Inpatient costs of fire-related injuries in Finland

Haikonen, Kari; Lillsunde, Pirjo; Vuola, Jyrki

doi:10.1016/j.burns.2014.03.016

Cited by 21 publications

(16 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Table 3 shows they also consumed the majority of hospital resources in 15 out of 16 cost driver divisions, and required over 60% of available resources in 11 of these categories. Because of this, our study agrees with Haikonen et al’s observation that the resource burden of treating large burns increases sharply 19 . Their study proposed a non-linear relationship between burn size and resource consumption, with expenses per 1% TBSA much higher in patients with larger burns.…”

Section: Discussionsupporting

confidence: 93%

“…In the most recent report of Taiwan’s per capita healthcare spending, Chan stated $982 US per year was spent per patient in 2006, whereas the US per capita healthcare spending was $6,714 in the same period 22 . Because the average spending on CGMH’s mass burn patients was 50 times higher in comparison to Taiwan’s annual per capita healthcare spending amount ($50,848 vs. $982), our study reinforces previous claims that more resources should be devoted to the prevention of burn injuries 15,19,23 . The millions of dollars spent by Taiwan’s hospitals on patient care for the 499 mass burn patients from Formosa Waterpark can justify more aggressive preventive measures.…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital

Mathews

Cheng

Muller

et al. 2017

Injury

View full text Add to dashboard Cite

Introduction Little is known about the costs of treating burn patients after a mass casualty event. A devastating Color Dust explosion that injured 499 patients occurred on June 27, 2015 in Taiwan. This study was performed to investigate the economic effects of treating burn patients at a single medical center after an explosion disaster. Methods A detailed retrospective analysis on 48 patient expense records at Chang Gung Memorial Hospital after the Color Dust explosion was performed. Data were collected during the acute treatment period between June 27, 2015 and September 30, 2015. The distribution of cost drivers for the entire patient cohort (n=48), patients with a percent total body surface area burn (%TBSA) ≥ 50 (n=20), and those with %TBSA <50 (n=28) were analyzed. Results The total cost of 48 burn patients over the acute 3-month time period was $2,440,688, with a mean cost per patient of $50,848 ±36,438. Inpatient ward fees (30%), therapeutic treatment fees (22%), and medication fees (11%) were found to be the three highest cost drivers. The 20 patients with a %TBSA ≥50 consumed $1,559,300 (63.8%) of the total expenses, at an average cost of $77,965 ± 34,226 per patient. The 28 patients with a %TBSA <50 consumed $881,387 (36.1%) of care expenses, at an average cost of $31,478 ± 23,518 per patient. Conclusions In response to this mass casualty event, inpatient ward fees represented the largest expense. Hospitals can reduce this fee by ensuring wound dressing and skin substitute materials are regionally stocked and accessible. Medication fees may be higher than expected when treating a mass burn cohort. In preparation for a future event, hospitals should anticipate patients with a %TBSA ≥ 50 will contribute the majority of inpatient expenses.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 84%

Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital

Mathews

Cheng

Muller

et al. 2017

Injury

View full text Add to dashboard Cite

show abstract

“…Our earlier research involved direct inpatient care costs among all inpatients due to fire-related injury in Finland. 4 This present study attempts to estimate indirect costs of these injuries in addition to the previously obtained direct costs. When broadening the scope to concern any kind of burn injuries instead of strictly limiting to the fire-related aspect, few studies emerge.…”

Section: Discussionmentioning

confidence: 99%

“…The mean cost per fire-related burn patient was EUR 25,000 and for those with combustion gas poisoning EUR 3600. 4 Therefore, the direct costs are not assessed in this study.…”

Section: Introductionmentioning

confidence: 99%

Burden of Fire Injuries in Finland: Lost Productivity and Benefits

Haikonen

Lillsunde

2016

Journal of Public Health Research

Self Cite

View full text Add to dashboard Cite

Background: The aim of this study was to assess the economic burden of fire-related injury from two perspectives: post-injury social security compensations and also productivity losses due to the lost productive time from a societal perspective induced by the injury.Design and methods: A cohort of 1503 inpatients who sustained fire-related injury during the period 2001–2005 was retrospectively followed up for 5-10 years until the end of 2010, using linkages between several administrative registers. The study process was started in 2015 and finalized on March 2016.Results: Annual productivity loss was on average EUR 5.72 million, giving a total for the five-year study period of EUR 28.6 million, with a mean value of EUR 19,070 per person. Mean/median disability time for those who received benefits was 572/63 days, ranging from 3 days to 36.5 years. Total average cost of benefits to the injured annually during the study period was EUR 1.03 million. This equates to EUR 3430 per patient for the whole cohort or EUR 14,860 for those who received benefits.Conclusions: The burden of fire-related injuries in terms of payment transfers and lost productivity due to periods of disability as indirect costs is high; in a population of 5.4 million, the annual loss exceeded EUR 5.7 million. The results could be used in planning preventive measures and therefore yield savings.Significance for public healthThere is little scientific knowledge about fire-related injuries and their consequences. This study addresses this public health problem and yields results potentially useful for designing preventive measures where costs are weighed against the benefits especially when augmented with direct costs.

show abstract

“…Low-and-middleincome countries suffer from double burden of higher burn and fire related admission, and soaring healthcare costs of treating burn patients [12]. A variety of studies in different countries show that treatment costs of burn patients is high [13][14][15]. A study in Iran has found that total treatment costs associated with 1721 burn patients was about US$ 4835000 over two years -an average of US$ 2810 per each patient.…”

mentioning

confidence: 99%

‘Poverty flames burns’: deficiencies of burn care financing in Iran’s healthcare system

Amini-Rarani

Mohammadi

Zadeh

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Due special characteristics of burn patients, such as vulnerability, high treatment costs, and expensiveness of burn services, financing of burn services has a crucial importance. The current study aims to identify challenges of financing of burn services in Iranian healthcare system. Methods: The current qualitative study employed purposeful sampling with maximum variation. In total, 21 interviews were carried out to the saturated point, with interviewees from national, provincial, and local (hospital) levels. Kutzin’s descriptive framework on analyze of financing programs for healthcare services at national level was used to develop interview guide. A thematic analysis with hybrid approach of inductive and deductive coding and theme development was employed to analyze the transcribed documents by using MAXQDA Version 12.0 (VERBI GmbH Berlin) Release 12.3.0. Results: Three themes and nine (sub-themes) were identified, as follow: collection of funds (revenue generation), pooling of funds (cost-sharing and fees, and uninsured people) and purchasing of services (inappropriate payment mechanism, incomplete content of service benefit package, inappropriate financial resource allocation, ineffective medical tariffs, top-down budgeting approach and lobbying in resource allocation). Conclusions: According to the results of the current study financing burn services can be improved through reviewing and reforming burn financing policies (with ultimate goal of universal health coverage), increasing affordability of burn services, allocating sufficient budgets and using evidence-based purchasing that is based on objective indicators of demand and supply, and also creating new financial resources (through advocacy from related stakeholders and imposing sin taxes), so that other institutions such as Ministry of Oil, Ministry of Energy and municipalities be engaged in financing burn services to address financial deficiencies.

show abstract

Inpatient costs of fire-related injuries in Finland

Cited by 21 publications

References 14 publications

Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital

Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital

Burden of Fire Injuries in Finland: Lost Productivity and Benefits

‘Poverty flames burns’: deficiencies of burn care financing in Iran’s healthcare system

Contact Info

Product

Resources

About