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- Lindqvist, Kent, 1948-, et al.
(författare)
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A cost-benefit analysis of the community-based injury prevention programme in Motala, Sweden—a WHO Safe Community
- 2001
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Ingår i: Public Health. - 0033-3506 .- 1476-5616. ; 115:5, s. 317-322
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Tidskriftsartikel (refereegranskat)abstract
- The objective in this study was to calculate costs and benefits caused by a safe community injury prevention programme in Motala, Sweden. The study design was a quasi-experimental evaluation involving an intervention population and a non-random control population. All injuries were recorded before and after an intervention programme. The presented calculations show that costs of injuries in a societal perspective decreased from 116 million Swedish Crowns (SEK) to 96 million SEK, while the cost for the intervention was estimated at approximately 10 million SEK. Thus, the safe community injury prevention programme in Motala should be judged as cost-effective.
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| 2. |
- Lindqvist, Kent, 1948-
(författare)
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Economic impact of injuries according to type of injury
- 2002
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Ingår i: Croatian Medical Journal. - 0353-9504 .- 1332-8166. ; 43:4, s. 386-389
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Aim. Analysis of the economic impact of injuries that occurred within a year in Motala district - a World Health Organization Safe Community. Method. A survey of all types of injury that occurred in an area with the total population of over 41,000 within a 12-month period (October 1, 1983, to September 30, 1984). All injuries that required medical care were noted. Included in the costs of injuries were the marginal costs to medical care, companies, and the health insurance system. Results. There were 4,926 injuries that required medical care. The costs of injuries were SEK 23.7 million (US$3.59 million) for the health care service (outpatient care, including primary health care and hospital care), SEK 79.7 million (US$12.08 million) for trade and industry, and SEK 9.1 million (US$1.38 million) for health insurance system. Home injuries accounted for the largest share of community costs (29%). Men accounted for the highest share of both the cost to the community (59%) and health insurance expenditures (70%) for injuries. In case of home injuries, the cost of medical care dominated among women (46%), whereas company costs dominated among men (77%). Serious injuries (Abbreviated Injury Scale-AIS-3) accounted for 16% of the total cost to the community, but constituted only 3% of all injuries. Moderate injuries (AIS-2) accounted for 69% of the cost and made up 48% of the injuries, whereas minor injuries (AIS-1) accounted for 12% of the cost and constituted 49% of all injuries. Injuries to the extremities accounted in all for 74% of the cost to the community. Conclusion. The cost of injuries can be analyzed in relation to different characteristics of injuries, which can provide a comprehensive view of the injury profile and its economic impact according to the type of injury.
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| 3. |
- Lindqvist, Kent, 1948-, et al.
(författare)
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Evaluation of a child safety program based on the WHO Safe Community model
- 2002
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Ingår i: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 8:1, s. 23-26
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate the outcome of the World Health Organization (WHO) Safe Community model with respect to child injuries.Study design: A population based quasiexperimental design was used. Cross sectional pre-implementation and post-implementation data were collected in intervention (Motala municipality) and control (Mjölby municipality) areas, both in Östergötland county, Sweden.Results: The total relative risk of child injury in the intervention community decreased more (odds ratio 0.74; 95% confidence interval (CI) 0.68 to 0.81) than in a control community exposed only to national level injury prevention programs (0.93; 95% CI 0.82 to 1.05). The relative risk of moderately (abbreviated injury scale (AIS) 2) severe injury in the study area was reduced to almost a half (odds ratio 0.49; 95% CI 0.41 to 0.57), whereas the risk of minor (AIS 1) injuries decreased only slightly (odds ratio 0.89; 95% CI 0.80 to 0.99). The risk of severe or fatal (AIS 3–6) injuries remained constant.Conclusions: After introduction of an injury prevention program based on the WHO Safe Community model, the relative risk for child injury in the intervention community decreased significantly more than in a control community exposed only to national injury prevention programs.
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| 4. |
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| 5. |
- Lindqvist, Kent, 1948-, et al.
