Cargando…
An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia
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 patien...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497000/ https://www.ncbi.nlm.nih.gov/pubmed/31057280 http://dx.doi.org/10.4103/JETS.JETS_42_18 |
_version_ | 1783415401878650880 |
---|---|
author | Makkar, Namrata Gupta, Amit Modi, Shrey Bagaria, Dinesh Kumar, Subodh Chumber, Sunil |
author_facet | Makkar, Namrata Gupta, Amit Modi, Shrey Bagaria, Dinesh Kumar, Subodh Chumber, Sunil |
author_sort | Makkar, Namrata |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6497000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-64970002019-05-03 An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia Makkar, Namrata Gupta, Amit Modi, Shrey Bagaria, Dinesh Kumar, Subodh Chumber, Sunil J Emerg Trauma Shock Original Article 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. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6497000/ /pubmed/31057280 http://dx.doi.org/10.4103/JETS.JETS_42_18 Text en Copyright: © 2019 Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Makkar, Namrata Gupta, Amit Modi, Shrey Bagaria, Dinesh Kumar, Subodh Chumber, Sunil An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia |
title | An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia |
title_full | An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia |
title_fullStr | An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia |
title_full_unstemmed | An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia |
title_short | An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia |
title_sort | analysis of the economic burden of the trauma services at a level 1 public sector trauma center in south asia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497000/ https://www.ncbi.nlm.nih.gov/pubmed/31057280 http://dx.doi.org/10.4103/JETS.JETS_42_18 |
work_keys_str_mv | AT makkarnamrata ananalysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT guptaamit ananalysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT modishrey ananalysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT bagariadinesh ananalysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT kumarsubodh ananalysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT chumbersunil ananalysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT makkarnamrata analysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT guptaamit analysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT modishrey analysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT bagariadinesh analysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT kumarsubodh analysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia AT chumbersunil analysisoftheeconomicburdenofthetraumaservicesatalevel1publicsectortraumacenterinsouthasia |