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

Polinder, Suzanne; Haagsma, Juanita A.; Panneman, M.J.M.; Scholten, Annemieke C.; Brugmans, Marco J. P.; Beeck, Ed van

doi:10.1016/j.aap.2016.04.003

Cited by 110 publications

(80 citation statements)

References 21 publications

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“…Costs were lower than in the current study for multiple reasons: the follow-up period was shorter than in the current study; institutionalized patients were excluded; and lower unit cost prices were used. Productivity costs were previously estimated in one Dutch study [10], and were much higher than estimated in the current study, which was likely to be explained by the high age of the patient population; only elderly patients were included in the current study. As such, the majority of patients was already retired and did not incur productivity costs from paid work.…”

Section: Uɵlity Valuementioning

confidence: 61%

“…1 Utility values for patients with hip fracture over time healthcare costs were estimated to be €19,717 (2018: €21,770), with additional costs due to lost productivity of €34,518 (2018: €38,113) [10]. When comparing the results of the current study to previous Dutch studies, the current estimates of healthcare costs resemble findings in three of these earlier studies [8][9][10]. The study by Meerding et al estimated lower healthcare costs (€13,600; 2018 values €19,741) for a period of 9 months after injury [7].…”

Section: Uɵlity Valuementioning

confidence: 99%

“…Previous publications on per patient healthcare costs of hip fractures in the Netherlands have reported cost estimates between €19,741 and €26,355 (inflation corrected to 2018 values) [7][8][9][10]. Next to costs, information on HRQOL is crucial for health economic studies.…”

Section: Introductionmentioning

confidence: 99%

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Burden of illness of hip fractures in elderly Dutch patients

et al. 2020

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Patients with hip fractures experience reduced health-related quality of life and have a reduced life expectancy. Patients' utilization of healthcare leads to costs to society. The results of the study can be used in future economic evaluations of treatments for hip fractures.Purpose Hip fractures are associated with high mortality, reduced quality of life, and increased healthcare utilization, leading to an economic burden to society. The purpose of this study is to determine the burden of illness of hip fractures in elderly Dutch patients for specific time periods after surgery. Methods Patients with a hip fracture above the age of 65 were included in the study. In the 1-year period after surgery, patients were asked to complete a set of questionnaires pre-injury (retrospectively), and 1 week, 1 month, 3 months, 6 months and 12 months after surgery. The set of questionnaires included the Euroqol 5D (EQ-5D-3L), the iMTA Medical Consumption Questionnaire (iMCQ) and iMTA Productivity Cost Questionnaire (iPCQ). Health-related quality of life was calculated using Dutch tariffs. Costs were calculated using the methodology described in the Dutch costing manual. Results Approximately 20% of patients with a hip fracture died within 1 year. Health-related quality of life was significantly reduced compared to pre-injury values, and patients did not recover to their pre-injury values within 1 year. Total costs in the first year after injury were €27,573, of which 10% were due to costs of the procedure (€2706). Total follow-up costs (€24,876) were predominantly consisting of healthcare costs. Monthly costs decreased over time.Conclusions Hip fractures lead to a burden to patients, resulting from mortality and health-related quality of life reductions, and to society, due to (healthcare) costs. The results of this study can be used in future economic evaluations.

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Section: Uɵlity Valuementioning

confidence: 61%

Section: Uɵlity Valuementioning

confidence: 99%

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Burden of illness of hip fractures in elderly Dutch patients

et al. 2020

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“…Between 2003 and 2007 the average annual cost for fall-related injuries in the Netherlands was US$640 million (€470 million) [9]. The overall cost per fall was US$10,540 (€7800), mainly caused by direct medical costs [10]. …”

Section: Introductionmentioning

confidence: 99%

Cost-utility of medication withdrawal in older fallers: results from the improving medication prescribing to reduce risk of FALLs (IMPROveFALL) trial

et al. 2016

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BackgroundThe use of Fall-Risk-Increasing-Drugs (FRIDs) has been associated with increased risk of falls and associated injuries. This study investigates the effect of withdrawal of FRIDs versus ‘care as usual’ on health-related quality of life (HRQoL), costs, and cost-utility in community-dwelling older fallers.MethodsIn a prospective multicenter randomized controlled trial FRIDs assessment combined with FRIDs-withdrawal or modification was compared with ‘care as usual’ in older persons, who visited the emergency department after experiencing a fall. For the calculation of costs the direct medical costs (intramural and extramural) and indirect costs (travel costs) were collected for a 12 month period. HRQoL was measured at baseline and at 12 months follow-up using the EuroQol-5D and Short Form-12 version 2. The change in EuroQol-5D and Short Form-12 scores over 12 months follow-up within the control and intervention groups was compared using the Wilcoxon Signed Rank test for continuous variables and the McNemar test for dichotomous variables. The change in scores between the control and intervention groups were compared using a two-way analysis of variance.ResultsWe included 612 older persons who visited an emergency department because of a fall. The mean cost of the FRIDs intervention was €120 per patient. The total fall-related healthcare costs (without the intervention costs) did not differ significantly between the intervention group and the control group (€2204 versus €2285). However, the withdrawal of FRIDs reduced medication costs with a mean of €38 per participant. Furthermore, the control group had a greater decline in EuroQol-5D utility score during the 12-months follow-up than the intervention group (p = 0.02). The change in the Short Form-12 Physical Component Summary and Mental Component Summary scores did not differ significantly between the two groups.ConclusionsWithdrawal of FRID’s in older persons who visited an emergency department due to a fall, did not lead to reduction of total health-care costs. However, the withdrawal of FRIDs reduced medication costs with a mean of €38 per participant in combination with less decline in HRQoL is an important result.Trial registrationThe trial is registered in the Netherlands Trial Register (NTR1593 – October 1st 2008).Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-016-0354-7) contains supplementary material, which is available to authorized users.

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“…Nowadays, many organizations and countries complain of the unlimited direct and indirect outcomes of occupational accidents (Polinder et al, 2016). Despite the fact that several countries and organizations recognize the importance of refining safety level to their workers, the occupational accidents are still quite high, particularly in healthcare industry (Mccaughey et al, 2015), in the developing countries (Abozead et al, 2014;Awwad et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Enhancing Safety Performance by Recognizing the Role of Perceived Management Commitment to Safety in the Jordanian Healthcare Industry: Conceptual Framework

Al‐Bsheish

2017

IJBSR

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Nowadays, workplace safety is a clear concern for both individuals and organizations, particularly in developing countries such as Jordan. This is evidenced by the expanding body of safety-related literature published on this regard. This paper develops a conceptual framework of safety management based on perceived organizational support theory. The main aim of this framework is to disclose the causal links between a physiological empowerment, respect, perceived management commitment to safety and safety performance based on previous studies. Such framework could have impact on practical issues in healthcare industry, as well as enhancing the body of related literature on perceived management commitment to safety. Consequently, this framework presents a new trend concerning perceived management commitment to safety through investigating each dimension of safety climate individually.

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

Cited by 110 publications

References 21 publications

Burden of illness of hip fractures in elderly Dutch patients

Burden of illness of hip fractures in elderly Dutch patients

Cost-utility of medication withdrawal in older fallers: results from the improving medication prescribing to reduce risk of FALLs (IMPROveFALL) trial

Enhancing Safety Performance by Recognizing the Role of Perceived Management Commitment to Safety in the Jordanian Healthcare Industry: Conceptual Framework

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