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本文引用的文献

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Fatalities associated with farm tractor injuries: an epidemiologic study.与农用拖拉机伤害相关的死亡:一项流行病学研究。
Public Health Rep. 1985 May-Jun;100(3):329-33.
2
Routine intravenous pyelograms before hysterectomy in cases of benign disease: possibly effective, definitely expensive.良性疾病患者在子宫切除术前进行常规静脉肾盂造影:可能有效,但肯定昂贵。
Am J Obstet Gynecol. 1988 Nov;159(5):1049-53. doi: 10.1016/0002-9378(88)90409-7.
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Issues in cost effectiveness in health care.医疗保健中的成本效益问题。
J Public Health Dent. 1989;49(5 Spec No):272-8. doi: 10.1111/j.1752-7325.1989.tb02085.x.
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Cost effectiveness of current approaches to the control of retinopathy in type I diabetics.当前控制I型糖尿病视网膜病变方法的成本效益
Ophthalmology. 1989 Feb;96(2):255-64. doi: 10.1016/s0161-6420(89)32923-x.
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The cost-effectiveness of counseling smokers to quit.
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Epilogue: agricultural occupational and environmental health policy strategies for the future.结语:未来农业职业与环境卫生政策策略
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Clinical benefits and cost-effectiveness of lowering serum cholesterol levels: the case of simvastatin and cholestyramine in The Netherlands.
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Cost-effectiveness perspectives in coronary heart disease.冠心病的成本效益视角
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9
Farm tractor fatalities: the failure of voluntary safety standards.农用拖拉机事故:自愿性安全标准的失效
Am J Public Health. 1979 Feb;69(2):146-9. doi: 10.2105/ajph.69.2.146.

农用拖拉机与强制性翻车保护装置改造:纽约州该政策的潜在成本

Farm tractors and mandatory roll-over protection retrofits: potential costs of the policy in New York.

作者信息

Kelsey T W, Jenkins P L

机构信息

New York Center for Agricultural Medicine and Health, Cooperstown 13326.

出版信息

Am J Public Health. 1991 Jul;81(7):921-3. doi: 10.2105/ajph.81.7.921.

DOI:10.2105/ajph.81.7.921
PMID:1905112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1405192/
Abstract

Tractor roll-overs are the leading cause of fatal farm accidents, accounting for more than one-fourth of all agriculturally related deaths. Most of these deaths could be prevented if the tractors were equipped with roll-over protective structures (ROPS). This study estimates the number of tractors in New York without ROPS, projects their retirement, and then estimates the number of lives which would be saved if ROPS were retrofitted on old tractors. The basic costs associated with mandating ROPS are calculated from these estimates. The minimum economic cost of mandating ROPS is $511,136 per life saved for the retrofits, and an additional $253,254 per life saved for every $1 million spent annually on enforcement. It is concluded that a policy mandating ROPS on all tractors would be expensive, but should be considered with particular attention to the need for and cost effectiveness of enforcement.

摘要

拖拉机翻车是农场致命事故的主要原因,占所有农业相关死亡人数的四分之一以上。如果拖拉机配备翻车保护结构(ROPS),这些死亡中的大多数是可以避免的。本研究估计了纽约州未配备ROPS的拖拉机数量,预测了它们的淘汰情况,然后估计了如果在旧拖拉机上加装ROPS可以挽救的生命数量。根据这些估计计算出强制安装ROPS的基本成本。强制安装ROPS的最低经济成本为每挽救一条生命,改装费用为511,136美元,每年每花费100万美元用于执法,还需额外花费253,254美元用于挽救一条生命。结论是,要求所有拖拉机安装ROPS的政策成本高昂,但应予以考虑,尤其要关注执法的必要性和成本效益。