Financial Burden of Trauma Care on a University Hospital in a Developing Country

Kaya, Ekrem; Özgüç, Halil; Tokyay, Rifat; O, Yünük

doi:10.1097/00005373-199909000-00027

Cited by 14 publications

(9 citation statements)

References 18 publications

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“…Four of these articles were published in non-English languages and were translated into English. Sixteen (61.5%) studies were conducted in USA [22-36], three (11.5%) in the UK [37-39] and Germany [40-42] and two (7.7%) in Australia [43], and one (3.7%) in Switzerland [44] Turkey [45] and Canada [46] respectively (Table 4). Costs and charges were used interchangeably, which created difficulty in evaluating the results of the studies as charges typically vary from costs.…”

Section: Resultsmentioning

confidence: 99%

“…In order to examine differences in cost between groups (such as high and low injury severity), studies used a range of analyses for categorical and continuous outcome measures such as fisher’s exact test and Mann Whitney U test. Other studies used simple linear regression analyses [25,29,30,43,45,46] to determine the relationship between cost of care and various patient variables. Studies that further examined the predictors of high treatment costs used multivariate models [37,38] such as multiple logistic regression analysis [34,35,46].…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen (63%) studies [11,27,30,32-34,37-40,42,43,45,46,48-50] provided information regarding items included in cost or charge estimates and fourteen (52%) studies [22,23,26,27,29,30,33,35,39,40,42,44-46] documented what was excluded from cost or charge estimates. Due to the variation in statistical analysis across studies, a meta-analysis was unable to be performed on the data.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the source of hospital cost information, twenty-one (78%) studies [23-35,39-42,44,45,47,50] used their respective trauma registry or medical records to derive per patient costs and charges and six (22.2%) studies [22,36-38,43,46] used alternate sources. Alternate sources included local government department estimates [37,38], a health plan database [36] and an audit of medical records [46] (Table 2).…”

Section: Resultsmentioning

confidence: 99%

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The variation of acute treatment costs of trauma in high-income countries

Willenberg

Curtis

Taylor

et al. 2012

BMC Health Serv Res

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BackgroundIn order to assist health service planning, understanding factors that influence higher trauma treatment costs is essential. The majority of trauma costing research reports the cost of trauma from the perspective of the receiving hospital. There has been no comprehensive synthesis and little assessment of the drivers of cost variation, such as country, trauma, subgroups and methods. The aim of this review is to provide a synthesis of research reporting the trauma treatment costs and factors associated with higher treatment costs in high income countries.MethodsA systematic search for articles relating to the cost of acute trauma care was performed and included studies reporting injury severity scores (ISS), per patient cost/charge estimates; and costing methods. Cost and charge values were indexed to 2011 cost equivalents and converted to US dollars using purchasing power parities.ResultsA total of twenty-seven studies were reviewed. Eighty-one percent of these studies were conducted in high income countries including USA, Australia, Europe and UK. Studies either reported a cost (74.1%) or charge estimate (25.9%) for the acute treatment of trauma. Across studies, the median per patient cost of acute trauma treatment was $22,448 (IQR: $11,819-$33,701). However, there was variability in costing methods used with 18% of studies providing comprehensive cost methods. Sixty-three percent of studies reported cost or charge items incorporated in their cost analysis and 52% reported items excluded in their analysis. In all publications reviewed, predictors of cost included Injury Severity Score (ISS), surgical intervention, hospital and intensive care, length of stay, polytrauma and age.ConclusionThe acute treatment cost of trauma is higher than other disease groups. Research has been largely conducted in high income countries and variability exists in reporting costing methods as well as the actual costs. Patient populations studied and the cost methods employed are the primary drivers for the treatment costs. Targeted research into the costs of trauma care is required to facilitate informed health service planning.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The variation of acute treatment costs of trauma in high-income countries

Willenberg

Curtis

Taylor

et al. 2012

BMC Health Serv Res

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“…39,44,45 It is estimated that by 2010, 25% of healthcare resources in developing countries will be spent on trauma-related care. 27,35,65 Injuries account for a bigger share of the global burden of disease than diarrhea, malaria, and tuberculosis combined, and more than twice that for cancer or HIV. 4,42,47 Mortality and morbidity related to intentional injuries, poisonings, drownings, burns, and falls are increasing, but none so significantly as that related to road traffic accidents (RTAs), which is more within the scope of intervention of the volunteer orthopaedic surgeon.…”

Section: Burden Of Trauma In Developing Countriesmentioning

confidence: 99%

War Injuries, Trauma, and Disaster Relief

Gosselin¹

2005

Techniques in Orthopaedics

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Some volunteer surgeons may be interested in providing care for civilian victims of war in developing countries. More commonly, volunteers will be increasingly confronted with nonintentional acute and chronic trauma cases, mostly from road traffic accidents. On rare occasions, they might even participate in the relief and reconstruction efforts after natural disasters. There are significant differences between the type and management of cases seen overseas versus those seen at home.

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