Table 4 Interventions and healthcare costs
Parameter | Description | Data sources | Derivation of required cost information | Point estimate (standard error (SE)) | Distribution |
|---|---|---|---|---|---|
Intervention costsa | |||||
cFixed | Fixed cost of setting up an intervention scheme for 100 000 households | Saramago et al. 2014 [14] | Saramarago Cooper et al. [14] | £79,529 | Fixed |
cAccept | Cost of accepting intervention | Assumption | £0.40 | Fixed | |
cTravel | Travel time and costs | Travel time and costs Nottingham home safety equipment schemeb hourly rate including on costs and vehicle costs is £25 (estimate obtained through personal communication) to install 5 items of safety equipment. We allocated 1/5 th of hourly rate to poisoning prevention activities. | £5.00 | Fixed | |
Intervention schemes | |||||
cInter1 | Usual care | No cost associated with usual care as no intervention is provided. | £0.00 | Fixed | |
cInter2 | Education | Estimate based on 5 min of health visitors time costing £44 (interquartile rage £33–£54) [19]. This assumes education is provided during contact for other reasons (e.g. child health surveillance contact). No travel costs are included as it is assumed contact either occurs in clinic or during home visit for other reasons. | £3.67 | ||
cInter3 | Free or low cost safety equipment. | 2x kitchen cabinet locks (based on providing one pop-It Lock™ costing £2.65 and one magnetic lock costing £4.80 each plus vat). This assumes locks are provided during contact for other reasons (e.g. child health surveillance contact). No travel costs are included as it is assumed contact either occurs in clinic or during home visit for other reasons. | £7.45 | Fixed | |
cInter4 | Education + equipment | Cost of education and two cabinet locks = £3.76 + £7.45. This assumes education and locks are provided during contact for other reasons (e.g. child health surveillance contact). No travel costs are included as it is assumed contact either occurs in clinic or during home visit for other reasons. | £11.12 | Fixed | |
cInter5 | Education + equipment + home safety inspection | Cost of education, two cabinet locks, home safety inspection and travel = £3.67 + £7.45 + £3.67 + £4.99. This assumes education, home safety inspection and locks are provided by a health visitor during contact covering prevention of a range of injuries, of which poison prevention is a part. It assumes poison prevention education and home safety inspection each takes 5 min of health visitor time. | £19.78 | Fixed | |
cInter6 | Education + equipment + fitting | Education + equipment + fitting Cost of education, two cabinet locks and fitting of two locks (assumed takes 5 min of safety equipment fitters time at £25 per hour) and travel = £3.67 + £7.45 + £2.08 + £4.99. This assumes education is provided by a health visitor during a contact for other reasons (e.g. child health surveillance) and locks and fitting of locks are provided by a safety equipment scheme during contact covering prevention of a range of injuries, of which poison prevention is a part. It assumes poison prevention education takes 5 min of health visitor time and fitting of locks takes 5 min of safety equipment fitters’ time at £25 per hour. | £18.19 | Fixed | |
cInter7 | Education + equipment + home inspection + fitting | Education + equipment + home inspection + fitting Cost of education, two cabinet locks, home inspection, fitting of locks and travel = £3.67 + £7.45 + £3.67 + £2.08 + £4.99. This assumes education is provided by a health visitor during a contact for other reasons (e.g. child health surveillance) and home safety inspection, locks and fitting of locks are provided by a safety equipment scheme during contact covering prevention of a range of injuries, of which poison prevention is a part. It assumes poiso n prevention education takes 5 min of health visitor time and the home safety inspection and fitting of locks each take 5 min of safety equipment fitters’ time at £25 per hour. | £21.86 | Fixed | |
Healthcare costs (Hospital and primary care costs) | |||||
cAmb | Cost of emergency transfers | PSSRU [19] | £263 (SE = £21.48) | Gamma | |
cED1 | Cost of emergency department treatment of cases not leading to hospital inpatient stay (minor injury) | PSSRU [19] | £112 (SE = £27.41) | Gamma | |
cED2 | Cost of emergency department treatment for cases leading to hospital inpatient stay (major injury) | PSSRU [19] | £146 (SE = £42.22) | Gamma | |
cAdmit1 | Cost of a non-elective short (<2 days) inpatient admission | PSSRU [19] | £586 (SE = £223.70) | Gamma | |
cAdmit2 | Cost of a non-elective long (≥2 days) inpatient admission | PSSRU [19] | £2461 (SE = £810.37) | Gamma | |
cChro | Annual cost of chronic ill-health | HALO study (Nicholl et al.: The Long Term Health and Healthcare Outcomes of Accidental Injury (The HALO Study) Final Report, (Unpublished)) | £386.42 (SE = £96.72) | Gamma | |
cFatal | Cost of fatal injury | Saramago et al., 2014 [14] | £205.50 | Fixed | |
cGP | Cost of 11.7 min GP consultation | PSSRU [19] | £43 | Fixed | |