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

Paperback | October 1, 2008

EditorEmile Tompa, Anthony J Culyer, Roman Dolinschi

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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 perceptionof 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 countas 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 designedfor 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 wealthof 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 regulatoryapproaches 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 onanalytical 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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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 perceptionof health risks associated with work experien...

Emile Tompa is Adjunct Assistant Professor in the Department of Economics at McMaster University. He has an MBA from the University of British Columbia, an MA in Economics from the University of Toronto, and a PhD in Economics from McMaster University. Tompa's current research agenda is focused on the economic evaluation of workplace ...
Format:PaperbackDimensions:256 pages, 9.21 × 6.14 × 0.75 inPublished:October 1, 2008Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199533598

ISBN - 13:9780199533596

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Table of Contents

1. Cameron Mustard: The broad conceptualization of work and health2. Anthony J Culyer, Benjamin C Amick III and Audrey Laporte: What is a little more health and safety worth?3. Emile Tompa, Roman Dolinschi, Karen Niven and Claire de Oliveira: A critical review of the application of economic evaluation methodologies in occupational health and safety4. Anthony J Culyer and Mark Sculpher: Lessons from health technology assessment5. Richard Cookson and Peter Dorman: Lessons from the literature on valuing reductions in physical risk6. Ulrike Hotopp (co-ordinator): The institutional and regulatory settings for occupational health and safety: an international survey6a. John Mendeloff: United States6b. Sandra Sinclair and Emile Tompa: Canada6c. Ulrike Hotopp: United Kingdom6d. Ulrike Hotopp and Dorte Eltard: Denmark6e. Birgit Koeper: Germany6f. Alan Clayton: Australia7. Benjamin C Amick III, Phil Bigelow and Donald C Cole: Workplace-researcher relationship: early research strategy and avoiding the 'data dearth'8. William Gnam, Lynda Robson and Thomas Kohstall: Study design9. Jeffrey S Hoch and Carolyn S Dewa: Kind of analysis and decision rule10. Audrey Laporte, Roman Dolinschi and Emile Tompa: Costs11. Emile Tompa, Roman Dolinschi and Claire de Oliveira: Consequences12. Willian Gnam, Michel Grignon and Roman Dolinschi: Adjusting for time preference and addressing uncertainty13. Anthony J Culyer and Emile Tompa: Equity in Economic Evaluation14. Emile Tompa, Anthony J Culyer and Roman Dolinschi: Suggestions for a reference case