Rovi Sue, Chen Ping-Hsin, Johnson Mark S
Department of Family Medicine, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, 07103, USA.
Am J Public Health. 2004 Apr;94(4):586-90. doi: 10.2105/ajph.94.4.586.
This study assessed the economic burden of child abuse-related hospitalizations.
We compared inpatient stays coded with a diagnosis of child abuse or neglect with stays of other hospitalized children using the 1999 National Inpatient Sample of the Healthcare Costs and Utilization Project.
Children whose hospital stays were coded with a diagnosis of abuse or neglect were significantly more likely to have died during hospitalization (4.0% vs 0.5%), have longer stays (8.2 vs 4.0 days), twice the number of diagnoses (6.3 vs 2.8), and double the total charges (19,266 vs 9513 US dollars) than were other hospitalized children. Furthermore, the primary payer was typically Medicaid (66.5% vs 37.0%).
Earlier identification of children at risk for child abuse and neglect might reduce the individual, medical, and societal costs.
本研究评估了与虐待儿童相关住院治疗的经济负担。
我们使用1999年医疗成本和利用项目全国住院患者样本，将诊断为虐待或忽视儿童的住院时间与其他住院儿童的住院时间进行了比较。
诊断为虐待或忽视儿童的住院患者在住院期间死亡的可能性显著更高（4.0%对0.5%），住院时间更长（8.2天对4.0天），诊断数量是其他住院儿童的两倍（6.3项对2.8项），总费用是其他住院儿童的两倍（19266美元对9513美元）。此外，主要支付方通常是医疗补助（66.5%对37.0%）。
尽早识别有虐待和忽视儿童风险的儿童可能会降低个人、医疗和社会成本。
