Hospital-centered violence intervention programs: a cost-effectiveness analysis

American Journal of Surgery
Vincent E ChongGregory P Victorino

Abstract

Hospital-centered violence intervention programs (HVIPs) reduce violent injury recidivism. However, dedicated cost analyses of such programs have not yet been published. We hypothesized that the HVIP at our urban trauma center is a cost-effective means for reducing violent injury recidivism. We conducted a cost-utility analysis using a state-transition (Markov) decision model, comparing participation in our HVIP with standard risk reduction for patients injured because of firearm violence. Model inputs were derived from our trauma registry and published literature. The 1-year recidivism rate for participants in our HVIP was 2.5%, compared with 4% for those receiving standard risk reduction resources. Total per-person costs of each violence prevention arm were similar: $3,574 for our HVIP and $3,515 for standard referrals. The incremental cost effectiveness ratio for our HVIP was $2,941. Our HVIP is a cost-effective means of preventing recurrent episodes of violent injury in patients hurt by firearms.

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Citations

Dec 19, 2015·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Joseph B RichardsonCarnell Cooper
Jul 21, 2016·Journal for Nurses in Professional Development·Cathleen OppermanMary Harper
Jul 27, 2018·Journal for Nurses in Professional Development·Cathleen OppermanCarol Susan Johnson
Oct 22, 2016·The Journal of Trauma and Acute Care Surgery·Bethany L StrongWendy G Lane
Aug 2, 2019·Journal of Behavioral Medicine·Megan RanneyUNKNOWN FACTS Consortium
Aug 2, 2019·Journal of Behavioral Medicine·Sonali RajanNina Agrawal
Dec 14, 2018·Traffic Injury Prevention·Joshua ParrecoRishi Rattan
Nov 19, 2020·The Western Journal of Emergency Medicine·Garth N WalkerP Quincy Moore
Dec 18, 2020·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Christopher St VilMallory Williams
Feb 21, 2021·American Journal of Preventive Medicine·Cora Peterson, Megan C Kearns
Apr 3, 2021·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Jessika H BottianiCatherine P Bradshaw
Jun 17, 2021·The American Surgeon·Rachel M BorthwellVincent E Chong
Nov 8, 2018·Delaware Journal of Public Health·David Chen

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