Izvorni znanstveni članak
Treatment Cost of Patients with Maxillofacial Fractures at the University Hospital in Mostar 2002–2006
Mario Jurić
; Department of Maxillofacial Surgery, University Hospital Mostar, Mostar, Bosnia and Herzegovina
Josip Novaković
; Department of Anatomy, Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
Mirela Čarapina
; Institute of Pathology, Cytology and Forensic Medicine, University Hospital Mostar, Mostar, Bosnia and Herzegovina
Ervin Knežević
; Department of Otolaryngology, University Hospital Mostar, Mostar, Bosnia and Herzegovina
Sažetak
The aim of this study was to establish the costs structure of medical treatment for the patients with maxillofacial fractures, to perform a treatment cost evaluation, describe the factors which considerably influence the costs and discover the ways of achieving financial savings in treated patients. The study group consisted of patients with maxillofacial fractures who were admitted and treated at the Department of Maxillofacial Surgery of the University Hospital Mostar in the period from January 2002 until December 2006. Data for the study were collected from the patients’ databases, case histories and data obtained on the basis of individual payments for the treatment that was collected by Finance Department of the University Hospital of Mostar. Most patients in this study were men (83%), of average age 34±19 years. Zygomatic bone fracture was the commonest injury. Open surgical procedure was performed in 84.7% of treated cases. The costs for the open procedure were considerably higher than conservative treatment. Medication cost made up a total of 37.9% and cost of hospital accommodation 27.3% out of total hospital charge. Cost reduction in treated patients with maxillofacial fractures should be achieved through protocols of urgent treatment of maxillofacial trauma patients immediately after sustaining an injury and with earlier discharge of the patients when postoperative complications are not expected.
Ključne riječi
maxillofacial injuries; jaw fractures; zygomatic fractures; surgical procedures; jaw fixation techniques; cost analysis
Hrčak ID:
51760
URI
Datum izdavanja:
25.3.2010.
Posjeta: 1.854 *