Reducing The Burden Of Injury Advancing Prevention And Treatment by Richard J Bonnie

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Executive Summary

  
  

THE INJURY FIELD

  

Injury

morbidity and mortality have been persistent problems in the United

States. Recent findings report that in 1995 alone, injuries were

responsible for 147,891 deaths, 2.6 million hospitalizations, and over

36 million emergency room visits (Fingerhut and Warner, 1997). Societal

costs of injury-related morbidity and mortality were estimated at $260

billion in FY 1995.1

Unintentional injuries and violence account for about 30 percent of all

lost years of productive life before age 65, exceeding losses from

heart disease, cancer, and stroke combined (CDC, 1991; Waller, 1994).

Given the staggering costs of injury morbidity and mortality, the

Robert Wood Johnson, W.K. Kellogg, and John D. and Catherine T.

MacArthur foundations, requested that the Institute of Medicine (IOM)

establish a committee to make recommendations for advancing the injury

field and reducing the burden of injury in America. In this report, the

IOM Committee on Injury Prevention and Control characterizes the injury

problem in the United States, assesses the current response by the

public and private sectors, and presents recommendations for reducing

the burden of injury in America.2

  
                
  

1

  

The

1985 cost-of-injury estimates were updated to 1995 separately by type

of cost. Direct costs were inflated using the appropriate component of

the Consumer Price Index (hospital and related services, physicians'

services, prescription drugs, professional medical services, and

medical care services). Indirect costs were inflated using the index of

hourly compensation in the business sector.

  

2

  

The recommendations are presented in order of appearance in the text and are not placed in priority order.

  

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