Undertaking FDI- by definition- means not investing in the MNE's home.docx
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Undertaking FDI, by definition, means not investing in the MNE's home country. What are the ethical dilemmas here? What are your recommendations as (1) MNE executives, (2) labor union leaders of your domestic (home-country) labor forces, (3) host-country officials, and (4) home-country officials? .
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PDM
UC
Incremental Value
Costs
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Not applicable
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52
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Incremental cost-effective ratio, b incremental cost per unit change in anxiety score
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a Sedative medications are included in ICU costs, and therefore, no adjustment in sedative medication costs were made for UC.
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Chlan LL, Heiderscheit A, Skaar DJ, Neidecker M.
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Objectives : Music intervention has been shown to reduce anxiety and sedative exposure among mechanically ventilated patients. Whether music intervention reduces ICU costs is not known. The aim of this study was to examine ICU costs for patients receiving a patient-directed music intervention compared with patients who received usual ICU care.
Design : A cost-effectiveness analysis from the hospital perspective was conducted to determine if patient-directed music intervention was cost-effective in improving patient-reported anxiety. Cost savings were also evaluated. One-way and probabilistic sensitivity analyses determined the influence of input variation on the cost-effectiveness.
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Patients : Adult ICU patients from a parent clinical trial receiving mechanical ventilatory support.
Interventions : Patients receiving the experimental patient-directed music intervention received a MP3 player, noise-canceling headphones, and music tailored to individual preferences by a music therapist.
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Cost-Effectiveness Components
PDM
UC
Incremental Value
Costs
Patient-directed music intervention, $
329
Not applicable
ICU cost, $
127,343
129,803
Physician cost, $
3,728
3,898
Sedative medication savings during PDM intervention period, a $
-22
Total cost, $
131,379
133,701
- 2,322
Effectiveness
Anxiety score (100-mm Visual Analogue Scale for Anxiety)
33
52
- 19
Study Outcomes
Incremental cost-effective ratio, b incremental cost per unit change in anxiety score
PDM dominates UC in 70% of probabilistic sensitivity analysis iterations
PDM = patient-directed music, UC = usual ICU care.
a Sedative medications are included in ICU costs, and therefore, no adjustment in sedative medication costs were made for UC.
b Incremental cost-effective ratio assumes a $0 willingness-to-pay to reduce the Visual Analogue Scale for Anxiety score by one unit.
Reference:
Chlan LL, Heiderscheit A, Skaar DJ, Neidecker M.
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