Table 2. Data used in calculating the cost savings associated with the implementation of road safety policies, Catalonia, Spain, 2001–2010.
Cost category | Events avoided during 2001–2010 | Price per unita | Data sources |
---|---|---|---|
Direct health-care costs | |||
Hospital care | 25 444 admissions | Diagnosis-related group cost | CMBDHA, Ministerio de Sanidad, Política Social e Igualdad |
Ambulance services | 27 949 emergency admissions | €670 per emergency ambulance transport | CMBDHA, Lladó and Roig18 |
Autopsy services | 2909 deaths | €260 per autopsy | Servei Català de Trànsit,15 personal communication |
Specialized health-care | 17 591 emergency admissions due to severe injuriesb | €20 203 per year for 4 hours of specialized care per day | CMBDHA, Observatori Social de Barcelona28 |
Direct non-health-care costs | |||
Adapting to disability | 12 965 emergency admissions due to severe injuriesc | €6546 per individual | CMBDHA, Observatori Social de Barcelona28 |
Material costs | 26 063 collisions with victims | €1200 per collision | Servei Català de Trànsit 2008 UNESPA29 |
Administrative costs | 26 063 collisions with victims | €755 per collision | Servei Català de Trànsit 2008, Asociación ICEA,30 Instituto de Estudios de Automoción31 |
Police assistance | 26 063 collisions with victims | €911 per collision | Servei Català de Trànsit,15 Lladó and Roig18 |
Firefighter assistance | 2354 interurban collisions with victims | €150 per collision | Servei Català de Trànsit,15 Lladó and Roig18 |
Roadside assistance | 6161 collisions with a driver victim | €187 per collision | Servei Català de Trànsit,15 Lladó and Roig18 |
Indirect costs | |||
Productivity lost due to institutionalization | 1 141 727 days in hospital | Mean labour cost of €32 952 per year | CMBDHA, INE |
Productivity lost due to permanent sick leave | 69 321 working years lost due to severe injuriesd | Mean labour cost of €32 952 per year | CMBDHA, INE, Institut Guttmann Hospital de Neurorehabilitació32 |
Productivity lost by carers | 12 965 emergency admissions due to severe injuriesc | Mean labour cost of providing 5 hours of care per day was €21 960 per year | CMBDHA, INE |
Productivity lost by carers who took permanent sick leave | 69 321 working years lost due to severe injuriesd | Mean labour cost of €32 952 per year | CMBDHA, Barceló,33 INE, Institut Guttmann Hospital de Neurorehabilitació32 |
Productivity lost due to death | 2909 deaths | €1 400 000 per statistical life | Servei Català de Trànsit,15 Abellán34 |
€, euro; INE, Instituto Nacional de Estadística (National Statistics Institute).
CMBDHA is the Catalan acronym for the registry of acute care hospitals in Catalonia.
a All prices were adjusted to 2011 values.
b Severe injuries included spinal cord, brain and lower extremity injuries.
c This figure includes all emergency admissions involving injuries to the spinal cord or head and 20% involving injuries to the lower extremities.
d This figure includes all years lost due to injuries to the spinal cord or head and 20% of years lost due to injuries to the lower extremities.