Titre :
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Community-based injury prevention : effects on health care utilization. (1999)
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Auteurs :
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T. TIMPKA ;
M. AHLGREN ;
K. LINDQVIST ;
L. SCHELP ;
Department of Social Medicine and Public Health Science. Linköping University. Linköping. SWE
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 28, n° 3, 1999)
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Pagination :
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502-508
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Langues:
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Anglais
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Mots-clés :
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Programme communautaire
;
Programme santé
;
Prévention santé
;
Participation communautaire
;
Santé communautaire
;
Traumatisme
;
Utilisation
;
Utilisation service
;
Evaluation
;
Homme
;
Suède
;
Europe
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Résumé :
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[BDSP. Notice produite par INIST rXd2R0x2. Diffusion soumise à autorisation]. 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. (...)
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