Catalan Agency for Health Information, Assessment and Quality, Roc Boronat 81-95 2nd floor, Barcelona 08005, Spain.
Bull World Health Organ. 2013 Jan 1;91(1):28-35. doi: 10.2471/BLT.12.110072. Epub 2012 Dec 7.
To determine whether the road safety policies introduced between 2000 and 2010 in Catalonia, Spain, which aimed primarily to reduce deaths from road traffic collisions by 50% by 2010, were associated with economic benefits to society.
A cost analysis was performed from a societal perspective with a 10-year time horizon. It considered the costs of: hospital admissions; ambulance transport; autopsies; specialized health care; police, firefighter and roadside assistance; adapting to disability; and productivity lost due to institutionalization, death or sick leave of the injured or their caregivers; as well as material and administrative costs. Data were obtained from a Catalan hospital registry, the Catalan Traffic Service information system, insurance companies and other sources. All costs were calculated in euros (€) at 2011 values.
A substantial reduction in deaths from road traffic collisions was observed between 2000 and 2010. Between 2001 and 2010, with the implementation of new road safety policies, there were 26 063 fewer road traffic collisions with victims than expected, 2909 fewer deaths (57%) and 25 444 fewer hospitalizations. The estimated total cost savings were around €18 000 million. Of these, around 97% resulted from reductions in lost productivity. Of the remaining cost savings, 63% were associated with specialized health care, 15% with adapting to disability and 8.1% with hospital care.
The road safety policies implemented in Catalonia in recent years were associated with a reduction in the number of deaths and injuries from traffic collisions and with substantial economic benefits to society.
确定 2000 年至 2010 年期间在西班牙加泰罗尼亚引入的道路安全政策是否与社会效益有关，这些政策的主要目标是到 2010 年将道路交通碰撞造成的死亡率降低 50%。
从社会角度进行了成本分析，时间范围为 10 年。它考虑了以下方面的成本：医院入院；救护车运输；尸检；专业医疗保健；警察、消防员和路边援助；适应残疾；以及因受伤者或其照顾者住院、死亡或请病假而导致的生产力损失；以及材料和行政成本。数据来自加泰罗尼亚一家医院的登记处、加泰罗尼亚交通服务信息系统、保险公司和其他来源。所有成本均按 2011 年的欧元（€）计算。
在 2000 年至 2010 年间，道路交通碰撞造成的死亡人数大幅减少。在 2001 年至 2010 年期间，随着新道路安全政策的实施，与受害者有关的道路交通碰撞减少了 26063 起，死亡人数减少了 2909 人（57%），住院人数减少了 25444 人。估计的总成本节省约为 180 亿欧元。其中，约 97%来自生产力损失的减少。在剩余的节省成本中，63%与专业医疗保健有关，15%与适应残疾有关，8.1%与医院护理有关。
近年来在加泰罗尼亚实施的道路安全政策与减少交通事故造成的死亡和伤害人数以及为社会带来重大经济效益有关。
