caa a22 4500 397576870 CHVBK 20180308164858.0 cr unu---uuuuu 161202e199603 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024465 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024465 The costs and benefits of helicopter emergency ambulance services in England and Wales [Elektronische Daten] [H. A. Snooks, J. P. Nicholl, J. E. Brazier, S. Lees-Mlanga] Background Following the introduction of Helicopter Emergency Ambulance Services (HEAS) in the United Kingdom in the last ten years this paper examines the costs and benefits of three contrasting services in Cornwall, London and Sussex Methods Pre-hospital processes of care were compared between helicopter attended patients and land ambulance patients in all three studies, and health outcomes were compared between helicopter and land ambulance patients in the Cornwall and London studies. A review of the literature on the benefits of HEAS has also been undertaken. Results There were no improvements in response times and the time on scene was longer for helicopter attended patients. Survival of trauma or cardiac patients attended by helicopter was not improved. In London there was some evidence of worse residual disability in helicopter attended survivors, but in Cornwall residual disability was better in helicopter attended patients. There was no improvement in general health status or aspects of daily living in the helicopter attended patients. The overall total operational costs for these services were £55000 p.a. in Sussex, £600000 in Cornwall and £1£2 million in London. Conclusion The analysis suggests that Helicopter Emergency Ambulance Services are costly, the health benefits are small, and there are limited circumstances in which the pre-hospital performance of an ambulance service in England and Wales can be improved. © Oxford University Press Articles nationallicence Helicopter Emergency Ambulance Services nationallicence health outcome nationallicence costs nationallicence benefits nationallicence ambulance nationallicence trauma nationallicence Snooks H. A. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut Nicholl J. P. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut Brazier J. E. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut Lees-Mlanga S. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut Journal of Public Health Oxford University Press 18/1(1996-03), 67-77 1741-3842 18:1<67 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024465 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024465 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Snooks H. A. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut NATIONALLICENCE 700 1- Nicholl J. P. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut NATIONALLICENCE 700 1- Brazier J. E. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut NATIONALLICENCE 700 1- Lees-Mlanga S. Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/1(1996-03), 67-77 1741-3842 18:1<67 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford