The cost and compensability of trauma patients.

作者: Kate Curtis , Cara Dickson , Deborah Black , Thomas Nau

DOI: 10.1071/AH090084

关键词:

摘要: Injury in Australia was responsible for 400 000 hospitalisations 2002. This study aimed to examine the direct costs of trauma patients a Level 1 centre and determine compensability those patients. Data on all admitted (206) filling criteria were collected prospectively over 3-month period (November 2006 January 2007). A 10-question survey completed each patient record mechanism injury, third party private health insurance or workers compensation, also obtained. 30% admissions had an injury severity score (ISS)> 15 (n = 62; median ISS =9; range, 1-56). Median length stay 3 days (range, 1-126). Almost half (47%) involved road trauma, 29% falls. More than (53.4%) eligible compensation (21.8% full hospital cover, 21.4% 9.2% compensation). The with highest cost per assault, followed by pedal cyclists, pedestrians then motor vehicle collisions.

参考文章(31)
Anthony J Bell, Janet K Talbot‐Stern, Annemarie Hennessy, Characteristics and outcomes of older patients presenting to the emergency department after a fall: a retrospective analysis. The Medical Journal of Australia. ,vol. 173, pp. 179- 182 ,(2000) , 10.5694/J.1326-5377.2000.TB125596.X
Martin B Van Der Weyden, The Bundaberg Hospital scandal: the need for reform in Queensland and beyond The Medical Journal of Australia. ,vol. 183, pp. 284- 285 ,(2005) , 10.5694/J.1326-5377.2005.TB07054.X
Marc J. Shapiro, The Misconception of Trauma Reimbursement Archives of Surgery. ,vol. 124, pp. 1237- 1240 ,(1989) , 10.1001/ARCHSURG.1989.01410100143025
Troy L. Holbrook, David B. Hoyt, John P. Anderson, The impact of major in-hospital complications on functional outcome and quality of life after trauma. Journal of Trauma-injury Infection and Critical Care. ,vol. 50, pp. 91- 95 ,(2001) , 10.1097/00005373-200101000-00016
Jorge Sesperez, Sharon Wilson, Bin Jalaludin, Maria Seger, Michael Sugrue, Trauma Case Management and Clinical Pathways: Prospective Evaluation of Their Effect on Selected Patient Outcomes in Five Key Trauma Conditions Journal of Trauma-injury Infection and Critical Care. ,vol. 50, pp. 643- 649 ,(2001) , 10.1097/00005373-200104000-00008
Peter Cameron, Linas Dziukas, Afif Hadj, Peter Clark, Susan Hooper, Major trauma in Australia: a regional analysis Journal of Trauma-injury Infection and Critical Care. ,vol. 39, pp. 545- 552 ,(1995) , 10.1097/00005373-199509000-00024
Barbara Bennett Jacobs, Lenwortn M. Jacobs, The effect of the new trauma DRGs on reimbursement. Journal of Trauma-injury Infection and Critical Care. ,vol. 33, pp. 495- 503 ,(1992) , 10.1097/00005373-199210000-00002
Richard P. Dutton, Carnell Cooper, Alan Jones, Susan Leone, Mary E. Kramer, Thomas M. Scalea, Daily multidisciplinary rounds shorten length of stay for trauma patients. Journal of Trauma-injury Infection and Critical Care. ,vol. 55, pp. 913- 919 ,(2003) , 10.1097/01.TA.0000093395.34097.56
Kennith H. Sartorelli, Frederick B. Rogers, Turner M. Osler, Steven R. Shackford, Myra Cohen, Dennis W. Vane, Financial aspects of providing trauma care at the extremes of life. Journal of Trauma-injury Infection and Critical Care. ,vol. 46, pp. 483- 487 ,(1999) , 10.1097/00005373-199903000-00025
Jeffrey S. Young, Gerald A. Cephas, Osbert Blow, Outcome and cost of trauma among the elderly: a real-life model of a single-payer reimbursement system. Journal of Trauma-injury Infection and Critical Care. ,vol. 45, pp. 800- 804 ,(1998) , 10.1097/00005373-199810000-00033