Taheri Paul A, Maggio Paul M, Dougherty Joseph, Neil Christopher, Fetyko Steven, Harkins Deborah R, Butz David A
Department of Surgery, University of Michigan Health System, MI 48109-0033, USA.
J Trauma. 2007 Mar;62(3):615-9; discussion 619-21. doi: 10.1097/TA.0b013e31802ee532.
The purpose of this study is to assess the downstream clinical and financial impact of a trauma, burn, and emergency surgery service at an academic Level I trauma center.
All patients admitted to the trauma, burn, and emergency surgery service from fiscal years 2002 to 2004 were identified. Clinical and financial data including inpatient and outpatient activity were analyzed for 365 days (downstream) after initial service admission. Data were divided into total service, trauma and burn, inpatient, outpatient, hospital, and professional revenue.
In all, 3,679 patients were admitted during the study period with total initial revenue approaching $103 million. Of these, 1,566 patients were subsequently admitted for downstream inpatient activity, resulting in almost $26 million in subsequent inpatient revenue. The initial patient admissions resulted in over 17,000 clinic visits during the course of the 3 study years. Professional revenue resulted in over $14 million for the initial admission and $6.1 million in downstream revenue during the study period.
Trauma, burn, and emergency surgical services result in both substantial initial and downstream revenue for the hospital (inpatient and outpatient) and professional components. Services committed to caring for the injured and emergent patients substantially contribute to the institutional financial strength.
本研究的目的是评估一级学术创伤中心的创伤、烧伤及急诊外科服务在临床和财务方面的下游影响。
确定了2002财年至2004财年期间入住创伤、烧伤及急诊外科服务的所有患者。对首次服务入院后365天（下游）的临床和财务数据进行了分析，包括住院和门诊活动。数据分为总服务、创伤和烧伤、住院、门诊、医院及专业收入。
在研究期间，共有3679名患者入院，初始总收入接近1.03亿美元。其中，1566名患者随后因下游住院活动再次入院，产生了近2600万美元的后续住院收入。在3个研究年度中，初始患者入院导致超过17000次门诊就诊。专业收入在研究期间，初始入院产生了超过1400万美元，下游收入为610万美元。
创伤、烧伤及急诊外科服务为医院（住院和门诊）及专业部门带来了可观的初始和下游收入。致力于照顾受伤和急诊患者的服务对机构的财务实力有重大贡献。
