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  1. Hospitalization charges, costs, and income for firearm-related injuries at a university trauma center.

    Article - En anglais

    Objective

    - To quantify the actual cost of inpatient medical care for firearm-related injuries at a university trauma center.

    Design

    - Retrospective case series of all hospital admissions for firearm-related injuries for the 3 years 1990 through 1992.

    Total inpatient financial data were examined by means of a recently instituted cost-accounting methodology.

    Setting

    - Level I trauma center at a university hospital that provides trauma care and tertiary care to 3.7 million residents of 23 counties.

    Results

    - Men aged 15 to 44 years accounted for 77% of patients with firearm-related injuries.

    The overall mean and median hospital charges per admission were $52 271 and $28 033, respectively, whereas the overall mean and median hospital costs per admission were $13794 and $7964, respectively.

    The losses sustained on nonsponsored and Medicaid patients were more than offset by net income from patients having private health insurance, Medicare, or other insurance coverage such that there was an average profit of $5809 per admission for a firearm-related injury.

    Conclusions

    - Treatment of firearm-related injuries produces net income for this university trauma center by virtue of the cost shifting built into its pricing structure.

    If data from this institution are extrapolated to the nation, then the actual cost of providing medical care for firearm-related injuries in the United States in 1995 is projected to be $4.0 billion.

    The majority of this cost will.

    Mots-clés Pascal : Traumatisme, Arme à feu, Coût social, Economie santé, Epidémiologie, Homme, Amérique du Nord, Amérique, Traumatologie

    Mots-clés Pascal anglais : Trauma, Fire arm, Social cost, Health economy, Epidemiology, Human, North America, America, Traumatology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0397444

    Code Inist : 002B30A10. Création : 01/03/1996.