A revised economic analysis of restrictions on the use of cell phones while driving

被引:49
作者
Cohen, JT [1 ]
Graham, JD [1 ]
机构
[1] Harvard Ctr Risk Anal, Boston, MA 02115 USA
关键词
benefit-cost analysis; cost-effectiveness analysis;
D O I
10.1111/1539-6924.00286
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Evidence that cell phone use while driving increases the risk of being involved in a motor vehicle crash has led policymakers to consider prohibitions on this practice. However, while restrictions would reduce property loss, injuries, and fatalities, consumers would lose the convenience of using these devices while driving. Quantifying the risks and benefits associated with cell phone use while driving is complicated by substantial uncertainty in the estimates of several important inputs, including the extent to which cell phone use increases a driver's risk of being involved in a crash, the amount of time drivers spend using cell phones (and hence their aggregate contribution to crashes, injuries, and fatalities), and the incremental value to users of being able to make calls while driving. Two prominent studies that have investigated cell phone use while driving have concluded that the practice should not be banned. One finds that the benefits of calls made while driving substantially exceed their costs while the other finds that other interventions could reduce motor vehicle injuries and fatalities (measured in terms of quality adjusted life years) at a lower cost. Another issue is that cell phone use imposes increased (involuntary) risks on other roadway users. This article revises the assumptions used in the two previous analyses to make them consistent and updates them using recent data. The result is a best estimate of zero for the net benefit of cell phone use while driving, a finding that differs substantially from the previous study. Our revised cost-effectiveness estimate for cell phone use while driving moves in the other direction, finding that the cost per quality adjusted life year increases modestly compared to the previous estimate. Both estimates are very uncertain.
引用
收藏
页码:5 / 17
页数:13
相关论文
共 28 条
[1]
BLINCOE LJ, 1996, EC COST MOTOR VEHICL
[2]
Cain A., 1999, INVESTIGATION USE MO
[3]
COHEN JT, 2001, UNPUB RISKS BENEFITS
[4]
*CTIA, 2002, WOW COMS WORLD WIR C
[5]
*DOT, 2001, NAT TRANSP STAT 2000
[6]
Cause-specific mortality in cellular telephone users [J].
Dreyer, NA ;
Loughlin, JE ;
Rothman, KJ .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (19) :1814-1816
[7]
Evans L., 1991, TRAFFIC SAFETY DRIVE
[8]
THE BEAVER DAM HEALTH OUTCOMES STUDY - INITIAL CATALOG OF HEALTH-STATE QUALITY FACTORS [J].
FRYBACK, DG ;
DASBACH, EJ ;
KLEIN, R ;
KLEIN, BEK ;
DORN, N ;
PETERSON, K ;
MARTIN, PA .
MEDICAL DECISION MAKING, 1993, 13 (02) :89-102
[9]
Gold MR, 1996, COST EFFECTIVENESS H
[10]
The cost-effectiveness of air bags by seating position [J].
Graham, JD ;
Thompson, KM ;
Goldie, SJ ;
SeguiGomez, M ;
Weinstein, MC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 278 (17) :1418-1425