A cost-outcome approach to pre and post-implementation of national sports injury prevention programmes.
In New Zealand (NZ), the Accident Compensation Corporation (ACC) has developed a pre and post-implementation cost-outcome formulae for sport injury prevention to provide information regarding the success of a prevention programme. The ACC provides for the cost of all personal injuries in NZ and invests in prevention programmes to offset 1.6 million annual claims that cost $NZD 1.9 billion. The ACC invests in nine national community sport injury prevention programmes that represent 40% of sport claims and costs. Pre-implementation is used to determine the decision whether to invest in implementation and to determine the level of such investment for the injury prevention programme. Post-implementation is calculated two ways: unadjusted, assuming ceteris paribus; and adjusted assuming no prevention programme was in place. Post-implementation formulae provide a return on investment (ROI) for each dollar invested in the programme and cost-savings. The cost-outcome formulae approach allows ACC to manage expectations of the prevention programme as well as when it will provide a ROI, allowing it to take a long-term view for investment in sport injury prevention. Originally developed for its sport injury prevention programmes, the cost-outcome formulae have now been applied to the other prevention programmes ACC invests in such as home, road and workplace injury prevention.
Gianotti
Simon
S
Accident Compensation Corporation, Wellington, New Zealand. simon.gianotti@acc.co.nz
Hume
Patria A
PA
D000465:Algorithms; D001265:Athletic Injuries / Q000191:economics* / Q000517:prevention & control*; D003362:Cost-Benefit Analysis / Q000191:economics / Q000379:methods; D005380:Financing, Government; D006284:Health Plan Implementation / Q000191:economics; D006801:Humans; D017059:Models, Econometric; D009313:National Health Programs / Q000191:economics*; D009520:New Zealand