Background Worldwide, an estimated 78 million people are disabled each year because of unintentional injuries and about 3 million die.
The WHO Safe Community model is a framework for community-based injury prevention programmes.
The aim of this study is to evaluate the outcome on health care utilization of a Safe Community programme.
Methods The incidence of injuries treated at health care facilities in an intervention municipality (pop. 41 000) was compared to the injury incidence in a control municipality (pop. 26 000).
The incidence was recorded immediately before and one year after programme implementation from registrations made during all first-contact health care visits and from examination of hospital discharge registers.
Results The incidence of health care treated injuries in the intervention area had decreased by 13% (95% CI : 9-16%) from 119 (95% CI : 115-122) per 1000 population-years to 104 (95% CI : 101-107).
In the control area, the corresponding injury incidences were 104 (95% CI : 100-108) and 106 (95% CI : 102-109).
The hospital-treated injuries in the intervention area decreased by 15% (95% CI : 7-24%) from 19 (95% CI : 17-20) per 1000 population-years to 16 (95% CI : 15-17), while in the control area, the incidences remained at 13 (95% CI : 11-14) per 1000 population-years. (...)
Mots-clés Pascal : Programme sanitaire, Prévention, Participation communautaire, Santé communautaire, Traumatisme, Utilisation, Service santé, Evaluation, Homme, Suède, Europe
Mots-clés Pascal anglais : Sanitary program, Prevention, Community participation, Community health, Trauma, Use, Health service, Evaluation, Human, Sweden, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0339916
Code Inist : 002B30A03A. Création : 14/12/1999.