Medical costs and productivity losses due to interpersonal and self-directed violence in the United States
Medical costs and productivity losses due to interpersonal and self-directed violence in the United States
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DOI：
10.1016/j.amepre.2007.02.010
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发表时间：
2007-06-01
影响因子：
5.5
通讯作者：
Miller, Ted R.
中科院分区：
文献类型：
--
作者：
Corso, Phaedra S.;Mercy, James A.;Miller, Ted R.
工作背景：与暴力有关的伤害，包括自杀，通过过早死亡，残疾，医疗费用和生产力损失对所有美国人的健康和福利产生不利影响。估计暴力的经济负担的程度，对于了解如果广泛开展具有成本效益的预防暴力工作，可以节省多少潜在资源至关重要。从2003年至2005年，终身医疗费用和生产力损失与医疗伤害，由于人际和自我导向的暴力发生在2000年在美国进行了评估。方法：几个全国代表性的数据集相结合，估计致命和非致命伤害的暴力的发生率。计算单位医疗和生产成本，然后乘以相应的发病率估计，得出2000年发生的暴力相关伤害的总终身成本。结果：2000年，由于暴力导致的非致命伤害和死亡的总成本超过700亿美元。其中大部分成本（644亿美元或92%）是由于生产力损失。然而，估计$5.6十亿用于医疗保健的超过250万伤害由于人际和自我导向的violence.Conclusions：这里报告的负担估计提供证据的大健康和经济负担的暴力相关的伤害在美国，但真正的负担可能要大得多，需要进行更多的研究，对暴力的监测和预防进行了讨论。
Background: Violence-related injuries, including suicide, adversely affect the health and welfare of all Americans through premature death, disability, medical costs, and lost productivity. Estimating the magnitude of the economic burden of violence is critical for understanding the potential amount of resources that can be saved if cost-effective violence prevention efforts can be broadly applied. From 2003 to 2005, the lifetime medical costs and productivity losses associated with medically treated injuries due to interpersonal and self-directed violence occurring in the United States in 2000 were assessed.Methods: Several nationally representative data sets were combined to estimate the incidence of fatal and nonfatal injuries due to violence. Unit medical and productivity costs were computed and then multiplied by corresponding incidence estimates to yield total lifetime costs of violence-related injuries occurring in 2000.Results: The total costs associated with nonfatal injuries and deaths due to violence in 2000 were more than $70 billion. Most of this cost ($64.4 billion or 92%) was due to lost productivity. However, an estimated $5.6 billion was spent on medical care for the more than 2.5 million injuries due to interpersonal and self-directed violence.Conclusions: The burden estimates reported here provide evidence of the large health and economic burden of violence-related injuries in the U.S. But the true burden is likely far greater and the need for more research on violence surveillance and prevention are discussed.