| Non-resident orthopaedic admissions to Dunedin Hospital, New Zealand: 1997 to 2004. | |
| | |
MedLine Citation:
|
PMID: 15980905 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIMS: The purpose of this study is to audit the numbers of non-residents requiring orthopaedic admission to our hospital and determine the effect of increasing tourist numbers and changes in Accident ACC regulations on healthcare resources. METHODS: Details of non-resident orthopaedic admissions for fiscal years 1997/8 to 2003/4 were analysed with respect to country of residence, mechanism of injury, case weights consumed, and actual costs. RESULTS: There has been no change in numbers of admissions or cost, averaging 32 cases (50 case weights [CWs]) per year. Most patients came from Asia (59 cases; 26%), then Australia (52 cases; 23%) and UK (40 cases; 18%). Snowsports accounted for 40% of admissions, Motor vehicle accidents (MVA) for 17%, and falls for 29%. Non-resident, non-MVA admissions have averaged 21 CWs per year since the changes in ACC regulations in 1999. DISCUSSION: Despite increasing tourist numbers, there has been no increase in numbers or CW of non-residents requiring orthopaedic admission. Although representing only a small proportion of the orthopaedic budget, they generate many hidden costs. The 50 CWs annually equates to approximately 13 major joint replacements per year. The increase in CWs consumed due to the ACC changes have had no corresponding increase in contracted orthopaedic volumes. |
| | |
Authors:
|
David Gwynne Jones |
Related Documents
:
|
536125 - Leptospirosis in the city of salvador, bahia, brazil: a case-control seroepidemiologic ... 15208515 - Review of clinical presentations in thai patients with primary amoebic meningoencephali... 3355735 - Failure of extradural blockade in obstetrics. a new hypothesis. 11057975 - Epidemiological features of and public health response to a st. louis encephalitis epid... 20506765 - The early history of methadone. myths and facts. 23705055 - Mesenchymal hamartoma of the liver - a case report and literature review. |
Publication Detail:
|
Type: Journal Article Date: 2005-06-24 |
Journal Detail:
|
Title: The New Zealand medical journal Volume: 118 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2005 Jun |
Date Detail:
|
Created Date: 2005-06-27 Completed Date: 2005-10-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
|
Languages: eng Pagination: U1531 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedic Surgery, Dunedin Hospital, Dunedin, New Zealand. david.gwynne-jones@stonebow.otago.ac.nz |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Accidental Falls
/
statistics & numerical data Accidents, Traffic / statistics & numerical data Asia / ethnology Athletic Injuries / epidemiology* Australia / ethnology Budgets Great Britain / ethnology Health Care Costs Humans Medical Audit / statistics & numerical data New Zealand / epidemiology Orthopedics / economics, statistics & numerical data* Patient Admission / statistics & numerical data*, trends Skiing / injuries Surgery Department, Hospital / economics, statistics & numerical data* Travel / statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Are snowboarders more likely to damage their spines than skiers? Lessons learned from a study of spi...
Next Document: Liver transplantation for hepatocellular carcinoma in New Zealand: a prospective intent-to-treat ana...