Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Cost-effectiveness of injury prevention a systematic review of municipality based interventions. | Gyllensvărd Cost Effectiveness and Resource Allocation 2010 8 17 http content 8 1 17 COST EFFECTIVENESS AND RESOURCE ALLOCATION REVIEW Open Access Cost-effectiveness of injury prevention -a systematic review of municipality based interventions Harald Gyllensvard Abstract Background Injuries are a major cause of mortality and morbidity which together result in avoidable societal costs. Due to limited resources injury prevention interventions need to demonstrate cost-effectiveness to justify their implementation. However the existing knowledge in this area is limited. Consequently a systematic review is needed to support decision-making and to assist in the targeting of future research. The aim of this review is to critically appraise the published economic evidence of injury prevention interventions at the municipal level. Methods A search strategy was developed to focus a literature search in PubMed Embase Cochrane and NHS EED. Studies were eligible for inclusion if they were economic evaluations of injury prevention interventions that could be implemented by municipalities had a relevant comparison group did not include any form of medication or drug use and were assessed as having at least an acceptable quality from an economic point of view. Articles were screened in three steps. In the final step studies were critically appraised using a check-list based on Drummond s check-list for assessing economic evaluations. Results Of 791 potential articles 20 were accepted for inclusion. Seven studies showed net savings four showed a cost per health score gained six showed both savings and a cost per health score gained but for different time horizons and populations and three showed no effect. The interventions targeted a range of areas such as traffic safety fire safety hip fractures and sport injuries. One studied a multi-targeted community-based program. Only six articles used effectiveness data generated within the study. Conclusions The
