Οι αεροδιακομιδές στην Ελλάδα : η επιχειρησιακή και οικονομική διάσταση
The air transport of patients in Greece : operational and economic aspects
KeywordsΑεροδιακομιδές ; Κόστος ; Ασθενείς ; Νησιά ; Air medical transfers ; Cost ; Patients ; Islands
The aim of the air medical transfers is the fast and safe transfer of patients from the scene or a health care unit to a more specialized health care unit. The medical crew should include a physician trained in the intensive care unit, a nurse or/and a rescuer. The aim of this study was the depiction of the map of the air medical transfers in Greece and the way they were affected by the economic crisis. This is a research study, conducted by collecting data from the ambulance services and the Air Force for the period 2010 to 2014. The Ambulance service allocated data on patient age, place of origin, the insurer and the mean of transport, while the air Force provided data by year and month concerning the type of aircraft, the number of missions, the hours of flights and the number of patients. The hourly cost of flight for each aircraft is defined by the law 2808/2013. In 2014 totally 2298 (83.8%) from 2743 air transfers were made, in 2013 done 2187 (82.4%), in 2012 made 2153 (82.2%), in 2011 done 2158 (82.3%) and 2010 done 2193 (83.8%) air medical transfers. From 2010 to 2012, the air medical transfers decreased by 1.8% and then increased by 6.3%. The Greek Air Force prefers the Super Puma AS-232 (617,8 flying hours), then the A-109 (225.4 flying hours) and rarely the AB-205 (50.2 flying hours). The AB-205 has approximately 33.3% higher hourly operating costs than the other helicopters (8000 versus 6000 euros per patient). The Air Force primarily used the C27-J (692,9 flight hours) and less the C-130 (733,9 flying hours), and since 2012 that started the economic crisis, the hours of flights of C27- J reduced by 71.7% and increased the C-130 by approximately 135.9%. The cost per patient of C-130 is almost twice than the C27-J (11001.3 vs 5902.4 euros for the year 2014). The economic crisis has changed the pattern of air medical transfers making them more cost effective. In order to reduce the cost of air medical transfers, telemedicine has to be applied to the islands.