Public Health - Population, Family and Reproductive Health
The Burden of Hospitalized Injuries in China.
Injury is emerging as a major public health problem in China: each year, injuries account for more than 10% of all deaths and more than 30% of all potentially productive years of life lost due to premature mortality. Recently, healthcare administrators in China have begun to recognize the importance of injury control to population health, but with the absence of reliable mortality registry and injury surveillance systems, the administration faces significant challenges in estimating baseline injury incidence and burden. Our study will be the first to use the National Hospital Discharge Record data (2003- 2007), collected by the Chinese Ministry of Health, to estimate both fatal and non-fatal hospitalized injuries nationwide, along with the corresponding inpatient medical costs. The four specific aims are: 1) To estimate the number and rate of both fatal and non-fatal injuries resulting in hospitalization, by age, gender, geography, external causes and nature of injuries; 2) To estimate inpatient medical expenditures due to injuries; 3) To assess the trend in burden of hospitalized injuries between 2003 and 2007; and 4) To develop and establish institutionalized annual reports to the Chinese government on the burden of hospitalized injuries in China. The proposed work will be the first study to estimate both fatal and non-fatal injuries and their medical costs on a national-level in China. The results will inform healthcare researchers, practitioners, and administrators in and outside the Chinese government on how to improve the injury surveillance system and how to prioritize and allocate resources to prevent injuries.