Reducing the burden of injury : advancing prevention and treatment / Richard J. Bonnie, Carolyn E. Fulco, and Catharyn T. Liverman, editors ; Committee on Injury Prevention and Control, Division of Health Promotion and Disease Prevention, Institute of Medicine.

Format:

Book

Contributor:

Bonnie, Richard J.

Fulco, Carolyn.

Liverman, Catharyn T.

Institute of Medicine (U.S.). Committee on Injury Prevention and Control.

Language:

English

Subjects (All):

Accidents--United States--Prevention.

Accidents.

Wounds and injuries--United States--Prevention.

Wounds and injuries.

Physical Description:

1 online resource (335 p.)

Edition:

1st ed.

Other Title:

Injury

Place of Publication:

Washington, D.C. : National Academy Press, 1999.

Language Note:

English

Summary:

Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

Contents:

Reducing the Burden of Injury

Copyright

Acknowledgments

Preface

REFERENCES

Contents

Executive Summary

THE INJURY FIELD

THE MISSION AND THE BOUNDARIES OF THE INJURY FIELD

SURVEILLANCE AND DATA NEEDS

PREVENTION RESEARCH

CASE STUDIES ON PREVENTION

TRAUMA CARE

STATE AND COMMUNITY RESPONSE

FEDERAL RESPONSE

COORDINATION AND LEADERSHIP

CONCLUSIONS

1 The Injury Field

STUDY BACKGROUND

ORIGINS OF THE INJURY FIELD

INJURY AS A PUBLIC HEALTH PROBLEM

THE MISSION AND BOUNDARIES OF THE INJURY FIELD

From "Accident Prevention" to "Injury Prevention

A Broader Field

Boundaries

VOCABULARY OF THE INJURY FIELD

Injury and Accident

Intentionality

Prevention and Treatment

Control

DEVELOPMENT OF THE INJURY FIELD

Growth and Cohesion

Maturity

Controversies in the Field

Regulation and Freedom

Federalism and Priority Setting

Science and Advocacy

ORGANIZATION OF THE REPORT

2 Magnitude and Costs

OVERALL BURDEN OF INJURY: MORTALITY RATES

Trends in Injury Mortality Rates: 1985 to 1996

OVERALL BURDEN OF INJURY: MORBIDITY

PATTERNS OF INJURY IN THE POPULATION

Patterns of Injury by Age, Gender, Race, and Ethnicity

Mortality

Hospitalization

Emergency Department Visits

Patterns of Injury by Cause

Patterns of Occupational Injury

THE COST OF INJURY

3 Surveillance and Data

CODING ISSUES

Coding the Nature of the Injury

Coding the Causes of Injury

EXISTING DATA SOURCES

National Data Sources

State and Local Sources of Injury Data

DATA LINKAGES

SUMMARY

4 Prevention Research

RESEARCH ACCOMPLISHMENTS

Unintentional Injury Prevention

Intentional Injury Prevention

Suicide Prevention

Violence Prevention

Prevention Interventions

Individual Behavior.

Agent

Physical Environment

Socioeconomic Environment

RESEARCH OPPORTUNITIES

Broadening the Scope of Prevention Research

Injury Biomechanics

Biological Sciences

Behavioral Sciences

Epidemiology

Training and Research Funding

Communicating Results

5 Case Studies on Prevention

MOTOR VEHICLE INJURIES

Reasons for Progress: A Comprehensive Approach

Surveillance

Regulation and Legislation

Research

State and Local Programs

Public Support

Ongoing Controversies

Safety Versus Mobility

Active Versus Passive Protection

Risk Compensation

Mandatory Requirements and Primary Enforcement

Access and Licensing Issues

Opportunities for Further Progress

FIREARM INJURIES

Current Overview and Future Opportunities

Issues of Individual Freedom

Instrumentality and Availability

Child and Adolescent Vulnerability

Goals and Priorities for Action

6 Trauma Care

OVERVIEW OF TRAUMA CARE SYSTEMS

Special Populations

System Management and State or Regional Agencies

Personnel and Training

ROLE OF TRAUMA SYSTEMS IN PRIMARY PREVENTION, SURVEILLANCE, AND RESEARCH

GROWTH IN TRAUMA CARE SYSTEMS

OUTCOMES OF TRAUMA CARE SYSTEMS

RESEARCH ON TREATMENT OUTCOMES AND CLINICAL EFFECTIVENESS

Injury Severity and Case Mix

Outcome Measures

COSTS OF TRAUMA CARE SYSTEMS

Cost-Effectiveness of Trauma Care Systems

FINANCING OF TRAUMA SYSTEMS

History of Federal and State Support for Trauma Systems

Current Federal and State Funding for Trauma Care Systems

Financing of Patient Care

ADVENT OF MANAGED CARE

7 State and Community Response

STRENGTHENING THE PUBLIC HEALTH INFRASTRUCTURE.

Data and Surveillance

Strategic Planning

Technical Assistance

Funding

Federal Funding

State and Local Funding

Integrating Injury Prevention Efforts into Health Care Delivery

COLLABORATION AND COALITION BUILDING

Collaboration

Coalition Building

TRAINING AND TECHNICAL ASSISTANCE

Training Injury Prevention Practitioners

Training Health Care Professionals in Injury Prevention

INTEGRATING RESEARCH AND PRACTICE

PUBLIC AWARENESS AND ADVOCACY

Raising Public Awareness

Advocacy

8 Federal Response

NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION

Regulation

Resources and Structure

Assessment and Recommendation

Research and Training

CONSUMER PRODUCT SAFETY COMMISSION

Surveillance, Research, and Standards Development

Public Education

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

Enforcement

Training

Assessment

NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH

Research Priority Setting

Training Grants

Education

NATIONAL INSTITUTES OF HEALTH

Resources

MATERNAL AND CHILD HEALTH BUREAU

Injury-Related Grants and Contracts

Special Projects of Regional and National Significance

Community Integrated Service Systems (CISS)

Emergency Medical Services for Children

Traumatic Brain Injury Demonstration Grants Program

OFFICE OF JUSTICE PROGRAMS

National Institute of Justice

Training.

Assessment and Recommendation

NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

Research Grants

Cooperative Agreements

Assessment and Recommendations

Research Accomplishments

Priority Areas for Future Research

Building State and Community Infrastructure

Nuturing the Injury Field

9 Challenges and Opportunities

COORDINATION AND COLLABORATION

Public-Private Partnerships

Roles of Federal Agencies

STRENGTHENING CAPACITY FOR RESEARCH AND PRACTICE

Investigator-Initiated Research

State Public Health Infrastructure

INTEGRATING THE FIELD

Mission

Scientific Communication

NURTURING PUBLIC SUPPORT

PROMOTING INFORMED POLICY MAKING

Improving Surveillance Systems

Protecting Science

Priority Setting for Research and Social Action

Appendixes

A Acknowledgments

B Timeline

SOURCES

C Public Meeting Agenda

D Acronyms

Index.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references and index.

ISBN:

9786610185849

9780309173544

030917354X

9781280185847

1280185848

9780309593465

0309593468

9780585160917

0585160910

OCLC:

488709568