The cost of injury and trauma care in low- and middle-income countries

A review of economic evidence

Datos Bibliográficos

ID14668159
AutoresHadley K H Wesson (Johns Hopkins University), Nkuli Boikhutso (Virginia Commonwealth University), Abdulgafoor M Bachani (0000-0003-4455-9044, Virginia Commonwealth University), Karen Hofman (0000-0001-9512-7220, Johns Hopkins University), K J Hofman, Adnan A Hyder (0000-0002-7292-577X, Virginia Commonwealth University, autor de correspondencia)
Año2014
Volumen29
Número6
Páginas795-808
Fecha de publicación2014-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Policy and Planning (JOURNAL)
Identificadores de la revistaISSN: 0268-1080 • E-ISSN: 1460-2237
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czt064
PMID24097794
PMCIDPMC4153302
OpenAlexW2170202749
IdiomaEN
Citas recibidas13
Referencias citadas44

INTRODUCTION: Injuries are a significant cause of mortality and morbidity, of which more than 90% occur in low- and middle-income countries (LMICs). Given the extent of this burden being confronted by LMICs, there is need to place injury prevention at the forefront of public health initiatives and to understand the costs associated with injury. The aim of this article is to describe the extent to which injury-related costing studies have been conducted in LMICs. METHODS: A review of literature was performed to explore costing data available for injury and/or trauma care in LMICs. Study quality was described using recommendations from the Community Guide's quality assessment tool for economic evaluations. RESULTS: The review identified 68 studies, of which 13 were full economic evaluations. Cost of injury varied widely with mean costs ranging from US$14 to US$17 400. In terms of injury-prevention interventions, cost per disability adjusted life year averted for injury-prevention interventions ranged from US$10.90 for speed bump installation to US$17 000 for drunk driving and breath testing campaigns in Africa. The studies varied in quality, ranging from very good to unsatisfactory. DISCUSSION: There is a lack of injury-related economic evidence from LMICs. Current costing research has considerable variability in the costs and cost descriptions of injury and associated prevention interventions. The generalizability of these studies is limited. Yet the economic burden of injury is high, suggesting significant potential for cost savings through injury prevention. A standardized approach to economic evaluation of injury in LMICs is needed to further prioritize investing in injury prevention.

Activity-based costing · Business · Cost effectiveness · Developing country · Economic cost · Economic evaluation · Economic growth · Environmental health · Health care · Health economics · Injury prevention · Life expectancy · Occupational safety and health · Pathology · Poison control · Population · Psychological intervention · Public health · Risk analysis (engineering) · Years of potential life lost · Global Health and Surgery · Injury Epidemiology and Prevention · Medicine · Nursing · Trauma and Emergency Care Studies