Time Gain Needed for In-Ambulance Telemedicine: Cost-Utility Model

Partners/ Authors	Alexis Valenzuela Espinoza, MSc, Stefanie Devos, PhD, Robbert-Jan van Hooff, MD, PhD, Maaike Fobelets, MSc, Alain Dupont, MD, PhD, Maarten Moens, MD, PhD, Ives Hubloue, MD, PhD, Door Lauwaert, RN, Pieter Cornu, PhD, Raf Brouns, MD, PhD and Koen Putman, PhD
Start & end date	2017
Focus	We aim to develop a first cost effectiveness model for in-ambulance telemedicine and use this model to estimate the time savings needed before in-ambulance telemedicine becomes cost effective.
Outcome	In a cohort of 1000 patients, 4.9 QALYs are gained and US $4040 (€3040) in long-term costs are avoided. The savings of earlier stroke treatment outweigh the cost for implementation of in-ambulance telemedicine and higher utilization rates of specific stroke treatments (IVT and EVT). After 3 months, unfavorable outcome is avoided in 2.42 additional patients, resulting in long-term  savings for society.
Website	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722977/

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