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首页> 外文期刊>Journal of Emergencies, Trauma and Shock >An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia
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An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia

机译：南亚一级公共部门创伤中心创伤服务的经济负担分析

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Background: Incidence of road traffic injuries (RTIs) is increasing and accounting for country's 3% gross domestic product. It is crucial to perform a cost analysis of trauma systems to allocate resources judiciously. Aim and Objectives: To study the economic burden of trauma care on the patient attending a level I trauma center including stratification of costs according to injury. Materials and Methods: This is a prospective study, with patients of polytrauma (Injury Severity Score 16) admitted in the center. Cost analysis (cost descriptive study) was done by calculating direct costs to hospital by bottom-up microcosting considering fixed and recurrent costs including reference unit prices (RUPs). According to the anatomical site of injuries, major injury groups (MIGs) costs were also analyzed. Results: The demographics including mode of injury were similar to other studies. The RUP's and MIG's were defined which represented majority of the sample size. Due to highly subsidized nature of services in this Government institute, the cost to patient is less compared to other countries. Still, the total expenditure incurred by the low-income group was higher than the minimum wages at that time. The creation of plausible RUP's and the grouping of MIG's can help in reducing the costs by targeting and implementing strategic cost reduction measures. Conclusion: The study has shown that microcosting is feasible. Considering the low-income population demanding trauma services, further efforts are required to reduce costs substantially.
机译：背景：道路交通伤害（RTI）的发病率正在上升，占该国3％的国内生产总值。对创伤系统进行成本分析以明智地分配资源至关重要。目的和目的：研究就诊于I级创伤中心的患者的创伤护理的经济负担，包括根据伤害进行费用分层。材料和方法：这是一项前瞻性研究，多发伤（严重程度评分> 16）患者入院。成本分析（成本描述性研究）是通过自下而上的微成本计算法，考虑到包括参考单价（RUP）在内的固定成本和经常成本，计算出医院的直接成本。根据受伤的解剖部位，还分析了主要伤害组（MIG）的费用。结果：包括损伤模式在内的人口统计学与其他研究相似。定义了RUP和MIG，它们代表了样本量的大部分。由于该政府机构对服务的高度补贴性质，因此与其他国家相比，患者的费用更少。尽管如此，低收入群体的总支出仍高于当时的最低工资。合理的RUP的创建和MIG的分组可以通过针对和实施战略性成本降低措施来帮助降低成本。结论：研究表明，微成本计算是可行的。考虑到需要创伤服务的低收入人口，需要进一步努力以大幅降低成本。

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