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Appendix A—Detail on Calculations of the Ontario Model
F. VALUATION OF NON-HUMAN CONSEQUENCES
1. Hospital/health care facilities cost
Data from MOH&LTC record emergency room visits, and days in hospital for
those injured as a result of motor vehicle collisions. A series of studies following a
methodology established by the Health Services Restructuring Committee have been
conducted of costs in Ontario hospitals. The average across 17 such studies 1 for a patient
day is $216.29 and per emergency room visit $84.33 respectively, both in 2000 $. In 2004
dollars these costs are $243 and $95 respectively. These represent costs for use of health
care facilities, equipment and supplies and exclude a value for time by health care
workers.
We combine this value for the non-staff costs with estimates available on the
incremental use of medical staff for those injured in motor vehicle collisions (Chipman
re-analysis) to provide a more complete estimate of the cost of medical services in the
following section.
2. Health care professional cost
The incremental use of health care professionals was estimated through the reanalysis
of Chipman as described earlier. These provide broader descriptions of health
care professionals’ categories than provided in the “OHIP fee schedules” for doctors and
other health care professionals found in the Schedule of Benefits for Physician Services
and related changes. As a result, we assign the following approximate values related to
the health care categories in the Chipman analysis:
• Primary MD $100.
• Specialist $150.
• Nurse $40.
• Physiotherapist $75.
• Chiropractor $75.
• Other categories $75.
We use these values and the estimated incremental use of health care
professionals by injury severity (from before) for those injured in motor vehicle
collisions. Note that the survey data that is the base of the Chipman analysis reports on
surviving individuals. It cannot be used to estimate health care professional costs
associated to fatalities of motor vehicle collision. However, approximately one-quarter of
fatalities occurs in emergency rooms and a further one-quarter occurs after admittance to
1
Ministry of Health and Long-Term Care, Operational Review of Hôpital régional de Sudbury Regional
Hospital, November 1, 2002.
TNS Canadian Facts, Social and Policy Research 141