Evaluation of the Consequences and Costs of the Anglo-American System in the Pre-Hospital Emergency Department of Yazd in 2018

Mohsen  Pakdaman; Roohollah  Askari; Ahmad Dehghan; Saeedreza  Pahlavanpoor; Alireza  Nikafshan

doi:10.18502/jebhpme.v7i1.12354

Mohsen Pakdaman Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Roohollah Askari Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Ahmad Dehghan Accident and Crisis Prevention Research Center, Yazd Emergency Organization, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Saeedreza Pahlavanpoor Accident and Crisis Prevention Research Center, Yazd Emergency Organization, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Alireza Nikafshan Health Policy and Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/jebhpme.v7i1.12354

Keywords: Ambulance, Pre-hospital, Medical emergencies, Anglo-American , Cost

Abstract

Background: One of the most important tasks of health care managers is allocateing resources, controling them and ensuring their effective use when available. This study examines the consequences and costs of emergency services in Yazd in 2018.

Methods: This was a descriptive-analytical study performed on patients of 11 centers in Yazd in 2018. The population of the city was approximately 750,000 in 2018 (1). Direct and indirect costs were extracted, and the consequences and costs of Yazd emergency in 2018 were calculated in riyal and Dollars.

Results: This study showed that in 2018, out of 173154 contacts, 37988 cases led to the dispatch of an ambulance, and the response rate was 18 %. The rate of hospitalization was 52 %. The average time of dispatch in Yazd pre-hospital emergency department was (10:48) in 2018. Of the 59 high-risk patients who were transported to Yazd's pre-hospital emergency in 2018, 5 patients had successful cardiopulmonary resuscitation(discharge from the hospital). In other words, effectiveness and saving people from death was 8.4 %. Depreciation costs in the pre-hospital emergency department of Yazd in 2018 amounted to 65,061 Dollars (9,759,264,923 Rial). The cost of personnel salaries and benefits was 39669829 Dollars ( 59504743663 Rial). This amount was about 40 % of the total cost of the year for pre-hospital emergency in Yazd city. The average cost of each mission-dispatch was 25 Dollars (3775967 Rial).

Conclusion: This study examines the consequences and costs of per hospital emergency department in Yazd in 2018. The high number of unnecessary calls to Yazd emergency department calls for the need to raise public awareness. Moreover, the lack of need to transfer half of these people to hospital requires training and retraining of telephone triage nurses.