{"title":"印度道路交通伤害的国家经济负担。","authors":"Sajith Kumar S, Bhavani Shankara Bagepally, Akhil Sasidharan, Kayala Venkata Jagadeesh, Manickam Ponnaiah","doi":"10.1136/ip-2024-045429","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Road traffic injuries (RTI) cause multifarious detrimental consequences, including fatality and serious injuries. RTIs cause considerable financial strain on healthcare systems with high costs of medical care, long-term care for the injured and lost productivity. To assess this economic burden, we estimated the state-wise economic costs of RTI in India.</p><p><strong>Methods: </strong>We followed the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Checklist 2022 to present the methods and outcomes. Data were obtained from the Global Burden of Diseases, Injuries and Risk Factors Study, Government of India's budget documents, annual reports of the National Health Authority, Controller General of Accounts and Economic Surveys. Cost per disability-adjusted life years (DALY), direct costs, indirect costs and total costs associated with RTI burden were estimated for India and by its states.</p><p><strong>Results: </strong>The RTI burden declined in all Indian states except Jammu and Kashmir (with a minor increase from 1458 to 1564 DALYs per 100 000) and Rajasthan (from 1275 to 1394 DALYs per 100 000) during the 2010-2019 period. The estimated mean cost per DALY in India due to RTI was ₹1821 (95% CI 1606 to 2036) (US$22 (95% CI 19 to 24)), with a median (IQR) of ₹1609 (551) (US$19 (7)). As of 2019, the estimated mean total cost of RTI burden in India was ₹1017 billion (US$12 billion), with a median (IQR) of ₹731 billion (1220 billion) (US$9 billion (15 billion)).</p><p><strong>Conclusion: </strong>The burden of RTIs declined across the Indian states during 2010-2019, and the same was not observed with fiscal implications. The study reiterates the need for strategic road safety interventions to ameliorate the socioeconomic and health impacts of RTIs in India.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"State-wise economic burden of road traffic injuries in India.\",\"authors\":\"Sajith Kumar S, Bhavani Shankara Bagepally, Akhil Sasidharan, Kayala Venkata Jagadeesh, Manickam Ponnaiah\",\"doi\":\"10.1136/ip-2024-045429\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Road traffic injuries (RTI) cause multifarious detrimental consequences, including fatality and serious injuries. RTIs cause considerable financial strain on healthcare systems with high costs of medical care, long-term care for the injured and lost productivity. To assess this economic burden, we estimated the state-wise economic costs of RTI in India.</p><p><strong>Methods: </strong>We followed the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Checklist 2022 to present the methods and outcomes. Data were obtained from the Global Burden of Diseases, Injuries and Risk Factors Study, Government of India's budget documents, annual reports of the National Health Authority, Controller General of Accounts and Economic Surveys. Cost per disability-adjusted life years (DALY), direct costs, indirect costs and total costs associated with RTI burden were estimated for India and by its states.</p><p><strong>Results: </strong>The RTI burden declined in all Indian states except Jammu and Kashmir (with a minor increase from 1458 to 1564 DALYs per 100 000) and Rajasthan (from 1275 to 1394 DALYs per 100 000) during the 2010-2019 period. The estimated mean cost per DALY in India due to RTI was ₹1821 (95% CI 1606 to 2036) (US$22 (95% CI 19 to 24)), with a median (IQR) of ₹1609 (551) (US$19 (7)). As of 2019, the estimated mean total cost of RTI burden in India was ₹1017 billion (US$12 billion), with a median (IQR) of ₹731 billion (1220 billion) (US$9 billion (15 billion)).</p><p><strong>Conclusion: </strong>The burden of RTIs declined across the Indian states during 2010-2019, and the same was not observed with fiscal implications. The study reiterates the need for strategic road safety interventions to ameliorate the socioeconomic and health impacts of RTIs in India.</p>\",\"PeriodicalId\":13682,\"journal\":{\"name\":\"Injury Prevention\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-03-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Injury Prevention\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/ip-2024-045429\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Injury Prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/ip-2024-045429","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景:道路交通伤害(RTI)造成多种有害后果,包括死亡和严重伤害。rti对医疗保健系统造成相当大的财政压力,医疗保健费用高,对受伤人员的长期护理费用高,生产力损失大。为了评估这种经济负担,我们估计了印度RTI的国家经济成本。方法:采用综合卫生经济评价报告标准(CHEERS)清单2022来介绍方法和结果。数据来自《全球疾病、伤害和风险因素负担研究》、印度政府预算文件、国家卫生局、审计长和经济调查的年度报告。估计了印度及其各邦与RTI负担相关的每个残疾调整生命年(DALY)成本、直接成本、间接成本和总成本。结果:2010-2019年期间,除了查谟和克什米尔(从每10万人1458年轻微增加到1564年)和拉贾斯坦邦(从每10万人1275年增加到1394年)外,印度所有邦的RTI负担都有所下降。在印度,由于RTI,估计每个DALY的平均成本为1821卢比(95% CI 1606至2036)(22美元(95% CI 19至24)),中位数(IQR)为1609卢比(551)(19美元(7))。截至2019年,印度RTI负担的估计平均总成本为10170亿卢比(120亿美元),中位数(IQR)为7310亿卢比(12200亿美元)(90亿美元(150亿美元))。结论:2010-2019年期间,印度各邦的rti负担有所下降,但没有观察到财政影响。该研究重申,需要采取战略性道路安全干预措施,以减轻印度交通事故对社会经济和健康的影响。
State-wise economic burden of road traffic injuries in India.
Background: Road traffic injuries (RTI) cause multifarious detrimental consequences, including fatality and serious injuries. RTIs cause considerable financial strain on healthcare systems with high costs of medical care, long-term care for the injured and lost productivity. To assess this economic burden, we estimated the state-wise economic costs of RTI in India.
Methods: We followed the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Checklist 2022 to present the methods and outcomes. Data were obtained from the Global Burden of Diseases, Injuries and Risk Factors Study, Government of India's budget documents, annual reports of the National Health Authority, Controller General of Accounts and Economic Surveys. Cost per disability-adjusted life years (DALY), direct costs, indirect costs and total costs associated with RTI burden were estimated for India and by its states.
Results: The RTI burden declined in all Indian states except Jammu and Kashmir (with a minor increase from 1458 to 1564 DALYs per 100 000) and Rajasthan (from 1275 to 1394 DALYs per 100 000) during the 2010-2019 period. The estimated mean cost per DALY in India due to RTI was ₹1821 (95% CI 1606 to 2036) (US$22 (95% CI 19 to 24)), with a median (IQR) of ₹1609 (551) (US$19 (7)). As of 2019, the estimated mean total cost of RTI burden in India was ₹1017 billion (US$12 billion), with a median (IQR) of ₹731 billion (1220 billion) (US$9 billion (15 billion)).
Conclusion: The burden of RTIs declined across the Indian states during 2010-2019, and the same was not observed with fiscal implications. The study reiterates the need for strategic road safety interventions to ameliorate the socioeconomic and health impacts of RTIs in India.
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.