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The Economic Burden of Injury in Ontario

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

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  1. The Economic Burden of Injury in Ontario • Dr. Philip Groff • Director, Research & Evaluation • SMARTRISK • SMARTRISK Learning Series • October 17, 2006

  2. The Human Cost of Injury

  3. 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

  4. Economic Burden Studies Manitoba 2004 Canada 1995 Ontario 1999 Saskatchewan 2001 British Columbia 2001 Alberta 2002 Atlantic Canada 2003

  5. Burden of Injury Across Canada

  6. 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

  7. Thanks • The Hygeia Group • Ministry of Health & Long Term Care • Ministry of Health Promotion • Canadian Institute for Health Information • CAMH / APOLNET • SMARTRISK Staff

  8. The Electronic Resource Allocation Tool (ERAT) • Spreadsheet workbook in MS Excel format • Allows Incidence Costing • In 1999 Dollars • Based upon Provincial Data / Ratios

  9. 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

  10. Direct and Indirect Costs • Direct Costs • All costs to the health care system. • Indirect Costs • Lost productivity due to death and disability.

  11. Causes of Injury Death Ontario 1999 Total Deaths 4,044

  12. Causes of Injury Hospitalization Ontario 1999 Total Hospitalized 75,176

  13. Causes of Non-Hospitalized Injury Ontario 1999 Total Non-Hospitalized 492,438

  14. Summary of All InjuryOntario, 1999

  15. Direct and Indirect Costs Ontario, 1999

  16. Costs of Unintentional Falls Ontario, 1999

  17. Costs of Motor Vehicle Traffic Collision Ontario, 1999

  18. Costs of Intentional Injuries Ontario, 1999

  19. Injuries Resulting from Physical ActivityOntario, 1999

  20. Costs of Injuries Resulting fromPhysical Activity Ontario, 1999

  21. Estimated Cases of Injury withAlcohol InvolvementOntario, 1999

  22. Costs of Injuries Associated with Alcohol Ontario, 1999

  23. Injury Prevention Cuts Costs

  24. 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

  25. 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+

  26. 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

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