Florence Curtis, Shepherd Jonathan, Brennan Iain, Simon Thomas R
Division of Analysis, Research and Practice Integration, Centers for Disease Control and Prevention, , Atlanta, Georgia, USA.
Inj Prev. 2014 Apr;20(2):108-14. doi: 10.1136/injuryprev-2012-040622. Epub 2013 Sep 18.
To assess the costs and benefits of a partnership between health services, police and local government shown to reduce violence-related injury.
Benefit-cost analysis.
Anonymised information sharing and use led to a reduction in wounding recorded by the police that reduced the economic and social costs of violence by £6.9 million in 2007 compared with the costs the intervention city, Cardiff UK, would have experienced in the absence of the programme. This includes a gross cost reduction of £1.25 million to the health service and £1.62 million to the criminal justice system in 2007. By contrast, the costs associated with the programme were modest: setup costs of software modifications and prevention strategies were £107 769, while the annual operating costs of the system were estimated as £210 433 (2003 UK pound). The cumulative social benefit-cost ratio of the programme from 2003 to 2007 was £82 in benefits for each pound spent on the programme, including a benefit-cost ratio of 14.80 for the health service and 19.1 for the criminal justice system. Each of these benefit-cost ratios is above 1 across a wide range of sensitivity analyses.
An effective information-sharing partnership between health services, police and local government in Cardiff, UK, led to substantial cost savings for the health service and the criminal justice system compared with 14 other cities in England and Wales designated as similar by the UK government where this intervention was not implemented.
评估卫生服务机构、警方和地方政府之间的合作关系所产生的成本与效益,该合作关系已被证明可减少与暴力相关的伤害。
成本效益分析。
匿名信息共享与使用使警方记录的伤人事件减少,与英国干预城市加的夫在无该项目情况下可能产生的成本相比,2007年暴力事件的经济和社会成本降低了690万英镑。这包括2007年卫生服务机构的总成本降低了125万英镑,刑事司法系统的总成本降低了162万英镑。相比之下,该项目的相关成本较低:软件修改和预防策略的设置成本为107,769英镑,而该系统的年度运营成本估计为210,433英镑(2003年英国英镑)。2003年至2007年该项目的累积社会效益成本比为每花费1英镑该项目可带来82英镑的效益,其中卫生服务机构的效益成本比为14.80,刑事司法系统的效益成本比为19.1。在广泛的敏感性分析中,这些效益成本比均高于1。
英国加的夫的卫生服务机构、警方和地方政府之间有效的信息共享合作关系,与英国政府指定的其他14个类似但未实施该干预措施的英格兰和威尔士城市相比,为卫生服务机构和刑事司法系统带来了大量成本节约。