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OBJECTIVES To present new estimates of the average lifetime costs per child maltreatment victim and aggregate lifetime costs for all new child maltreatment cases incurred in 2008 using an incidence-based approach. METHODS This study used the best available secondary data to develop cost per case estimates. For each cost category, the paper used(More)
OBJECTIVES We examined the associations of overall and age-specific suicide rates with business cycles from 1928 to 2007 in the United States. METHODS We conducted a graphical analysis of changes in suicide rates during business cycles, used nonparametric analyses to test associations between business cycles and suicide rates, and calculated correlations(More)
Obese people incur higher health care costs at a given point in time, but how rising obesity rates affect spending growth over time is unknown. We estimate obesity-attributable health care spending increases between 1987 and 2001. Increases in the proportion of and spending on obese people relative to people of normal weight account for 27 percent of the(More)
This study uses data from the National Longitudinal Survey of Youth to track the health coverage of parents in the year before and the year in which their children enroll in Medicaid. Use of such longitudinal data, compared to cross-sectional data, provides more insight into the dynamics of health insurance coverage and expansions in Medicaid. Using these(More)
INTRODUCTION One out of three persons aged 65 and older falls annually and 20% to 30% of falls result in injury. The purpose of this cost-benefit analysis was to identify community-based fall interventions that were feasible, effective, and provided a positive return on investment (ROI). METHODS A third-party payer perspective was used to determine the(More)
OBJECTIVE To evaluate the effectiveness of anonymised information sharing to prevent injury related to violence. DESIGN Experimental study and time series analysis of a prototype community partnership between the health service, police, and local government partners designed to prevent violence. SETTING Cardiff, Wales, and 14 comparison cities(More)
The Federal Employees Health Benefits Program (FEHBP) has attracted considerable interest for its ability to control health care costs. We examine the impact of the FEHBP's maximum dollar contribution on incentives to select low-cost plans and the growth in insurance premiums over time. Unless the maximum dollar contribution is pegged to a low-price plan,(More)
Market reform of health insurance is proposed to increase coverage and reduce growth in spending by providing an incentive to choose low-cost plans. However, having a choice of plans could result in risk segmentation. Risk-adjusted payments have been proposed to address risk segmentation but are criticized as ineffective. An alternative to risk adjustment(More)
OBJECTIVE To assess the costs and benefits of a partnership between health services, police and local government shown to reduce violence-related injury. METHODS Benefit-cost analysis. RESULTS 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(More)
IMPORTANCE It is important to understand the magnitude and distribution of the economic burden of prescription opioid overdose, abuse, and dependence to inform clinical practice, research, and other decision makers. Decision makers choosing approaches to address this epidemic need cost information to evaluate the cost effectiveness of their choices. (More)