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Paradigm Shift Injury: from Problem to Solution New Research Directions

Injury was first recognised as national health priority in 1986. Throughout the 1990s, injury has been responsible annually for more than 7,000 deaths and 14.7 percent of years of potential life lost, 400,000 hospitalisations, and direct medical costs of $2,607 million.

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Published year: 1999
Available in print: Yes
Status: Current

Reference No: S13
Further information: nhmrc.publications@nhmrc.gov.au

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Synopsis of publication:

In late 1997 the NHMRC's Strategic Research Development Committee (SRDC) agreed to investigate the status of injury research in Australia.

Injury was first recognised as national health priority in 1986. Throughout the 1990's, injury has been responsible annually for more than 7,000 deaths and 14.7 percent of years of potential life lost, 400,000 hospitalisations, and direct medical costs of 2,607 million.

On average, each fatal injury before the age of seventy-five, results in the loss of thirty two years of potential life, compared with nine years for cancer and five for cardiovascular disease.

Despite the acknowledged importance of injury as an issue, and injury prevention as a solution, progress toward a systematic response has been slow.

The evidence needed for confident implementation of interventions has been lacking for many causes and types of injury.

Developing the evidence base requires contributions from a wide range of disciplines and involves a wider range of research paradigms than have traditionally been accepted within the core health research paradigms. Intervention strategies also require structures within the health system that differ from those required to provide clinical services.

A paradigm shift is needed to make adequate progress.

This report aims to facilitate discussion, and to initiate change in this important area.

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