Institute for Global Othopaedics and Traumatology, University of California San Francisco, 1001 Potrero Ave., Room 3A36, San Francisco, CA 94110, USA.
World J Surg. 2011 May;35(5):951-5. doi: 10.1007/s00268-010-0947-9.
The earthquake that occurred in Haiti on 12 January 2010 elicited an unprecedented response from the American orthopedic community. Many small organizations, such as Operation Rainbow, were thrust into the unfamiliar environment of relief surgery, whereas they normally provide short elective reconstruction missions in developing countries.
Because of the chaotic nature of relief work, it was assumed that the organization's efforts would be less cost-effective than their usual elective work. To evaluate this conclusion, the present study was designed to compare the cost-effectiveness of the organization's usual elective missions with the emergency relief provided in the wake of the Haiti earthquake.
The assumption that emergency costs would be higher was proven wrong, with estimates of $362 per disability-adjusted life-year (DALY) averted in the elective group, and $343 per DALY averted in the relief group.
2010 年 1 月 12 日海地发生的地震引发了美国矫形外科界前所未有的反应。许多小型组织，如彩虹行动，被投入到救灾手术这一陌生的环境中，而他们通常在发展中国家提供短期选修重建任务。
由于救灾工作的混乱性质，人们认为该组织的工作效率会低于他们通常的选修工作。为了验证这一结论，本研究旨在比较该组织通常的选修任务与海地地震后提供的紧急救援的成本效益。
事实证明，紧急救援成本会更高的假设是错误的，选修组每避免一个残疾调整生命年（DALY）的估计成本为 362 美元，而救援组为 343 美元。
