Abstract

Transport planners and policy makers are faced with an increasing
pressure to meet the mobility needs of the population in a socially,
environmentally, and economically sustainable way including specific
attention for the costs associated with the adverse health effects of
transport. Due to different health care systems, financing systems, etc.,
cost calculations should ideally be calculated at a local level. In this
doctoral dissertation, attention is paid to the direct medical costs
incurred to the health insurance associated with traffic injuries and air
pollution exposure. Cost of illness estimates were calculated, linking
secondary databases containing administrative, clinical and claims data
at patient level. First, the likelihood for a hospital admission after traffic
injury was determined and hospitalisation costs were calculated as well
as the variations in the latter costs. Furthermore, the attributable
medical care costs were calculated until one year after the accident.
Concerning air pollution, the number of avoidable hospital admissions
and amount of averted costs were estimated that are associated with a
decrease in the level of air pollution exposure related to pneumonia,
COPD, ischemic heart disease and heart rhythm disturbances. In a last
study, two shapes of exposure-response functions are juxtaposed in
terms of differences in adverse health effect estimates and consequences
for evidence-based policy making in public health.
Date of Award4 Apr 2017
Original languageEnglish
Awarding Institution
  • Vrije Universiteit Brussel
SupervisorKoen Putman (Promotor), Lieven Annemans (Co-promotor), Tom Van Lier (Co-promotor), Marc Jegers (Jury), Marc Noppen (Jury), Nicole Pouliart (Jury), Stijn Daniels (Jury) & Sylvia Evers (Jury)

Keywords

  • public health
  • Traffic Safety

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