Myers M L, Cole H P, Westneat S C
Southeast Center for Agricultural Health and Injury Prevention, College of Public Health, University of Kentucky, Lexington, Kentucky 40504-9842, USA.
Inj Prev. 2005 Jun;11(3):169-73. doi: 10.1136/ip.2004.007039.
To evaluate the cost effectiveness of a 4.5 year education campaign that promoted farmers' adoption of rollover protective structures (ROPS) to prevent tractor overturn injuries.
Randomized controlled trial, decision analysis, and cost effectiveness analysis.
One treatment county and one control county in the State of Kentucky.
A campaign by a local tractor and equipment dealership to encourage farmers to purchase and install ROPS and seatbelt retrofit kits for older tractors.
Number of injuries averted and cost per injury averted.
The dealership's 4.5 year intervention was shown to potentially reduce both fatal (0.26) and non-fatal (1.50) injuries by 2.6% in its county over the intervention period using a 20 year analytic horizon. When extrapolated statewide, 6.7 lives would be saved and 39 non-fatal injuries would be averted over the combined 24.5 year combined intervention period and analytic horizon. The intervention for this period was cost effective with a "savings" of 35,713 dollars per injury (fatal plus non-fatal) averted at a 4% discount rate.
Tractor manufacturer promotions can influence their dealerships to promote ROPS retrofits by their customers. A manufacturer backed dealer ROPS retrofit campaign was cost effective in reducing overturn related injuries.
评估一项为期4.5年的教育活动的成本效益，该活动旨在促进农民采用翻车保护结构（ROPS）以预防拖拉机翻车事故造成的伤害。
随机对照试验、决策分析和成本效益分析。
肯塔基州的一个治疗县和一个对照县。
当地一家拖拉机及设备经销商开展的一项活动，鼓励农民为旧拖拉机购买并安装翻车保护结构和安全带改装套件。
避免的伤害数量和避免每起伤害的成本。
在20年的分析期内，经销商为期4.5年的干预措施显示，在其所在县的干预期间，有可能将致命伤（0.26）和非致命伤（1.50）的数量均减少2.6%。推广至全州范围，在24.5年的联合干预期和分析期内，将挽救6.7条生命，避免39起非致命伤害。在4%的贴现率下，该时期的干预措施具有成本效益，每避免一起伤害（致命伤加非致命伤）可“节省”35,713美元。
拖拉机制造商的推广活动可以影响其经销商推动客户进行翻车保护结构改装。由制造商支持的经销商翻车保护结构改装活动在减少翻车相关伤害方面具有成本效益。
