Document Detail


Financial burden of trauma care on a university hospital in a developing country.
MedLine Citation:
PMID:  10498318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Trauma care is expensive and more so for the hospitals not subsidized by the government, as is the case in developing countries. In this study, the burden of trauma care on a typical Level I trauma center in Turkey was investigated. METHODS: Medical, demographic, and financial records of trauma patients who were hospitalized in the calendar year of 1996 were analyzed. RESULTS: A total of 347 patients had complete data available for analysis. The mean Injury Severity Score was 13.3+/-0.5. Total hospital charges and charges per patient were $547,391 and $1,577, respectively. There was a positive correlation between the Injury Severity Score and the hospital charges. Although 54.2% of the patients were self-payer and the rest (45.8%) had some form of a health insurance, 5.5% ($30,496) of total hospital charges of these 347 trauma patients could not be collected by the hospital. CONCLUSION: Trauma care is expensive and reimbursement is not always possible, but the hospital's nonreimbursed money was within tolerable limits, and the overall financial balance of the hospital from the trauma care was on the positive side, even in the absence of government subsidy.
Authors:
E Kaya; H Ozguc; R Tokyay; O Yunuk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  47     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-05     Completed Date:  1999-10-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  572-5     Citation Subset:  AIM; IM    
Affiliation:
Uludağ University School of Medicine, Department of Surgery, Bursa, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Developing Countries*
Female
Hospital Charges
Hospitals, University / economics*
Humans
Injury Severity Score
Insurance, Health, Reimbursement / economics
Male
Retrospective Studies
Trauma Centers / economics*
Turkey
Urban Population

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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