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Injury. 2013 Dec;44(12):1816-9. doi: 10.1016/j.injury.2013.02.016. Epub 2013 Mar 13.

Should money follow the patient: Financial implication for being the National Centre for the Treatment and Management of Pelvic and Acetabular Fractures in Ireland.

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  • 1National Centre for Pelvic & Acetabular Surgery, The Adelaide and Meath Hospital, Dublin, Incorporating the National Children's Hospital, Dublin, Ireland. Electronic address: Kellym11@tcd.ie.

Abstract

BACKGROUND:

Pelvic and acetabular fractures are complex injuries requiring specialist treatment. Our institution is the National Centre for Treatment and Management of these injuries.

AIM:

To audit all referrals to our institution over a 6-month period and calculate the cost incurred by being the national referral centre.

METHODS:

Retrospective review of database, and subsequent allocation of Casemix points to assess total cost of treatment for each patient referred to our institution.

RESULTS:

103 patients referred with pelvic or acetabular fracture for operative management. The furthest referral distance was 181miles. Over-all, the length of stay was 15.4 days. The average inclusive cost for a referral to our unit for operative management was €16,302.

CONCLUSION:

Pelvic and acetabular fractures are complex injuries that require specialist referral unit management. However for these units to remain sustainable money needs to "follow the patient".

Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

KEYWORDS:

Casemix; Cost analysis; Money follows the patient; National Referral Centre; Pelvic and acetabular fractures

PMID:
23490321
[PubMed - in process]
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