and Business Administration ( email )

Von-Melle-Park 5
Hamburg, 20146
Germany

Reinhard Busse

Technische Universität Berlin (TU Berlin) ( email )

Straße des 17
Juni 135
Berlin, 10623
Germany

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