The economic burden of injury: Health care and productivity costs of injuries in the Netherlands

•The total costs per injury patient were €4,300; €2,500 direct health care costs and €1,800 productivity costs per patient.•We identified known risk groups (elderly females with hip fractures resulting from falls) for high costs.•Less obvious risk groups are children falling from furniture, males wi...

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Vydané v:Accident analysis and prevention Ročník 93; s. 92 - 100
Hlavní autori: Polinder, Suzanne, Haagsma, Juanita, Panneman, Martien, Scholten, Annemieke, Brugmans, Marco, Van Beeck, Ed
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Elsevier Ltd 01.08.2016
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ISSN:0001-4575, 1879-2057, 1879-2057
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Abstract •The total costs per injury patient were €4,300; €2,500 direct health care costs and €1,800 productivity costs per patient.•We identified known risk groups (elderly females with hip fractures resulting from falls) for high costs.•Less obvious risk groups are children falling from furniture, males with soccer injuries and bicycle injuries (all ages).•Health care costs were higher in females, whereas males have more than twice as high productivity costs. Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by external-cause, injury groupings, age and sex. Injury patients visiting an Emergency Department in the Netherlands were included. Health service use and work absenteeism were estimated with national database data and a prospective follow-up study. Health care costs (direct costs) and productivity costs (indirect costs) were determined using the incidence-based Dutch Cost of Injury Model. Total costs of injuries were €3.5 billion annually (€210/capita and €4300/patient); €2.0 billion healthcare costs and €1.5 billion productivity costs. Home and leisure injury subcategory falls caused 41% of total costs. Traffic injury was prominent in the 15–54 age group, mainly due to bicycle injuries. Sports injuries, in special football/soccer injuries, resulted in high costs in the 15–24 age group. Although costs per patient were comparable between males and females, health care costs were higher in females, whereas males have more than twice as high productivity costs. Health care costs were highest for hip fractures (€20,000/patient). Extremity fractures had high costs due to high incidences and high productivity costs per patient. Our detailed cost model identified known risk groups, such as elderly females with hip fractures resulting from falls, as well as less obvious important high risk groups, such as young children falling from furniture, young males who sustained football/soccer injuries and bicycle injuries among all ages. This information is essential to assess additional priority areas for prevention.
AbstractList Background Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by external-cause, injury groupings, age and sex. Method Injury patients visiting an Emergency Department in the Netherlands were included. Health service use and work absenteeism were estimated with national database data and a prospective follow-up study. Health care costs (direct costs) and productivity costs (indirect costs) were determined using the incidence-based Dutch Cost of Injury Model. Results Total costs of injuries were [Euro3.5 billion annually ([Euro210/capita and [Euro4300/patient); [Euro2.0 billion healthcare costs and [Euro1.5 billion productivity costs. Home and leisure injury subcategory falls caused 41% of total costs. Traffic injury was prominent in the 15-54 age group, mainly due to bicycle injuries. Sports injuries, in special football/soccer injuries, resulted in high costs in the 15-24 age group. Although costs per patient were comparable between males and females, health care costs were higher in females, whereas males have more than twice as high productivity costs. Health care costs were highest for hip fractures ([Euro20,000/patient). Extremity fractures had high costs due to high incidences and high productivity costs per patient. Conclusion Our detailed cost model identified known risk groups, such as elderly females with hip fractures resulting from falls, as well as less obvious important high risk groups, such as young children falling from furniture, young males who sustained football/soccer injuries and bicycle injuries among all ages. This information is essential to assess additional priority areas for prevention.
•The total costs per injury patient were €4,300; €2,500 direct health care costs and €1,800 productivity costs per patient.•We identified known risk groups (elderly females with hip fractures resulting from falls) for high costs.•Less obvious risk groups are children falling from furniture, males with soccer injuries and bicycle injuries (all ages).•Health care costs were higher in females, whereas males have more than twice as high productivity costs. Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by external-cause, injury groupings, age and sex. Injury patients visiting an Emergency Department in the Netherlands were included. Health service use and work absenteeism were estimated with national database data and a prospective follow-up study. Health care costs (direct costs) and productivity costs (indirect costs) were determined using the incidence-based Dutch Cost of Injury Model. Total costs of injuries were €3.5 billion annually (€210/capita and €4300/patient); €2.0 billion healthcare costs and €1.5 billion productivity costs. Home and leisure injury subcategory falls caused 41% of total costs. Traffic injury was prominent in the 15–54 age group, mainly due to bicycle injuries. Sports injuries, in special football/soccer injuries, resulted in high costs in the 15–24 age group. Although costs per patient were comparable between males and females, health care costs were higher in females, whereas males have more than twice as high productivity costs. Health care costs were highest for hip fractures (€20,000/patient). Extremity fractures had high costs due to high incidences and high productivity costs per patient. Our detailed cost model identified known risk groups, such as elderly females with hip fractures resulting from falls, as well as less obvious important high risk groups, such as young children falling from furniture, young males who sustained football/soccer injuries and bicycle injuries among all ages. This information is essential to assess additional priority areas for prevention.
Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by external-cause, injury groupings, age and sex.BACKGROUNDDetailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by external-cause, injury groupings, age and sex.Injury patients visiting an Emergency Department in the Netherlands were included. Health service use and work absenteeism were estimated with national database data and a prospective follow-up study. Health care costs (direct costs) and productivity costs (indirect costs) were determined using the incidence-based Dutch Cost of Injury Model.METHODInjury patients visiting an Emergency Department in the Netherlands were included. Health service use and work absenteeism were estimated with national database data and a prospective follow-up study. Health care costs (direct costs) and productivity costs (indirect costs) were determined using the incidence-based Dutch Cost of Injury Model.Total costs of injuries were €3.5 billion annually (€210/capita and €4300/patient); €2.0 billion healthcare costs and €1.5 billion productivity costs. Home and leisure injury subcategory falls caused 41% of total costs. Traffic injury was prominent in the 15-54 age group, mainly due to bicycle injuries. Sports injuries, in special football/soccer injuries, resulted in high costs in the 15-24 age group. Although costs per patient were comparable between males and females, health care costs were higher in females, whereas males have more than twice as high productivity costs. Health care costs were highest for hip fractures (€20,000/patient). Extremity fractures had high costs due to high incidences and high productivity costs per patient.RESULTSTotal costs of injuries were €3.5 billion annually (€210/capita and €4300/patient); €2.0 billion healthcare costs and €1.5 billion productivity costs. Home and leisure injury subcategory falls caused 41% of total costs. Traffic injury was prominent in the 15-54 age group, mainly due to bicycle injuries. Sports injuries, in special football/soccer injuries, resulted in high costs in the 15-24 age group. Although costs per patient were comparable between males and females, health care costs were higher in females, whereas males have more than twice as high productivity costs. Health care costs were highest for hip fractures (€20,000/patient). Extremity fractures had high costs due to high incidences and high productivity costs per patient.Our detailed cost model identified known risk groups, such as elderly females with hip fractures resulting from falls, as well as less obvious important high risk groups, such as young children falling from furniture, young males who sustained football/soccer injuries and bicycle injuries among all ages. This information is essential to assess additional priority areas for prevention.CONCLUSIONOur detailed cost model identified known risk groups, such as elderly females with hip fractures resulting from falls, as well as less obvious important high risk groups, such as young children falling from furniture, young males who sustained football/soccer injuries and bicycle injuries among all ages. This information is essential to assess additional priority areas for prevention.
Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by external-cause, injury groupings, age and sex. Injury patients visiting an Emergency Department in the Netherlands were included. Health service use and work absenteeism were estimated with national database data and a prospective follow-up study. Health care costs (direct costs) and productivity costs (indirect costs) were determined using the incidence-based Dutch Cost of Injury Model. Total costs of injuries were €3.5 billion annually (€210/capita and €4300/patient); €2.0 billion healthcare costs and €1.5 billion productivity costs. Home and leisure injury subcategory falls caused 41% of total costs. Traffic injury was prominent in the 15-54 age group, mainly due to bicycle injuries. Sports injuries, in special football/soccer injuries, resulted in high costs in the 15-24 age group. Although costs per patient were comparable between males and females, health care costs were higher in females, whereas males have more than twice as high productivity costs. Health care costs were highest for hip fractures (€20,000/patient). Extremity fractures had high costs due to high incidences and high productivity costs per patient. Our detailed cost model identified known risk groups, such as elderly females with hip fractures resulting from falls, as well as less obvious important high risk groups, such as young children falling from furniture, young males who sustained football/soccer injuries and bicycle injuries among all ages. This information is essential to assess additional priority areas for prevention.
Author Brugmans, Marco
Haagsma, Juanita
Scholten, Annemieke
Polinder, Suzanne
Panneman, Martien
Van Beeck, Ed
Author_xml – sequence: 1
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  surname: Polinder
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  organization: Erasmus MC, Department of Public Health, PO Box 2040, 3000CA Rotterdam, The Netherlands
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  surname: Haagsma
  fullname: Haagsma, Juanita
  organization: Erasmus MC, Department of Public Health, PO Box 2040, 3000CA Rotterdam, The Netherlands
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  givenname: Martien
  surname: Panneman
  fullname: Panneman, Martien
  organization: Consumer Safety Institute, Amsterdam, The Netherlands
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  givenname: Annemieke
  surname: Scholten
  fullname: Scholten, Annemieke
  organization: Erasmus MC, Department of Public Health, PO Box 2040, 3000CA Rotterdam, The Netherlands
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  givenname: Marco
  surname: Brugmans
  fullname: Brugmans, Marco
  organization: Consumer Safety Institute, Amsterdam, The Netherlands
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  surname: Van Beeck
  fullname: Van Beeck, Ed
  organization: Erasmus MC, Department of Public Health, PO Box 2040, 3000CA Rotterdam, The Netherlands
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27177394$$D View this record in MEDLINE/PubMed
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Keywords Total costs
Health care costs
External cause
Productivity costs
Injury
Language English
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PublicationTitle Accident analysis and prevention
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Snippet •The total costs per injury patient were €4,300; €2,500 direct health care costs and €1,800 productivity costs per patient.•We identified known risk groups...
Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of injuries by...
Background Detailed information on health care costs and productivity costs for the whole spectrum of injuries is lacking. We measured the total costs of...
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StartPage 92
SubjectTerms Accidental Falls - economics
Adolescent
Adult
Age
Age Factors
Aged
Aged, 80 and over
Athletic Injuries - economics
Child
Child, Preschool
Costs
Emergency Service, Hospital - statistics & numerical data
External cause
Female
Follow-Up Studies
Fracture mechanics
Health care
Health care costs
Health Care Costs - statistics & numerical data
Humans
Infant
Infant, Newborn
Injuries
Injury
Male
Males
Middle Aged
Netherlands - epidemiology
Patients
Productivity
Productivity costs
Prospective Studies
Sex Factors
Total costs
Wounds and Injuries - economics
Young Adult
Title The economic burden of injury: Health care and productivity costs of injuries in the Netherlands
URI https://dx.doi.org/10.1016/j.aap.2016.04.003
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