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Economic Evaluation of Interventions for Occupational Health and Safety
Developing Good Practice
Edited by Emile Tompa, Anthony J Culyer, and Roman Dolinschi
320 pages
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10 black and white line illustrations
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234x156mm
978-0-19-953359-6
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Paperback
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21 August 2008
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- Written to appeal to the broad market of those interested in undertaking, commissioning, teaching, studying, or appraising economic evaluations of occupational health and safety interventions
- Features a reference case which highlights good practice to help readers ensure that the methods they use are based on sound economics and that principles are consistently applied
- Provides detailed methodological guidance and recommendations, to prepare readers for hands-on experience of undertaking economic evaluations in this area
- Recognises that economic evaluations take place in different systems and provides an international survey of the institutional and regulatory context of several jurisdictions
- Provides a comprehensive glossary to make complex terms accessible to both beginners and experienced practitioners and researchers
Undertaking economic evaluations of occupational health and safety interventions can be difficult for a number of reasons. This is reflected by the significant lack of evidence on their cost-effectiveness. Particular challenges include: complex labour legislation, differences in the perception of health risks associated with work experiences amongst workplace parties and policy makers, 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 count as a benefit
or cost of intervening or not intervening, multiple providers of indemnity and medical care coverage, and industry-specific human resources practices that make it difficult to identify all work-related illnesses and injuries. Advancement of the application of economic evaluation methods in this literature is further hindered by the fact that most methods books are designed for use in a clinical setting and cannot be easily applied to the workplaces. 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 overcome them. Context chapters provide a wealth of 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. The institutional and regulatory approaches in different international jurisdictions are covered in one of the context chapters. Specific topic chapters delve into the principles and application of economic evaluation methods relevant to workplaces and system level interventions. Study design, type of analysis, costs, consequences, uncertainty, and equity are all covered, providing guidance on meeting many analytical and decision-making challenges. The final chapter
synthesizes the summaries, conclusions, challenges and recommendations from across the book, presenting the synthesis as a reference case.Readership: Researchers, practitioners, policy makers,and both educators and students involved in occupational health and safety, public health, health promotion and health economics
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Edited by Emile Tompa, Scientist, Institute for Work and Health, Toronto, Canada, Anthony J Culyer, Professor of health Policy and System Design, University of Toronto, Canada and Professor of Ecomomics, University of York, UK, and Roman Dolinschi, Economist, Institute for Work and Health, Toronto, Canada Contributors: Benjamin C. Amick III, Institute for Work & Health, Toronto, Canada Phil Bigelow, Institute for Work & Health, Toronto, Canada Alan Clayton, Australian National University - National Research Centre for Occupational Health and Safety Regulation, Canberra,
Australia Donald C. Cole, Institute for Work & Health, Toronto, Canada Richard Cookson, Department of Social Policy and Social Work, University of York, Heslington, York, UK Anthony J. Culyer, Department of Economics and Related Studies, University of York, Heslington, York, United Kingdom Carolyn S. Dewa, Work and Well-being Research and Evaluation Program, Centre for Addiction and Mental Health, Toronto, Canada Roman Dolinschi, Institute for Work & Health, Toronto, Canada Peter Dorman, Department of Environmental Studies, The Evergreen State College, Olympia, United States William Gnam, Institute for Work & Health, Toronto, Canada Michel Grignon, Departments of Gerontology and Economics, McMaster
University, Hamilton, Canada Jeffrey S. Hoch, Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Canada Ulrike Hotopp,Department for Business, Enterprise and Regulatory Reform, London, UK Birgit Koeper, Federal Institute for Occupational Safety and Health (BAuA), Dortmund, Germany Thomas Kohstall,Economy and Central Duties Department, BGAG Institute Work & Health, Dresden, Germany Audrey Laporte, Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Canada John Mendeloff, Graduate School of Public and International Affairs, University of Pittsburgh, Pittsburgh, United States Cameron Mustard, Institute for Work & Health, Toronto, Canada Karen Niven, Karen Niven Consulting Ltd., Gairneybank, Kinross, UK Claire de Oliveira, Institute for Work & Health, Toronto, Canada Lynda Robson, Institute for Work & Health, Toronto, Canada Mark Sculpher, Centre for Health Economics, University of York, Heslington, York, UK Sandra Sinclair, Institute for Work & Health, Toronto, Canada Emile Tompa, Institute for Work & Health, Toronto, Canada
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"This book is unique in the economic evaluation research field...It is an indispensable resource for anyone directly involved in the conduct or appraisal of economic evaluation research in health and safety" - Occupational Medicine "This book presents an impressive summary of knowledge...I find [it] well-thought and organized not only for the academicians but also for the policy-makers and stakeholders (employers, managers, employee's association, etc.)" - European Journal of Public Health "Extremely important and deserves careful consideration." - The RoSPA Occupational Safety and Health Journal
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1: Cameron Mustard: The broad conceptualization of work and health
2: 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 safety
4: Anthony J. Culyer and Mark Sculpher: Lessons from health technology assessment
5: Richard Cookson and Peter Dorman: Lessons from the literature on valuing reductions in physical risk
6: Ulrike Hotopp (co-ordinator): The institutional and regulatory settings for occupational health and safety: an international survey
6b: Sandra Sinclair & Emile Tompa: Canada
6c: Ulrike Hotopp: United Kingdom
6d: Ulrike Hotopp: Denmark
6e: Birgit Koeper: Germany
6f: Alan Clayton: Australia
7: 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 design
9: Jeffrey S. Hoch and Carolyn S. Dewa: Kind of analysis and decision rule
10: Audrey Laporte, Roman Dolinschi and Emile Tompa: Costs
11: Emile Tompa, Roman Dolinschi and Claire de Oliveira: Consequences
12: Willian Gnam, Michel Grignon and Roman Dolinschi: Adjusting for time preference and addressing uncertainty
13: Anthony J. Culyer and Emile Tompa: Equity in economic evaluation
14: Emile Tompa, Anthony J. Culyer and Roman Dolinschi: Suggestions for a reference case
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The specification in this catalogue, including without limitation price, format, extent, number of illustrations, and month of publication, was as accurate as possible at the time the catalogue was compiled. Occasionally, due to the nature of some contractual restrictions, we are unable to ship a specific product to a particular territory. Jacket images are provisional and liable to change before publication.
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