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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

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...

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Autores principales: Makkar, Namrata, Gupta, Amit, Modi, Shrey, Bagaria, Dinesh, Kumar, Subodh, Chumber, Sunil
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
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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.
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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
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