Estimating the costs of hip fracture and potential savings

被引:39
作者
Zethraeus, N [1 ]
Gerdtham, UG [1 ]
机构
[1] Stockholm Sch Econ, Ctr Hlth Econ, S-11383 Stockholm, Sweden
关键词
D O I
10.1017/S026646230001223X
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper examines the determinants of hip fracture costs and further evaluates potential savings in costs when the occurrence of hip fracture is prevented. The costs of hip fracture are comprised of direct costs from health care and the social welfare system. Data were collected for 1,080 postmenopausal women admitted from private residence for primary hip fracture surgery during the year of 1992 in the city of Stockholm, Sweden. It was found that the cost of hip fracture is significantly related to age, mortality the year after a fracture, type of fracture, costs 1 year before a fracture, and hospital admission. The savings in direct costs for an average woman surviving the year after a fracture amount to SEK 210,000.
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页码:255 / 267
页数:13
相关论文
共 21 条
[1]   FACTORS INFLUENCING DRG 210 (HIP FRACTURE) REIMBURSEMENT [J].
AGARWAL, N ;
REYES, JD ;
WESTERMAN, DA ;
CAYTEN, CG .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1986, 26 (05) :426-431
[2]  
BAUER GCH, 1985, INT J TECHNOL ASSESS, V1, P59
[3]   COSTS OF HIP FRACTURE - REHABILITATION OF 180 PATIENTS IN PRIMARY HEALTH-CARE [J].
BORGQUIST, L ;
LINDELOW, G ;
THORNGREN, KG .
ACTA ORTHOPAEDICA SCANDINAVICA, 1991, 62 (01) :39-48
[4]   HIP FRACTURE - A PROSPECTIVE-STUDY OF HOSPITAL COURSE, COMPLICATIONS, AND COSTS [J].
CAMPION, EW ;
JETTE, AM ;
CLEARY, PD ;
HARRIS, BA .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1987, 2 (02) :78-82
[5]   COSTS AND HEALTH-EFFECTS OF OSTEOPOROTIC FRACTURES [J].
CHRISCHILLES, E ;
SHIREMAN, T ;
WALLACE, R .
BONE, 1994, 15 (04) :377-386
[6]   HIP-FRACTURES IN THE ELDERLY - A WORLDWIDE PROJECTION [J].
COOPER, C ;
CAMPION, G ;
MELTON, LJ .
OSTEOPOROSIS INTERNATIONAL, 1992, 2 (06) :285-289
[8]  
Cummings S R, 1993, Int J Fertil Menopausal Stud, V38 Suppl 2, P92
[9]   COST-ANALYSIS OF EARLY DISCHARGE AFTER HIP FRACTURE [J].
HOLLINGWORTH, W ;
TODD, C ;
PARKER, M ;
ROBERTS, JA ;
WILLIAMS, R .
BRITISH MEDICAL JOURNAL, 1993, 307 (6909) :903-906
[10]   CONSUMPTION OF HOSPITAL RESOURCES FOR FEMORAL-NECK FRACTURE [J].
HOLMBERG, S ;
THORNGREN, KG .
ACTA ORTHOPAEDICA SCANDINAVICA, 1988, 59 (04) :377-381