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Article ; Online: Lessons Learned From an Analysis of the Emergency Medical Services' COVID-19 Drive-Through Testing Facilities in Israel.

Zmora, Itay / Alpert, Evan Avraham / Shacham, Uri / Mishraki, Nisim / Jaffe, Eli

Disaster medicine and public health preparedness

2021  Volume 16, Issue 5, Page(s) 2091–2096

Abstract: ... of drive-through testing complexes. The objective of this study is to learn lessons from an analysis ... National Emergency Medical Services (EMS) Organization undertook this mission by operating a nationwide series ... of home testing was estimated at 74.5 USD compared with 6.55 USD in the drive-through centers ...

Abstract One strategy for the containment of a pandemic is mass testing. Magen David Adom (MDA), the Israeli National Emergency Medical Services (EMS) Organization undertook this mission by operating a nationwide series of drive-through testing complexes. The objective of this study is to learn lessons from an analysis of these centers. Data from 198 stationary and mobile drive-through complexes from March 20, 2020, through October 17, 2020, were analyzed for temporal and geographic factors, and cost. Also, an operational improvement program was implemented and analyzed. A total of 931,074 patients were sampled in the MDA drive-through system: 46.9% in stationary complexes, and 53.1% in mobile complexes. The optimized cost per patient of home testing was estimated at 74.5 USD compared with 6.55 USD in the drive-through centers. An operational improvement program lowered the total sampling time from 128 s/patient to 98 s and decreased the total cost per patient from 6.55 USD to 6.27 USD. The EMS led drive-through complexes were cost-effective and efficient in performing large numbers of viral tests, especially when compared with home testing. Established concepts in clinical operations should be implemented to increase the number of persons that can be tested and decrease cost.
MeSH term(s) Humans ; COVID-19/diagnosis ; COVID-19/epidemiology ; Israel ; Emergency Medical Services ; Pandemics/prevention & control
Language English
Publishing date 2021-02-16
Publishing country United States
Document type Journal Article
ZDB-ID 2375268-3
ISSN 1938-744X ; 1935-7893
ISSN (online) 1938-744X
ISSN 1935-7893
DOI 10.1017/dmp.2021.50
Database MEDical Literature Analysis and Retrieval System OnLINE

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