To examine hospital, trauma system, and reimbursement factors that offset the financial burdens of trauma care delivery and to assess how proposed Medicaid and Medicare budget cuts may affect the ability of hospitals to alleviate financial pressures related to trauma care delivery.
In-depth interviews and data collection for trauma centers in 12 metropolitan areas with populations of 1 million or more.
Seventy trauma centers in these large urban communities that indicated a continuing commitment to providing trauma services for the foreseeable future.
Hospital, trauma system, and reimbursement characteristics that distinguish hospitals that are better able to alleviate the financial burdens of indigent trauma care and a financial analysis that assesses payment adequacy for different payers and overall financial outcomes.
Data from a variety of sources were obtained to measure the factors that affect the operation and financing of trauma centers :
published and unpublished hospital data from the American Hospital Association ;
trauma center level, length of operation, and the availability of alternative centers from a recently published study ;
Health Care Financing Administration data on Medicare and Medicaid program characteristics ;
automobile insurance requirements ;
and patient discharge data.
Mots-clés Pascal : Service hospitalier, Traumatologie, Budget, Politique financière
Mots-clés Pascal anglais : Hospital ward, Traumatology, Budget, Financial policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0045957
Code Inist : 002B30A04B. Création : 21/05/1997.