Economic Evaluation of Interventions for Occupational Health and Safety: Developing Good Practice

Economic Evaluation of Interventions for Occupational Health and Safety: Developing Good Practice

by Emile Tompa
     
 

Undertaking economic evaluations of workplace-based occupational health and safety interventions can be difficult, reflected by the significant lack of literature, evidence and guidance on the subject. Particular difficulties include: complex labour legislation; differences in the perception of health risks associated with work experiences amongst workplace

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Overview

Undertaking economic evaluations of workplace-based occupational health and safety interventions can be difficult, reflected by the significant lack of literature, evidence and guidance on the subject. Particular difficulties include: complex labour legislation; differences in the perception of health risks associated with work experiences amongst workplace parties and policy makers; the burden of costs and consequences being borne by different stakeholders in the system; conflicting incentives and priorities between the multiple stakeholders; lack of consensus about what ought to count as a benefit or cost of intervening or not intervening; multiple providers of indemnity and medical care coverage; and industry-specific human resources practices making it difficult to identify all work-related illnesses and injuries. In addition, most health economics methods books are designed for use in a clinical setting, which cannot be adapted for the workplace setting. In the face of such barriers, it is not surprising that few studies of occupational health and safety interventions contain an economic evaluation.

This book aims to lay the foundations for a systematic methodology of economic evaluation of workplace interventions, by identifying the main barriers to research of high quality and practical relevance, and proposing a research strategy to remedy these weaknesses. Context chapters provide a wealth of background material ranging from a presentation of the broad conceptualization of work and health, to suggestions for strategies in confronting the dearth of data often experienced by occupational health and safety researchers. They take into account the varying institutional and regulatory approaches in different international jurisdictions. Specific topic chapters delve into the principles and application of economic evaluation methods relevant to this setting: study design, type of analysis, costs, consequences, uncertainty, and equity are all covered, providing guidance on analytical and decision making challenges. The concluding chapter synthesizes the summaries, conclusions, challenges and recommendations from across the book, presenting these in a reference case.

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Product Details

ISBN-13:
9780199533596
Publisher:
Oxford University Press, USA
Publication date:
10/15/2008
Pages:
256
Product dimensions:
6.10(w) x 9.10(h) x 0.70(d)

Table of Contents

1 The broad conceptualization of work and health Cameron Mustard Mustard, Cameron 3

2 What is a little more health and safety worth? Anthony J. Culyer Culyer, Anthony J. Benjamin C. Amick III Amick, Benjamin C., III Audrey Laporte Laporte, Audrey 15

3 A critical review of the application of economic evaluation methodologies in occupational health and safety Emile Tompa Tompa, Emile Roman Dolinschi Dolinschi, Roman Karen Niven Niven, Karen Claire de Oliveira de Oliveira, Claire 37

4 Lessons from health technology assessment Anthony J. Culyer Culyer, Anthony J. Mark Sculpher Sculpher, Mark 51

5 Lessons from the literature on valuing reductions in physical risk Richard Cookson Cookson, Richard Peter Dorman Dorman, Peter 71

6 The institutional and regulatory settings for occupational health and safety : an international survey Ulrike Hotopp Hotopp, Ulrike John Mendeloff Mendeloff, John Sandra Sinclair Sinclair, Sandra Emile Tompa Tompa, Emile Dorte Eltard Eltard, Dorte Birgit Koeper Koeper, Birgit Alan Clayton Clayton, Alan 93

7 Workplace-researcher relationship : early research strategy and avoiding the 'data dearth' Benjamin C. Amick III Amick, Benjamin C., III Phil Bigelow Bigelow, Phil Donald C. Cole Cole, Donald C. 117

8 Study design William Gnam Gnam, William Lynda Robson Robson, Lynda Thomas Kohstall Kohstall, Thomas 135

9 Kind of analysis and decision rule Jeffrey S. Hoch Hoch, Jeffrey S. Carolyn S. Dewa Dewa, Carolyn S. 147

10 Costs Audrey Laporte Laporte, Audrey Roman Dolinschi Dolinschi, Roman Emile Tompa Tompa, Emile 165

11 Consequences Emile Tompa Tompa, Emile Roman Dolinschi Dolinschi, Roman Claire de Oliveira de Oliveira, Claire 179

12 Adjusting for timepreference and addressing uncertainty William Gnam Gnam, William Michel Grignon Grignon, Michel Roman Dolinschi Dolinschi, Roman 201

13 Equity Anthony J. Culyer Culyer, Anthony J. Emile Tompa Tompa, Emile 215

14 Suggestions for a reference case Emile Tompa Tompa, Emile Anthony J. Culyer Culyer, Anthony J. Roman Dolinschi Dolinschi, Roman 235

Glossary 245

Bibliography 267

Author index 283

Subject index 287

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