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Novel policing techniques decrease gun-violence and the cost to the healthcare system.

Justin C Frisby1,2, Tae Won B Kim1, Emily M Schultz1

  • 1Cooper Bone & Joint Institute, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ 08103, United States.

Preventive Medicine Reports
|November 26, 2019
PubMed
Summary
This summary is machine-generated.

Novel policing strategies significantly reduced gun violence incidents and healthcare costs in a Level-1 trauma center. These tactics decreased gunshot wound (GSW) encounters and hospital stays, offering substantial cost savings.

Keywords:
EnvironmentGun violenceHealth policyHospital economicsPreventive medicinePublic health

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Area of Science:

  • Public Health
  • Trauma Surgery
  • Criminology

Background:

  • Gun violence presents a significant public health crisis, straining trauma centers and healthcare systems.
  • Effective interventions are needed to mitigate the impact of firearm-related injuries on hospitals and communities.

Purpose of the Study:

  • To evaluate the impact of new policing strategies on gun violence outcomes at a Level-1 trauma center.
  • To analyze changes in hospital-observed incidence, healthcare utilization, mortality, and costs related to gunshot wounds (GSW).

Main Methods:

  • Retrospective review of 940 gunshot wound (GSW) encounters from January 2010 to December 2017 at a Level-1 trauma center.
  • Comparison of data from two cohorts: before (pre-May 2013) and after (post-May 2013) implementation of novel policing tactics.

Main Results:

  • A 22% decrease in quarterly GSW incidence was observed post-policing changes (44.3 to 34.6 per quarter).
  • Average quarterly inpatient days for GSW treatment reduced by 31% (220.7 to 151.3 days).
  • Significant quarterly cost savings of approximately $254,000 were realized (p=0.023).

Conclusions:

  • Novel policing tactics can effectively reduce the incidence of gun violence and associated healthcare utilization.
  • These strategies demonstrate potential for substantial cost savings in trauma centers serving high-risk areas.
  • While mortality showed an upward trend (13.5% to 17.3%), further research is warranted to understand this complex relationship.