Cost effectiveness in trauma care

被引:28
作者
Elliott, DC
Rodriquez, A
机构
[1] UNIV MARYLAND,DEPT SURG,R ADAMS COWLEY SHOCK TRAUMA CTR,MED CTR,BALTIMORE,MD 21201
[2] WALTER REED ARMY MED CTR,DEPT CRIT CARE MED,WASHINGTON,DC 20307
关键词
D O I
10.1016/S0039-6109(05)70421-7
中图分类号
R61 [外科手术学];
学科分类号
摘要
Traumatic injury exacts high costs not only in terms of death but also in pain and suffering, years of lost productivity, and consumption of medical resources. Despite the staggering statistics, the American health care system has not yet developed cost-effective means of delivering trauma care. In fact, economic disincentives discourage the development and continuation of trauma care systems. Strategies for cost containment must focus on improved reimbursement rates for trauma care, increased government funding, cost-effective diagnostic and therapeutic procedures, and prevention of intentional and unintentional injuries.
引用
收藏
页码:47 / &
页数:18
相关论文
共 101 条
[81]   HANDGUN REGULATIONS, CRIME, ASSAULTS, AND HOMICIDE - A TALE OF 2 CITIES [J].
SLOAN, JH ;
KELLERMANN, AL ;
REAY, DT ;
FERRIS, JA ;
KOEPSELL, T ;
RIVARA, FP ;
RICE, C ;
GRAY, L ;
LOGERFO, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (19) :1256-1262
[82]  
SMYTHE M, 1992, PHARMACOTHERAPY, V12, P132
[83]   NEGATIVE LAPAROTOMY IN ABDOMINAL GUNSHOT WOUNDS - POTENTIAL IMPACT OF LAPAROSCOPY [J].
SOSA, JL ;
BAKER, M ;
PUENTE, I ;
SIMS, D ;
SLEEMAN, D ;
GINZBURG, E ;
MARTIN, L .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 38 (02) :194-197
[84]  
Southard P A, 1994, Crit Care Nurs Clin North Am, V6, P435
[85]   A PROSPECTIVE INVESTIGATION OR THE IMPACT OF ALCOHOL-CONSUMPTION ON HELMET USE, INJURY SEVERITY, MEDICAL RESOURCE UTILIZATION, AND HEALTH-CARE COSTS IN BICYCLE-RELATED TRAUMA [J].
SPAITE, DW ;
CRISS, EA ;
WEIST, DJ ;
VALENZUELA, TD ;
JUDKINS, D ;
MEISLIN, HW .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 38 (02) :287-290
[86]   A PROSPECTIVE ANALYSIS OF INJURY SEVERITY AMONG HELMETED AND NONHELMETED BICYCLISTS INVOLVED IN COLLISIONS WITH MOTOR-VEHICLES [J].
SPAITE, DW ;
MURPHY, M ;
CRISS, EA ;
VALENZUELA, TD ;
MEISLIN, HW .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1991, 31 (11) :1510-1516
[87]  
STEIN SC, 1993, NEUROSURGERY, V33, P339
[88]   MILD HEAD-INJURY - A PLEA FOR ROUTINE EARLY CT SCANNING [J].
STEIN, SC ;
ROSS, SE .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 33 (01) :11-13
[89]   RESTRAINT EFFECTIVENESS, AVAILABILITY AND USE IN FATAL CRASHES - IMPLICATIONS TO INJURY CONTROL [J].
VIANO, DC .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 38 (04) :538-546
[90]  
Violence prevention task force of the eastern association for the surgery of trauma: violence, 1995, J TRAUMA, V38, P163