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  1. Factors that enhance continued trauma center participation in trauma systems.

    Article - En anglais

    Objectives 

    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.

    Design and Setting 

    In-depth interviews and data collection for trauma centers in 12 metropolitan areas with populations of 1 million or more.

    Participants 

    Seventy trauma centers in these large urban communities that indicated a continuing commitment to providing trauma services for the foreseeable future.

    Main Outcome Measures 

    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 Sources 

    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    • published and unpublished hospital data from the American Hospital Association ;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.

    Most data are reflective of 1992

    (...)

    Mots-clés Pascal : Service hospitalier, Traumatologie, Budget, Politique financière

    Mots-clés Pascal anglais : Hospital ward, Traumatology, Budget, Financial policy

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

    Cote : 97-0045957

    Code Inist : 002B30A04B. Création : 21/05/1997.