Comparing the Cost‐Effectiveness of Short Orthopedic Missions in Elective and Relief Situations in Developing Countries
Open Access
- 25 February 2011
- journal article
- research article
- Published by Wiley in World Journal of Surgery
- Vol. 35 (5), 951-955
- https://doi.org/10.1007/s00268-010-0947-9
Abstract
Background The earthquake that occurred in Haiti on 12 January 2010 elicited an unprecedented response from the American orthopedic community. Many small organizations, such as Operation Rainbow, were thrust into the unfamiliar environment of relief surgery, whereas they normally provide short elective reconstruction missions in developing countries. Materials Because of the chaotic nature of relief work, it was assumed that the organization’s efforts would be less cost-effective than their usual elective work. To evaluate this conclusion, the present study was designed to compare the cost-effectiveness of the organization’s usual elective missions with the emergency relief provided in the wake of the Haiti earthquake. Results and conclusions The assumption that emergency costs would be higher was proven wrong, with estimates of $362 per disability-adjusted life-year (DALY) averted in the elective group, and $343 per DALY averted in the relief group.Keywords
This publication has 17 references indexed in Scilit:
- Acellular Dermal Matrix in Tissue Expander Breast Reconstruction Predicts Increased Infection and Seroma in a Multivariate Regression ModelPlastic and Reconstructive Surgery, 2010
- Plastic Surgery during Natural Disasters: Lessons from HaitiPlastic and Reconstructive Surgery, 2010
- Re-establishing Surgical Care at Port-au-Prince General Hospital, HaitiJournal of the American College of Surgeons, 2010
- Operation Access: A Proven Model for Providing Volunteer Surgical Services to the Uninsured in the United StatesJournal of the American College of Surgeons, 2009
- Comparative Cost‐Effectiveness Analysis of Two MSF Surgical Trauma CentersWorld Journal of Surgery, 2009
- International Public Health in Third World Country Medical MissionsJournal of the American Podiatric Medical Association, 2009
- Cost‐Effectiveness of a District Trauma Hospital in Battambang, CambodiaWorld Journal of Surgery, 2008
- The Medical World is Flat TooWorld Journal of Surgery, 2008
- Smaller Teams for Humanitarian Missions in the Third WorldPlastic and Reconstructive Surgery, 2006
- Volunteering Overseas — Lessons from Surgical BrigadesNew England Journal of Medicine, 2006