(författare)
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Evaluation of an inter-organizational prevention program against injuries among the elderly in a WHO Safe Community
- 2001
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Ingår i: Public Health. - 0033-3506 .- 1476-5616. ; 115:5, s. 308-316
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to evaluate the outcome of a participatory community-based prevention program against injuries among the elderly. A population-based quasi-experimental design was used with pre- and post-implementation measurements in an intervention and a control area. The program was based on cross-sectoral participation in detecting and taking action against injuries among the elderly. Change in the relative risk of injury was estimated by the odds ratio. Morbidity in moderately (AIS 2) severe injury in the study area was reduced from 46 per 1000 population years to 25 per 1000 population years (odds ratio 0.55, 95% confidence interval 0.46-0.65), while the minor (AIS 1) injuries increased (odds ratio 1.55, 95% confidence interval 1.21-1.91). The risk of severe or fatal (AIS 3-6) injuries remained constant. In the study area, only a slight decrease in the total morbidity rate was observed (odds ratio 0.87, 95% confidence interval 0.77-0.99). In the control area, there was no evident change in the total morbidity rates. Falls decreased or showed a tendency to decrease in the age groups 65 to 79-y-old in the study area, while they increased in the older age group. The results indicate that no sharp boundaries should be drawn between safety education, physical conditioning, environmental adjustments and secondary prevention measures when planning safety promotion among the elderly. Future studies should address these issues along with the methodological complexity associated with assessment of participatory community-based safety promotion programs.
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| 7. |
- Lindqvist, Kent, 1948-, et al.
(författare)
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Evaluation of inter-organizational traffic injury prevention in a WHO safe community
- 2001
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Ingår i: Accident Analysis and Prevention. - 0001-4575 .- 1879-2057. ; 33:5, s. 599-607
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to examine the effect of a community-based injury prevention program on traffic injuries. A population-based quasi-experimental design was used with pre- and post-implementation measurements in an intervention and a control area. The program was based on inter-organizational participation in detecting and taking action against traffic injuries. The total relative risk for traffic injury in the study area showed only a tendency to decrease following program exposure (odds ratio 0.91, 95% confidence interval 0.81-1.02). No change in relative risk was observed in the control area. The analyses of program impact on injury severity showed that the relative risk for moderate injuries in the study area was reduced by almost half (odds ratio 0.59, 95% confidence interval 0.49-0.69), the risk for severe or fatal injuries remained constant (odds ratio 1.27, 95% confidence interval 0.80-2.02), and the risk for minor injuries increased (odds ratio 1.34, 95% confidence interval 1.13-1.59). The relative risk for moderate injuries was reduced by at least half for mopedists, cyclists, pedestrians, and those leaving or entering a motor vehicle. Community-based injury prevention can be a complement to national traffic safety programs. ⌐ 2001 Elsevier Science Ltd.
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| 9. |
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| 10. |
- Lindqvist, Kent, 1948-
(författare)
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Towards community-based injury prevention : the Motala model
- 1993
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In the Swedish County of Östergötland a comprehensive health policyprogramme including accidents was decided by the health authorities in 1988. An accident prevention programme (the "Motala Accident Prevention Study") had already started with an epidemiological analysis of accidents in the community. The Motala study is based on Bracht and Kingsbury's five-stage model of community development: community analysis, design and initiation, implementation, maintenance, and reassessment.The scientific reporting of the Motala study in this thesis is based on selected parts of the five-stage model and is grouped into reports from the community analysis (the main study) and an intervention study. The aim was to describe the panorama of accidents, their causes and effects in a defined community, and to account for the economic consequences of these accidents. A secondary aim was to provide an epidemiological basis for a sports accident prevention programme and out of that design such a programme, and to evaluate the effects of loan programmes on infant car restraints. In forthcoming papers other parts of the different stages of the model will be presented.Total population injury surveillance was performed in an area with apopulation of over 41,000. All accidents (N= 4,926) occurring within a 12-month period and requiring medical care were noted, giving a ratio of 118.9 per 1,000. They consisted of accidents in the home (35.0%), sports accidents (18.9%), accidents at work (13.7%), traffic accidents (12.8%), and "other" accidents (19.5%). Half of the victims covered by health insurance were put on sick leave in connection with the accident, and 12.6% of these were admitted to hospital. The age-group 13-19 years, and men between 20-29 years of age, showed the highest accident rate. The total cost to society for people in the labour force, including treatment cost and production loss, was 103.4 million SEK (15.7 million USD). The cost to society of uninsured people for time lost from "normal activities" because of an accident was estimated at 43.1 million SEK (6.5 million USD). There are three important conclusions with regard to the economic consequences of accidents. Firstly, it appears important to assess not only the productive working time of the injured people, but also other time, in which normal activities are restricted. Secondly, the findings reveal the conflict between the utilitarian and the dutybased ethical basis of health care activities. Thirdly, the results show the need for well-controlled studies with alternatives to show the effects of different actions.
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