Modelling cost-effectiveness of replacement strategies for ambulance services in the Ministry of Health Malaysia

Table 4 The Cost-Effectiveness of Ambulance Replacement Strategy 2 vs. Strategy 1

	Strategy 1	Strategy 2	Incremental
Costs	153,888,999.21	166,938,858.63	13,049,859.42
Total operation cost per year, MYR	85,417,235.51	89,928,351.78	4,511,116.27
Total maintenance cost per year, MYR	3,793,496.91	3,762,545.81	-30,951.10
Total repair cost per year, MYR	531,427.53	260,722.05	-270,705.48
Total replacement cost per year, MYR	68,576,975.73	78,067,288.36	9,490,312.63
Total resale value per year, MYR	4,430,136.46	5,080,049.36	649,912.90
Total cost per year, MYR^a	153,888,999.21	166,938,858.63	13,049,859.42
Effectiveness
Missed trips per year	235,140	202,080	-33,060
Death per year^b	8,230	7,073	-1,157
Lives saved per year^c	-	-	1,157
ICER	-	11,276.61	-

^aTotal cost per year is calculated by summing up the costs of operation, maintenance, repair and replacement and subtracting the resale value
^bBased on the mortality rate of patient unattended or non-conveyed by ambulance [3]
^clife saved is defined as the number of deaths averted, which is the opposite of incremental death

ISSN: 1472-6963