The predictive factors of injury’s cost to the Israeli economy
Researchers: Kobi Peleg1, Bella Savitsky1
- The Gertner Institute for Epidemiology and Health Policy Research
Background: Injuries cause a high economic burden, due to young age of injured. The economic expenditure of injury is comprised of direct cost, morbidity and mortality cost.
Objectives: • To estimate the injury cost to the Israeli economy by injury event and injured characteristics cause.
• To identify predictors of high economic toll of trauma injury.
• To identify predictors of high economic toll of trauma injury.
Method: The study population will include patients, aged 21-67, and hospitalized due to trauma injury between 2008-2013 in 20 hospitals, included in the National Israel Trauma Registry (ITR).
The study focused on the first and the second year cost of injury. The database from ITR was merged with the data of the National Insurance Institute and includes patient demographics, their injury event details, data on injury severity and hospital resources utilization, discharge information, employment before and after injury, length of disability, etc. Multivariate logistic regression was used while predicting injury cost of injured among salaried workers. Assessing the death cost was done by method of loss of productive years. The economic aspects of the study was conducted following consultation with renowned expert in health economics.
The study focused on the first and the second year cost of injury. The database from ITR was merged with the data of the National Insurance Institute and includes patient demographics, their injury event details, data on injury severity and hospital resources utilization, discharge information, employment before and after injury, length of disability, etc. Multivariate logistic regression was used while predicting injury cost of injured among salaried workers. Assessing the death cost was done by method of loss of productive years. The economic aspects of the study was conducted following consultation with renowned expert in health economics.
Findings: First-year after injury (vs. second) was associated with 83% of expenses.
Patients aged more than 40 years, males, ethnic minorityies, wounded in terror events, injured as pedestrians, motorcycle riders, injured who fell from height had high espencies (then injury severity was taken into account).
Patients aged more than 40 years, males, ethnic minorityies, wounded in terror events, injured as pedestrians, motorcycle riders, injured who fell from height had high espencies (then injury severity was taken into account).
Conclusions: Cost estimates are essential to decision-makers attempting to wisely allocate the limited health care resources. This study aims to discover the injury-related factors related to high economic cost and to provide policymakers with essential information enabling skilled decisions for determining health care priorities.
The main effort should be maid to shorten out of wark time by building a program promoting back to work after an injury.
The main effort should be maid to shorten out of wark time by building a program promoting back to work after an injury.
Research number: A/123/2015
Research end date: 12/2018