Document Detail


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
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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
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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


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