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Injury and illness costs in the Certified Safe Farm study . CONTEXT The Certified Safe Farm ( CSF ) intervention program aims to reduce occupational injuries and illnesses , and promote wellness to reduce health care and related costs to farmers , insurers , and other stakeholders . PURPOSE To evaluate the cost effectiveness of CSF . METHODS Farms ( 316 ) located in a 9-county area of northwestern Iowa were recruited and randomized into intervention and control cohorts . Intervention farms received occupational health screenings , health and wellness screening , education , on-farm safety reviews , and performance incentives . For both cohorts , quarterly calls over 3 years were used to collect self-reported occupational injury and illness information , including costs to the farmers and their insurers . FINDINGS Annual occupational injury and illness costs per farmer paid by insurers were 45 % lower in the intervention cohort ( $ 183 ) than in the control cohort ( $ 332 ) . Although out-of-pocket expenses were similar for both cohorts , combined costs of insurance and out-of-pocket expenses were 27 % lower in the intervention cohort ( $ 374/year per farmer ) compared to the control cohort ( $ 512/year per farmer ) . Within the cohort of intervention farmers , annual occupational injury and illness cost savings were directly associated with on-farm safety review scores . Reported health care costs were $ 237 per farmer in the safest farms ( those farms scoring in the highest tertile ) versus $ 485 per farmer in the least safe farms ( lowest tertile ) . CONCLUSIONS Results suggest that farmers receiving the intervention had lower health care costs for occupational injuries and illnesses than control farmers . These cost savings more than cover the cost of providing CSF services ( about $ 100 per farm per year ) .
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Intervention_Educational
The Certified Safe Farm ( CSF ) intervention program
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Intervention_Educational
intervention
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Intervention_Control
control
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Intervention_Educational
Intervention
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Intervention_Educational
intervention
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Intervention_Educational
intervention
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Intervention_Control
control
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Intervention_Educational
intervention
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Intervention_Educational
intervention
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Intervention_Control
control
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Outcome_Other
Injury and illness costs
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Outcome_Other
cost effectiveness of CSF
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Outcome_Other
Annual occupational injury and illness costs
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Outcome_Other
out-of-pocket expenses
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Outcome_Other
combined costs of insurance and out-of-pocket expenses
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Outcome_Other
annual occupational injury and illness cost savings
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Outcome_Other
health care costs
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Outcome_Other
health care costs
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Outcome_Other
cost savings
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Participant_Condition
farmers , insurers , and other stakeholders