RT Journal Article
SR Electronic
T1 Can the published cost analysis data for delivery of an efficient primary angioplasty service be applied to the modern National Health Service?
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 1262
OP 1264
DO 10.1136/hrt.2004.059402
VO 91
IS 10
A1 N Melikian
A1 K Morgan
A1 K J Beatt
YR 2005
UL http://heart.bmj.com/content/91/10/1262.abstract
AB Despite the clinical benefits and safety profile of primary percutaneous coronary intervention (PCI), the health care system in the UK has been slow to adopt this strategy as first line management for ST segment elevation myocardial infarction. The cost implications of a 24 hour a day, seven days per week primary PCI service and the absence of an existing efficient working model within the National Health Service (NHS) framework are two of the major deterrents for provision of such a service. The existent cost effectiveness data for primary PCI is critically reviewed, with particular reference to the NHS.