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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.
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