The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS

Kellezi, B ORCID: 0000-0003-4825-3624, Baines, DL, Coupland, C, Beckett, K, Barnes, J, Sleeny, J, Christie, N and Kendrick, D, 2016. The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS. Journal of Public Health, 38 (4), e464-e471. ISSN 1741-3842

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Aim: Injuries in working age adults are common, but few studies examine NHS resource use or costs. Subject and Methods: Costing study based on a cohort of 16-70 year olds admitted to hospital following unintentional injury in NHS Trusts in 4 UK centres. Participants completed resource use questionnaires up to 12 months post injury. Primary and secondary care, aids, adaptations, appliances and prescribed medications were costed. Mean costs by injury type and age-group and costs per clinical commissioning group (CCG) were estimated. Results: A total of 668 adults participated. Follow-up rates ranged from 77% at one month to 65% at 12 months. The mean cost of injuries over 12 months was £4691 per participant. Costs were highest for hip fractures (£5159), lower limb fractures (£4969), and multiple injuries (£4969). Secondary care accounted for 87% of mean costs across all injuries and primary care for 10%. The mean cost per CCG was £7.3 million (range £1.8 million - £25.6 million). The total cost across all English CCGs was £1.53 billion. Conclusions: Unintentional injuries in working age adults result in high levels of NHS resource use and costs in the year following injury. Commissioning effective injury prevention interventions may reduce these costs.

Item Type: Journal article
Publication Title: Journal of Public Health
Creators: Kellezi, B., Baines, D.L., Coupland, C., Beckett, K., Barnes, J., Sleeny, J., Christie, N. and Kendrick, D.
Publisher: Oxford University Press
Date: December 2016
Volume: 38
Number: 4
ISSN: 1741-3842
Divisions: Schools > School of Social Sciences
Depositing User: Jonathan Gallacher
Date Added: 10 Nov 2015 09:26
Last Modified: 09 Jun 2017 13:56

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