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The Cost-Effectiveness of New York City’s Safe Routes to School Program

Peter A. Muennig; Michael Epstein; Guohua Li; Charles J. DiMaggio

Title:
The Cost-Effectiveness of New York City’s Safe Routes to School Program
Author(s):
Muennig, Peter A.
Epstein, Michael
Li, Guohua
DiMaggio, Charles J.
Date:
Type:
Articles
Department(s):
Health Policy and Management
Volume:
104
Persistent URL:
Book/Journal Title:
American Journal of Public Health
Geographic Area:
New York (State)--New York
Publisher:
American Public Health Association
Abstract:
Objective. We evaluated the cost-effectiveness of a package of roadway modifications in New York City funded under the Safe Routes to School (SRTS) program. Methods. We used a Markov model to estimate long-term impacts of SRTS on injury reduction and the associated savings in medical costs, lifelong disability, and death. Model inputs included societal costs (in 2013 US dollars) and observed spatiotemporal changes in injury rates associated with New York City’s implementation of SRTS relative to control intersections. Structural changes to roadways were assumed to last 50 years before further investment is required. Therefore, costs were discounted over 50 consecutive cohorts of modified roadway users under SRTS. Results. SRTS was associated with an overall net societal benefit of $230 million and 2055 quality-adjusted life years gained in New York City. Conclusions. SRTS reduces injuries and saves money over the long run.
Subject(s):
Roads--Cost effectiveness
Traffic safety--Cost effectiveness
Roads--Safety measures
Safe Routes to Schools (Project)
Public health
Epidemiology
Publisher DOI:
https://doi.org/10.2105/AJPH.2014.301868
Item views
192
Metadata:
text | xml
Suggested Citation:
Peter A. Muennig, Michael Epstein, Guohua Li, Charles J. DiMaggio, , The Cost-Effectiveness of New York City’s Safe Routes to School Program, Columbia University Academic Commons, .

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