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Exploring the economics of helicopter rescue in Australia

Colman B Taylor, Stephen Jan and John A Myburgh
Med J Aust 2012; 197 (9): . || doi: 10.5694/mja12.10737
Published online: 5 November 2012

Do helicopters deliver value for the emergency care dollar?

Helicopter emergency medical services (HEMS) have a considerable history in Australia, with operations in Sydney dating back to 1973. HEMS have evolved from their original use in water-based search and rescue to become an established mode of medical transport in the local health system, helping to alleviate the “tyranny of distance” that restricts equitable access to health care in Australia.


  • The George Institute for Global Health, Sydney, NSW.



Acknowledgements: 

John Myburgh is supported by a National Health and Medical Research Council Practitioner Fellowship, St George Clinical School, the University of New South Wales and South Eastern Sydney Local Health District.

Competing interests:

Colman Taylor has a part-time position with Novartis. John Myburgh has a staff specialist position funded by NSW Health.

  • 1. Keating M, Cox J, Cifuentes C. Review of financial aspects of the ambulance service of NSW. Sydney: Independent Pricing and Regulatory Tribunal of New South Wales, 2005. http://www.sfaq.ipart.nsw.gov.au/investigation_content.asp?industry=5&sector=15&inquiry=76&expand=all (accessed Apr 2012).
  • 2. Galvagno SM Jr, Haut ER, Zafar SN, et al. Association between helicopter vs ground emergency medical services and survival for adults with major trauma. JAMA 2012; 307: 1602-1610.
  • 3. Taylor CB, Stevenson M, Jan S, et al. An investigation into the cost, coverage and activities of Helicopter Emergency Medical Services in the state of New South Wales, Australia. Injury 2011; 42: 1088-1094.
  • 4. Taylor CB, Stevenson M, Jan S, et al. A systematic review of the costs and benefits of helicopter emergency medical services. Injury 2010; 41: 10-20.
  • 5. Taylor CB, Jan S, Curtis K, et al. The cost-effectiveness of physician staffed Helicopter Emergency Medical Service (HEMS) transport to a major trauma centre in NSW, Australia. Injury 2012; Aug 13. [Epub ahead of print.]
  • 6. The Audit Office of New South Wales. Helicopter emergency medical service contract: NSW Health, NSW Ambulance Service. http://www.ambulance.nsw.gov.au/Media/docs/100922%20full%20report%20audit-3d4850b7-0711-456e-ab00-a06215760e88-0.pdf (accessed April 2012).
  • 7. Holland J, Cooksley DG. Safety of helicopter aeromedical transport in Australia: a retrospective study. Med J Aust 2005; 182: 17-19.
  • 8. Garner AA. The role of physician staffing of helicopter emergency medical services in prehospital trauma response. Emerg Med Australas 2004; 16: 318-323.
  • 9. Ringburg AN, Buljac M, Stolk EA, et al. Willingness to pay for lives saved by Helicopter Emergency Medical Services. Prehosp Emerg Care 2009; 13: 37-43.
  • 10. Olsen JA, Donaldson C. Helicopters, hearts and hips: using willingness to pay to set priorities for public sector health care programmes. Soc Sci Med 1998; 46: 1-12.

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