Bruhn J D, Williams K A, Aghababian R
Department of Economics, Clark University.
Air Med J. 1993 Aug;12(8):262-8. doi: 10.1016/S1067-991X(05)80311-6.
The economic model created in this paper replaces the existing University of Massachusetts Medical Center's New England Life Flight (NELF) helicopter ambulance service with a ground ambulance system to investigate comparative costs. The model is based on a less than 30-minute response time to the patient, similar medical team staffing and equal service area. The annual budgetary cost of the replacement ground network is $3,804,000 while the helicopter ambulance costs are $1,686,500 (based on 1991 dollars). The cost per patient transported is $4,475 for the ground system and $2,811 for the helicopter system. The comparison finds that the commonly held notion that condemns helicopters as an excessively expensive technology for patient transport is incorrect. Future research to address intermediate alternatives using similar analytical technology assessment techniques is recommended.
本文创建的经济模型用地面救护车系统取代了现有的马萨诸塞大学医学中心的新英格兰生命飞行（NELF）直升机救护服务，以调查成本比较情况。该模型基于对患者不到30分钟的响应时间、类似的医疗团队人员配备和相同的服务区域。替代地面网络的年度预算成本为380.4万美元，而直升机救护成本为168.65万美元（基于1991年美元）。地面系统运送每位患者的成本为4475美元，直升机系统为2811美元。比较结果发现，通常认为直升机作为运送患者的技术过于昂贵的观念是错误的。建议未来使用类似的分析技术评估方法进行中间替代方案的研究。
