Bulletin of the World Health Organization

Cost savings associated with 10 years of road safety policies in Catalonia, Spain

Anna García-Altés, Josep M Suelves & Eneko Barbería

Volume 91, Number 1, January 2013, 28-35

Table 2. Data used in calculating the cost savings associated with the implementation of road safety policies, Catalonia, Spain, 2001–2010

Cost category Events avoided during 2001–2010 Price per unita Data sources
Direct health-care costs
Hospital care 25 444 admissions Diagnosis-related group cost CMBDHA, Ministerio de Sanidad, Política Social e Igualdad
Ambulance services 27 949 emergency admissions  €670 per emergency ambulance transport CMBDHA, Lladó and Roig18
Autopsy services 2909 deaths €260 per autopsy Servei Català de Trànsit,15 personal communication
Specialized health-care 17 591 emergency admissions due to severe injuriesb €20 203 per year for 4 hours of specialized care per day CMBDHA, Observatori Social de Barcelona28
Direct non-health-care costs
Adapting to disability 12 965 emergency admissions due to severe injuriesc €6546 per individual CMBDHA, Observatori Social de Barcelona28
Material costs 26 063 collisions with victims €1200 per collision Servei Català de Trànsit 2008
UNESPA29
Administrative costs 26 063 collisions with victims €755 per collision Servei Català de Trànsit 2008, Asociación ICEA,30 Instituto de Estudios de Automoción31
Police assistance 26 063 collisions with victims €911 per collision Servei Català de Trànsit,15 Lladó and Roig18
Firefighter assistance 2354 interurban collisions with victims €150 per collision Servei Català de Trànsit,15 Lladó and Roig18
Roadside assistance 6161 collisions with a driver victim €187 per collision Servei Català de Trànsit,15 Lladó and Roig18
Indirect costs
Productivity lost due to institutionalization 1 141 727 days in hospital Mean labour cost of €32 952 per year CMBDHA, INE
Productivity lost due to permanent sick leave 69 321 working years lost due to severe injuriesd Mean labour cost of €32 952 per year CMBDHA, INE, Institut Guttmann Hospital de Neurorehabilitació32
Productivity lost by carers 12 965 emergency admissions due to severe injuriesc Mean labour cost of providing 5 hours of care per day was €21 960 per year CMBDHA, INE
Productivity lost by carers who took permanent sick leave 69 321 working years lost due to severe injuriesd Mean labour cost of €32 952 per year CMBDHA, Barceló,33 INE, Institut Guttmann Hospital de Neurorehabilitació32
Productivity lost due to death 2909 deaths €1 400 000 per statistical life Servei Català de Trànsit,15 Abellán34

€, euro; INE, Instituto Nacional de Estadística (National Statistics Institute).

CMBDHA is the Catalan acronym for the registry of acute care hospitals in Catalonia.

a All prices were adjusted to 2011 values.

b Severe injuries included spinal cord, brain and lower extremity injuries.

c This figure includes all emergency admissions involving injuries to the spinal cord or head and 20% involving injuries to the lower extremities.

d This figure includes all years lost due to injuries to the spinal cord or head and 20% of years lost due to injuries to the lower extremities.