Cost of Care: The $12.6 Billion Impact of Crime and Violence on Jamaica's Health Care System

 In 2014 the Government of Jamaica spent an estimated $12.6 billion that year to deliver direct and indirect healthcare to persons admitted islandwide with injuries sustained from 25,000 violence-related cases, 13,000 road crashes and 500 cases of attempted suicide.

Injuries in Jamaica are a major public health problem as demonstrated by the Jamaica Hospital-based Injury Surveillance System (JISS) established in 1999 that provided a risk profile for injuries. Violence Related Injuries (VRIs) are a major cause of morbidity and mortality in Jamaica. In 1990 the homicide rate was 8.1 per 100,000 of the population. In 2002 the rate was 40 per 100,000 and by 2005 this had jumped to 62 per 100,000 of the population. Violence-related injuries and road traffic crashes are the 3rd and 11th leading cause of premature death in Jamaica respectively.

Project Overview and Relevance:

The project outlines the impact of injuries on the operation of hospitals in terms of cancelation of operating lists. It also looks at the impact of injuries on other healthcare areas such as Cardiology, Neurosurgery, Blood Vessels and Oncology.                                                                                                              

The project sought to calculate:

·         The cost of all injuries seen at public hospitals

·         Determine the impact of VRIs and road traffic crashes (RTCs) on hospitals

·         The impact of VRIs and RTCs on Jamaica's GDP.

·         The indirect costs associated with VRIs and RTCs such as loss of limbs and its direct impact on Jamaica's human resource.

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