Abstract
Objectives: To make detailed calculations on the direct medical costs of injuries in the Netherlands to support priority setting in prevention.
Methods: A computerised, incidence based model for cost calculations was developed and incidence figures derived from the Dutch Injury Surveillance System (LIS) which provides national estimates of the annual number of patients treated at an emergency department. A comprehensive set of cost elements (that is, health care segments) was obtained from health care registrations and a LIS patient survey. Patients were assigned to specific groups based on LIS characteristics (for example, age, injury type). Average costs per patient group were calculated for each cost element and total costs estimated by adding costs for all patient groups.
Results: The direct costs of injury average 2000 guilders per injury patient attending an emergency department. Home and leisure injuries account for over half of the costs, although cost per patient is highest for motor vehicle injuries. Injuries to the lower extremities account for almost half of the total costs and are incurred mainly in the home or recreation. Motor vehicle crashes are the major cause of head injuries.
Conclusions: The model permits continuous and detailed monitoring of injury costs. Estimates can be compiled for any LIS patient group or injury subcategory. The results can be used to rank injuries for prioritisation of prevention by injury categories (for example, traffic, home, or leisure), or by specific scenarios (for example, fall at home).
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Selected References
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- Hartunian N. S., Smart C. N., Thompson M. S. The incidence and economic costs of cancer, motor vehicle injuries, coronary heart disease, and stroke: a comparative analysis. Am J Public Health. 1980 Dec;70(12):1249–1260. doi: 10.2105/ajph.70.12.1249. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McDermott F. T. Bicyclist head injury prevention by helmets and mandatory wearing legislation in Victoria, Australia. Ann R Coll Surg Engl. 1995 Jan;77(1):38–44. [PMC free article] [PubMed] [Google Scholar]
- Sacks J. J., Holmgreen P., Smith S. M., Sosin D. M. Bicycle-associated head injuries and deaths in the United States from 1984 through 1988. How many are preventable? JAMA. 1991 Dec 4;266(21):3016–3018. [PubMed] [Google Scholar]
- Thomas S., Acton C., Nixon J., Battistutta D., Pitt W. R., Clark R. Effectiveness of bicycle helmets in preventing head injury in children: case-control study. BMJ. 1994 Jan 15;308(6922):173–176. doi: 10.1136/bmj.308.6922.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thompson D. C., Nunn M. E., Thompson R. S., Rivara F. P. Effectiveness of bicycle safety helmets in preventing serious facial injury. JAMA. 1996 Dec 25;276(24):1974–1975. [PubMed] [Google Scholar]
- van Beeck E. F., van Roijen L., Mackenbach J. P. Medical costs and economic production losses due to injuries in the Netherlands. J Trauma. 1997 Jun;42(6):1116–1123. doi: 10.1097/00005373-199706000-00023. [DOI] [PubMed] [Google Scholar]