Health care cost savings from Australian Poisons Information Centre advice for low risk exposure calls: SNAPSHOT 2

被引:10
作者
Huynh, Alanna [1 ,2 ]
Cairns, Rose [1 ,3 ]
Brown, Jared A. [1 ]
Jan, Stephen [4 ]
Robinson, Jeff [5 ]
Lynch, Ann-Maree [6 ]
Wylie, Carol [7 ]
Buckley, Nicholas A. [2 ]
Dawson, Andrew H. [2 ]
机构
[1] Childrens Hosp Westmead, NSW Poisons Informat Ctr, Cnr Hawkesbury Rd & Hainsworth St Westmead, Sydney, NSW 2145, Australia
[2] Univ Sydney, Sch Med Sci, Sydney, NSW, Australia
[3] Univ Sydney, Fac Pharm, Sydney, NSW, Australia
[4] Univ New South Wales, George Inst Global Hlth, Sydney, NSW, Australia
[5] Austin Hosp, Victorian Poisons Informat Ctr, Melbourne, Vic, Australia
[6] Sir Charles Gairdner Hosp, Western Australian Poisons Informat Ctr, Perth, WA, Australia
[7] Lady Cilento Childrens Hosp, Queensland Poisons Informat Ctr, Brisbane, Qld, Australia
基金
英国医学研究理事会;
关键词
Economics; health economics; cost effectiveness; health resource utilisation; Australian Poisons Centre;
D O I
10.1080/15563650.2019.1686513
中图分类号
R99 [毒物学(毒理学)];
学科分类号
100405 ;
摘要
Introduction: To estimate cost savings from the Australian Poisons Information Centres (PIC) through reductions in unnecessary health resources following unintentional low toxicity poisonings. Methods: Two telephone surveys were conducted. The first to PIC callers over a one-week period about unintentional exposures where the callers' alternate course of action in the hypothetical situation in which the PIC did not exist was questioned. The second survey to determine the proportion of callers followed PIC advice. We estimated cost savings associated with instances where individuals acted on advice not to present to hospital, when they indicated they would have otherwise as well as savings from preventing unnecessarily utilisation of medical resources. Database records of unintentional poisonings from all Australian PICs for 2017 were used. Results: A total of 958 consecutive callers were surveyed. PIC advised 91% of callers to stay at home, remaining callers were referred to hospital (5%), to their GP (3%) or given other recommended management advice (1%). PIC advice was followed by 97.6% of callers. In PIC absence, 22% of callers who were advised to stay home would have presented to hospital (3% via ambulance), 8% would visit their General Practitioner (GP) and only 9% would stay at home. In 2017, PICs were called about 94,913 unintentional poisonings; and PICs generated at least $10.1 million in annual savings. Conclusion: In 2017, PICs provided at least a three-fold return on investment for every dollar invested, demonstrating that PICs are a highly cost effective service.
引用
收藏
页码:752 / 757
页数:6
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