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Cost-benefit analysis simulation of a hospital-based violence intervention program
Journal article   Peer reviewed

Cost-benefit analysis simulation of a hospital-based violence intervention program

Jonathan Purtle, Linda J Rich, Sandra L Bloom, John A Rich and Theodore J Corbin
American journal of preventive medicine, v 48(2), pp 162-169
Feb 2015
DOI: https://doi.org/10.1016/j.amepre.2014.08.030
PMID: 25442223
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Cost Savings Cost-Benefit Analysis Criminal Law Efficiency, Organizational Health Care Costs Hospitals Humans Secondary Prevention United States Violence - economics Violence - prevention & control
Violent injury is a major cause of disability, premature mortality, and health disparities worldwide. Hospital-based violence intervention programs (HVIPs) show promise in preventing violent injury. Little is known, however, about how the impact of HVIPs may translate into monetary figures. To conduct a cost-benefit analysis simulation to estimate the savings an HVIP might produce in healthcare, criminal justice, and lost productivity costs over 5 years in a hypothetical population of 180 violently injured patients, 90 of whom received HVIP intervention and 90 of whom did not. Primary data from 2012, analyzed in 2013, on annual HVIP costs/number of clients served and secondary data sources were used to estimate the cost, number, and type of violent reinjury incidents (fatal/nonfatal, resulting in hospitalization/not resulting in hospitalization) and violent perpetration incidents (aggravated assault/homicide) that this population might experience over 5 years. Four different models were constructed and three different estimates of HVIP effect size (20%, 25%, and 30%) were used to calculate a range of estimates for HVIP net savings and cost-benefit ratios from different payer perspectives. All benefits were discounted at 5% to adjust for their net present value. Estimates of HVIP cost savings at the base effect estimate of 25% ranged from $82,765 (narrowest model) to $4,055,873 (broadest model). HVIPs are likely to produce cost savings. This study provides a systematic framework for the economic evaluation of HVIPs and estimates of HVIP cost savings and cost-benefit ratios that may be useful in informing public policy decisions.

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38 citations in Web of Science
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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Web of Science research areas
Public, Environmental & Occupational Health
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