the economic burden of injury in ontario dr. philip groff director, research & evaluation...
TRANSCRIPT
![Page 1: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/1.jpg)
The Economic Burden of Injury in Ontario
Dr. Philip GroffDirector, Research & Evaluation
SMARTRISK
SMARTRISK Learning SeriesOctober 17, 2006
![Page 2: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/2.jpg)
The Human Cost of Injury
![Page 3: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/3.jpg)
![Page 4: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/4.jpg)
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
![Page 5: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/5.jpg)
Canada1995
Manitoba2004
British Columbia2001
Atlantic Canada2003
Alberta2002
Saskatchewan2001
Ontario1999
Economic Burden Studies
![Page 6: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/6.jpg)
P.E.I .Ont.
N.S.N.B.
Nvt.
Man.
Alta.
Y.T.
B.C.
N.W.T.
Que.
N.L.
$2.9billion
520PYLL
$819million
961PYLL
$595million
1054PYLL
$1.8billion
925PYLL
$502million
963PYLL
$74million
837PYLL
$372million
646PYLL
n/a
674PYLL
$213million
582PYLL$2.1
billion
920PYLL
n/an/a
n/an/a
n/an/a
Sask.
Burden of Injury Across Canada
Burden of Injury Across Canada
![Page 7: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/7.jpg)
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
![Page 8: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/8.jpg)
Thanks• The Hygeia Group
• Ministry of Health & Long Term Care
• Ministry of Health Promotion
• Canadian Institute for Health Information
• CAMH / APOLNET
• SMARTRISK Staff
![Page 9: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/9.jpg)
The Electronic Resource Allocation Tool (ERAT)
• Spreadsheet workbook in MS Excel format
• Allows Incidence Costing• In 1999 Dollars• Based upon Provincial Data / Ratios
![Page 10: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/10.jpg)
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
![Page 11: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/11.jpg)
Direct and Indirect Costs
Direct Costs
• All costs to the health care system.
Indirect Costs
• Lost productivity due to death and disability.
![Page 12: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/12.jpg)
Causes of Injury Death
Falls29%
Suicide25%
Other21%Violence
3%
Motor Vehicle
22%
Total Deaths4,044
Total Deaths4,044
Ontario 1999Ontario 1999
![Page 13: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/13.jpg)
Causes of Injury Hospitalization
Falls50%
Other24%
Violence3%
Suicide12%
Motor Vehicle
11%
Total Hospitalized
75,176
Total Hospitalized
75,176
Ontario 1999Ontario 1999
![Page 14: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/14.jpg)
Causes of Non-Hospitalized Injury
Falls38%
Other29%
Suicide15%
Violence2%
Motor Vehicle
16%
Ontario 1999Ontario 1999
Total Non-Hospitaliz
ed492,438
Total Non-Hospitaliz
ed492,438
![Page 15: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/15.jpg)
Injury Deaths
Hospitalized
Injuries
Non-hospitaliz
ed Injuries
Injuries Resulting in Partial
Permanent
Disability
Injuries Resulting in Total
Permanent
Disability
Total Annual
Cost
4,04475,17
6492,4
3820,69
31,426
$5.7Billion
Summary of All InjuryOntario, 1999
![Page 16: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/16.jpg)
Direct and Indirect Costs
1,421
421342
91
748
525
694
544
139
809
0
500
1,000
1,500
2,000
Falls
Motor Vehicle
SuicideViolenceOther
$ Millions
Indirect CostsDirect Costs
Ontario, 1999
![Page 17: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/17.jpg)
Costs of Unintentional Falls
154 66274
927
15776
257
35
0
250
500
750
1,000
0-1415-2425-5455+
Age Group
$ Millions
Indirect Costs
Direct Costs
Ontario, 1999
548
384489
137243 105
0
250
500
750
1,000
Same Level
One Level To Another
Other
Type of Fall
$ Millions
![Page 18: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/18.jpg)
Costs of Motor Vehicle Traffic Collision
265
58 12
365
8142 123
1424
170
250
500
750
Driver/Passenger
PedestrianMotorcyclistPedal Cyclist
Other
Injured Party
$ Millions
Indirect CostsDirect Costs
Ontario, 1999
![Page 19: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/19.jpg)
Costs of Intentional Injuries
Interpersonal Violence
4642
28 960
257130
125
250
375
500
Fight, brawl, sexual assault
Cutting / PiercingChild battering
Other
Cause of Injury
$ Millions
Indirect CostsDirect Costs
Ontario, 1999
Suicide and Self-Inflicted
274
184
17735 148
1542110
125
250
375
500
Poisoning
Hanging, Strangulation, Suffocation
Cutting / Piercing
Other
Cause of Injury
$ Millions
![Page 20: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/20.jpg)
![Page 21: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/21.jpg)
![Page 22: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/22.jpg)
Injury Deaths
Hospitalized Injuries
Non-hospitalized Injuries
Injuries Resulting in Partial
Permanent
Disability
Injuries Resulting in Total
Permanent
Disability
Total Annual
Cost
192 6,999 53,434 2,134 157$655Million
Injuries Resulting from Physical Activity
Ontario, 1999
![Page 23: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/23.jpg)
Costs of Injuries Resulting fromPhysical Activity
83
6454
83
87
56
29
19
5
87
29
59
0
50
100
150
200
Sport collision
Walking
OverexertionPedal CyclingPlayground FallWater Sport
Type of Physical Activity
$ Millions
Indirect CostsDirect Costs
Ontario, 1999
![Page 24: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/24.jpg)
Type of Injury % Deaths% Hospitalized
Injuries
% Non-hospitalized
InjuriesMotor Vehicle
Traffic Collisions
23 13 10
Unintentional Falls 7 6 6
Suicide and Self-Inflicted
Injury14 12 12
Interpersonal Violence 25 22 22
Estimated Cases of Injury with
Alcohol InvolvementOntario, 1999
![Page 25: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/25.jpg)
Costs of Injuries Associated with Alcohol
43
85
20
113
32
74
41 32
0
50
100
150
200
MVC FallsSuicide Violence
Type of Injury
$ Millions
Indirect CostsDirect Costs
Ontario, 1999
![Page 26: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/26.jpg)
$1 spent on… Saves
painting traffic lines on roads $61
front seat belts $49
functional family therapy for juvenile delinquents
$32
smoke detectors $15
comprehensive fall prevention programs for community-dwelling, high risk seniors
$ 7
Big Brother/Sister mentoring for violence prevention
$ 5
intensive sobriety checkpoints $ 3
Injury Prevention Cuts Costs
![Page 27: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/27.jpg)
Five Prevention Scenarios
•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 violenceTotal combined savings of $500 Million
annually
![Page 28: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/28.jpg)
One Prevention Scenario:Falls Among Seniors 55+• 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
![Page 29: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/29.jpg)
Conclusion
•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
![Page 30: The Economic Burden of Injury in Ontario Dr. Philip Groff Director, Research & Evaluation SMARTRISK SMARTRISK Learning Series October 17, 2006](https://reader036.vdocument.in/reader036/viewer/2022062421/56649f455503460f94c66a8b/html5/thumbnails/30.jpg)
www.smartrisk.ca