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The societal costs of injuries: estimating the incidence and cost for different types of injuries in Sweden
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
2014 (English)Manuscript (preprint) (Other academic)
Abstract [en]

Knowledge about the costs for different types of injuries is crucial when estimating the benefits of a proposed injury prevention intervention. This study aims at estimating the societal costs for different injuries in Sweden.

Method: Medical costs for ICD-10 codes S00-S99, as well as the number of injured individuals for which the incidence was estimated, were collected from Östergötland County Council´s Cost Per Patient Database for the years 2009-2012. Productivity losses were estimated by using Swedish diagnosis-specific sick leave data from 2009 combined with labour costs. Total costs per injury were estimated for ten different injury groups relating to injured body part.

Results: The total average societal cost per injury for diagnoses S00-S99 was estimated at approximately € 2,726 for an estimated number of 708,105 injuries in Sweden 2009. Direct medical costs amount to approximately 43% of the total costs. There were however great differences between injuries: for instance, the lowest cost per injury was estimated at around € 892 and the highest at € 15,537 for the diagnostic groups Injuries to the ankle and foot, and Injuries to the neck, respectively. Great variation was also seen in the  share of medical costs: it varied between 10% and 84% between injury groups.

Conclusions: This study shows that the studied injuries are associated with considerable costs to society. There are also variations in costs between injuries and this information is valuable when estimating the benefits of interventions targeting different injuries. By combining cost and effectiveness data cost effectiveness can be estimated for different interventions. This is pivotal information when deciding which interventions to implement; that is, the ones that provide best value for money.

Place, publisher, year, edition, pages
2014.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-106225OAI: oai:DiVA.org:liu-106225DiVA: diva2:714702
Available from: 2014-04-29 Created: 2014-04-29 Last updated: 2015-03-31Bibliographically approved
In thesis
1. Health Economic Aspects of Injury Prevention at the Municipal Level
Open this publication in new window or tab >>Health Economic Aspects of Injury Prevention at the Municipal Level
2014 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Unintentional injuries are a global health problem, which in 1996 was estimated to cause up to 3 million deaths per year. In Sweden, about 4,600 people die annually due to external causes of morbidity and mortality (injuries and poisoning). Among children 1 to 17 years old, injuries are the leading cause of death in Sweden for both boys and girls. Injuries are also the leading cause of life years lost before age 65 in men and the second most common in women.

Injury prevention interventions and programs can be implemented to mitigate the magnitude of this public health problem, the number of injuries in society, and the substantial costs associated with injuries. Society's resources are however limited and therefore it is pivotal that interventions are cost-effective and not only effective: that is, that they provide good value for money.

Hence, the aim of this thesis was to develop new knowledge and improve decision making by elaborating on some of the important health economic aspects of injury prevention. Consequently, a critical appraisal of the existing cost-effectiveness studies on injury prevention interventions and estimations of the societal costs for different types of injuries that needed medical attention were conducted. The critical appraisal of studies was limited to those studies that investigated interventions that could be implemented by municipalities. The results shows that injuries are associated with substantial societal costs but differ considerably between different types of injuries. The average cost per injury was estimated at € 2,726 and varied between € 892 and € 15,537. Furthermore, the results indicate that there are injury prevention interventions that offer good use of societal resources. However, there is  a general lack of economic evidence surrounding injury prevention interventions.

This thesis has expanded the knowledge in some important health economic aspects of injury prevention. The generated knowledge may advantageously be used in future research, including cost-effectiveness analyses of injury prevention interventions, and assist in the targeting of new research. Future research should focus on estimating the cost-effectiveness of different interventions and the reductions in quality of life due to different injuries. Costeffectiveness data help decision-makers make judiciously resource allocation decisions that maximise health gain given limited budgets.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2014. 64 p.
Series
Linköping Studies in Health Sciences. Thesis, ISSN 1100-6013 ; 128
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-106227 (URN)10.3384/lic.diva-106227 (DOI)978-91-7519-351-9 (ISBN)
Presentation
2014-06-02, Eken, Hus I, Campus Valla, Linköpings universitet, Linköping, 13:30 (Swedish)
Supervisors
Available from: 2014-04-29 Created: 2014-04-29 Last updated: 2014-04-29Bibliographically approved

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Gyllensvärd, Harald

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