Cost-effectiveness of the 'Stay One Step Ahead' Home Safety programme for the prevention of injuries among children under 5 years.

IF 2.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Prevention Pub Date : 2024-08-31 DOI:10.1136/ip-2024-045236

Matthew Jones, Elizabeth Orton, Michael James Taylor, Clare Timblin, Rachel Clarke, Michael Craig Watson, Mike Hayes, Tina Patel, Carol Coupland, Denise Kendrick

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引用次数: 0

Abstract

Background: Unintentional injuries are a common cause of morbidity and mortality in the under-5s, but undertaking home safety practices can reduce injury risk. Stay One Step Ahead (SOSA) is an evidence-based standardised home safety programme. This study evaluates the cost-effectiveness of SOSA versus usual care in Nottingham, UK.

Methods: Cost-effectiveness analysis from a National Health Service and personal social services perspective. SOSA activity data, injury occurrence and associated short-term healthcare costs were collected within a controlled before-and-after study from 2017 to 2020. The primary outcome was the incremental cost-effectiveness ratio (ICER) per additional home adopting three key safety practices (working smoke alarm, safe poisons storage and fitted stair gate). Secondary outcomes were ICERs per injury avoided and quality-adjusted life-years (QALYs) gained.

Results: SOSA costs £30 per child but reduces short-term healthcare expenditure by £42. SOSA increased the number of homes with three key safety practices by 0.02 per child, reduced injuries per child by 0.15 and gained 0.0036 QALYs per child. SOSA was dominant as it was cheaper and more effective than current practice. ICERs were -£590 per additional home deemed safe, -£77 per injury avoided and -£3225 per QALY gained. Focusing on healthcare expenditure alone, SOSA saved £1.39 for every pound spent.

Conclusions: SOSA is a cost-saving intervention. Commissioners should consider implementing SOSA.

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先行一步 "家庭安全计划在预防 5 岁以下儿童受伤方面的成本效益。

背景：意外伤害是导致 5 岁以下儿童发病和死亡的常见原因，但采取家居安全措施可以降低伤害风险。先行一步（SOSA）是一项以证据为基础的标准化家庭安全计划。本研究在英国诺丁汉评估了 SOSA 与常规护理的成本效益：方法：从国民健康服务和个人社会服务的角度进行成本效益分析。在 2017 年至 2020 年的一项前后对照研究中，收集了 SOSA 活动数据、伤害发生率和相关短期医疗成本。主要结果是每增加一户采用三种关键安全措施（正常工作的烟雾报警器、安全的毒药储存和安装楼梯门）的家庭的增量成本效益比 (ICER)。次要结果是每避免一次伤害的 ICER 和获得的质量调整生命年 (QALY)：每名儿童的 SOSA 费用为 30 英镑，但可减少 42 英镑的短期医疗支出。SOSA 使采用三种关键安全措施的家庭数量每名儿童增加 0.02 个，每名儿童减少 0.15 次伤害，每名儿童获得 0.0036 QALYs。由于 SOSA 比目前的做法更便宜、更有效，因此占主导地位。每增加一个被认为安全的家庭的 ICER 为-590 英镑，每避免一次伤害为-77 英镑，每获得一个 QALY 为-3225 英镑。仅就医疗支出而言，SOSA 每花费 1 英镑就能节省 1.39 英镑：结论：SOSA 是一种节约成本的干预措施。委员们应考虑实施 SOSA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury Prevention 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.30

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.