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The Economic Burden of Injury in Ontario. Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006. The Human Cost of Injury. Partners. SMARTRISK The Hygeia Group Health Canada
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The Economic Burden of Injury in Ontario • Dr. Philip Groff • Director, Research & Evaluation • SMARTRISK • SMARTRISK Learning Series • October 17, 2006
Partners • SMARTRISK • The Hygeia Group • Health Canada • Emergency Health Services Branch -- Ministry of Health and Long-Term Care • Kingston, Frontenac and Lennox & Addington Health Unit
Economic Burden Studies Manitoba 2004 Canada 1995 Ontario 1999 Saskatchewan 2001 British Columbia 2001 Alberta 2002 Atlantic Canada 2003
Burden of Injury Across Canada
A New Ontario Study • Update the numbers and methodology • Include costs for intentional injury • Breakdowns by Region and LHIN • Focus on Alcohol • Focus on Physical Activity
Thanks • The Hygeia Group • Ministry of Health & Long Term Care • Ministry of Health Promotion • Canadian Institute for Health Information • CAMH / APOLNET • SMARTRISK Staff
The Electronic Resource Allocation Tool (ERAT) • Spreadsheet workbook in MS Excel format • Allows Incidence Costing • In 1999 Dollars • Based upon Provincial Data / Ratios
Incidence Costing • Costs of injury over the life-course charged to the year of the injury incident • Contrast with Prevalence Costing • Chosen because of the focus on injury prevention • Ability to evaluate cost savings from a variety of potential prevention initiatives specific scenarios in this study
Direct and Indirect Costs • Direct Costs • All costs to the health care system. • Indirect Costs • Lost productivity due to death and disability.
Causes of Injury Death Ontario 1999 Total Deaths 4,044
Causes of Injury Hospitalization Ontario 1999 Total Hospitalized 75,176
Causes of Non-Hospitalized Injury Ontario 1999 Total Non-Hospitalized 492,438
Direct and Indirect Costs Ontario, 1999
Costs of Unintentional Falls Ontario, 1999
Costs of Motor Vehicle Traffic Collision Ontario, 1999
Costs of Intentional Injuries Ontario, 1999
Costs of Injuries Resulting fromPhysical Activity Ontario, 1999
Estimated Cases of Injury withAlcohol InvolvementOntario, 1999
Costs of Injuries Associated with Alcohol Ontario, 1999
20% reduction in falls among 55+ 20% reduction in falls among children <15 30% reduction in MVC 20% reduction in self-inflicted poisoning 20% reduction in interpersonal violence Five Prevention Scenarios Total combined savings of $500 Million annually
In 1999 $927 million attributed to direct costs of falls among those 55+ The proportion of Ontarians ages 65+ will nearly double by 2031, rising to 24% Existing strategies have been demonstrated to reduce falls among seniors by 20% 4,000 fewer hospital stays 1,000 fewer seniors disabled $121 million reduction in direct health care costs One Prevention Scenario:Falls Among Seniors 55+
Ontarians bear a heavy burden This burden is not static, there is a cost to inaction Proven approaches to prevention exist Ontario needs to tackle the burden of injury in a strategic way Conclusion