Evaluation of the Consequences and Costs of the Anglo-American System in the Pre-Hospital Emergency Department of Yazd in ۲۰۱۸

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 ۲۰۱۸. Methods: This was a descriptive-analytical study performed on patients of ۱۱ centers in Yazd in ۲۰۱۸. The population of the city  was approximately ۷۵۰,۰۰۰  in ۲۰۱۸ (۱). Direct and indirect costs were extracted, and the consequences and costs of Yazd emergency in ۲۰۱۸ were calculated in riyal and Dollars. Results: This study showed that in ۲۰۱۸, out of ۱۷۳۱۵۴ contacts, ۳۷۹۸۸ cases led to the dispatch of an ambulance, and the response rate was ۱۸ %. The rate of hospitalization was ۵۲ %. The average time of dispatch in  Yazd pre-hospital emergency department was (۱۰:۴۸) in ۲۰۱۸. Of the ۵۹ high-risk patients who were transported to Yazd's pre-hospital emergency in ۲۰۱۸, ۵ patients had successful cardiopulmonary resuscitation(discharge from the hospital). In other words, effectiveness and saving people from death was ۸.۴ %. Depreciation costs in the pre-hospital emergency department of Yazd in ۲۰۱۸ amounted to ۶۵,۰۶۱ Dollars (۹,۷۵۹,۲۶۴,۹۲۳ Rial). The cost of personnel salaries and benefits was ۳۹۶۶۹۸۲۹ Dollars ( ۵۹۵۰۴۷۴۳۶۶۳ Rial). This amount was about ۴۰ % of the total cost of the year for pre-hospital emergency in Yazd city. The average cost of each mission-dispatch was ۲۵ Dollars (۳۷۷۵۹۶۷ Rial). Conclusion: This study examines the consequences and costs of per hospital emergency department in Yazd in ۲۰۱۸. 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.

Keywords:

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