dc.contributor.author
Thal, Franziska
dc.contributor.author
Reinhold, Thomas
dc.date.accessioned
2023-11-06T15:15:22Z
dc.date.available
2023-11-06T15:15:22Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/41461
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-41183
dc.description.abstract
Background: Since establishing the first poison control centers (PCCs), there is a still ongoing debate regarding their relevance and financing. The present study aims to analyze whether a regional PCC can reduce the economic burden associated with utilization of health care structures due to low-risk poison exposures on the German health care system.
Methods: A decision-tree based cost-benefit analysis comparing a situation utilizing PCC consultation versus a hypothetical situation without PCC consultation for low-risk poison exposures from the German health care system's perspective was conducted. The model inputs were obtained by a representative telephone survey of lay callers supplemented by empirical PCC and literature data. A probabilistic and deterministic sensitivity analysis with varying input variables was performed to prove the robustness of the findings.
Results: In the underlying telephone survey, data of 378 lay callers could be considered and included in the decision tree model. As a result, the mean costs for handling one low-risk poison exposure case were euro 41.99 utilizing PCC consultation compared to euro 145.92 without PCC consultation, indicating a cost-benefit ratio of 3.48 for the existence of the PCC. The sensitivity analysis proved that the outcome of the decision analysis does not change significantly with varying inputs.
Conclusion: The existence of PCCs relieve the burden on other health care providers and reduce health care costs to a relevant extent. Therefore, PCCs should be considered as an important supporting structure of the German health care system.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Decision tree
en
dc.subject
Health care costs
en
dc.subject
Cost-benefit-analysis
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Advice for lay callers with low-risk poison exposures by a regional poison control center: the impact on health care expenditures
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
243
dcterms.bibliographicCitation.doi
10.1186/s13690-022-00994-0
dcterms.bibliographicCitation.journaltitle
Archives of Public Health
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
80
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
36451203
dcterms.isPartOf.eissn
2049-3258