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Open AccessArticle

Health Care and Productivity Costs of Non-Fatal Traffic Injuries: A Comparison of Road User Types

Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
Department Trauma TopCare, ETZ Hospital, 5022 GC Tilburg, The Netherlands
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2217; (registering DOI)
Received: 21 February 2020 / Revised: 24 March 2020 / Accepted: 25 March 2020 / Published: 26 March 2020
(This article belongs to the Special Issue Traffic Accident Control and Prevention)
This study aimed to provide a detailed overview of the health care and productivity costs of non-fatal road traffic injuries by road user type. In a cohort study in the Netherlands, adult injury patients admitted to a hospital as a result of a traffic accident completed questionnaires 1 week and 1, 3, 6, 12 and 24 months after injury, including the iMTA Medical Consumption and Productivity Cost Questionnaire. In-hospital, post-hospital medical costs and productivity costs were calculated up to two years after traffic injury. In total, 1024 patients were included in this study. The mean health care costs per patient were € 8200. The mean productivity costs were € 5900. Being female, older age, with higher injury severity and having multiple comorbidities were associated with higher health care costs. Higher injury severity and being male were associated with higher productivity costs. Pedestrians aged ≥ 65 years had the highest mean health care costs (€ 18,800) and motorcyclists the highest mean productivity costs (€ 9000). Bicycle injuries occurred most often in our sample (n = 554, 54.1%) and accounted for the highest total health care and productivity costs. Considering the high proportion of total costs incurred by bicycle injuries, this is an important area for the prevention of traffic injuries. View Full-Text
Keywords: health care costs; productivity loss; road traffic injuries; injury health care costs; productivity loss; road traffic injuries; injury
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van der Vlegel, M.; Haagsma, J.A.; de Munter, L.; de Jongh, M.A.C.; Polinder, S. Health Care and Productivity Costs of Non-Fatal Traffic Injuries: A Comparison of Road User Types. Int. J. Environ. Res. Public Health 2020, 17, 2217.

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