Umo Ian, James Kennedy, Didilemu Fiona, Sinen Benard, Borchem Isaiah, Inaido Dominic, Ikasa Rodger
Surgical Department, Alotau Provincial Hospital, Milne Bay Provincial Health Authority, Papua New Guinea.
Leahy Lewin Lowing Sullivan Lawyers, Papua New Guinea.
Lancet Reg Health West Pac. 2022 Jan 24;20:100379. doi: 10.1016/j.lanwpc.2021.100379. eCollection 2022 Mar.
Injuries are a significant public health concern globally. Papua New Guinea has failed to achieve all eight health millennium development goals, and in doing so has not prioritized injuries in previous health policies. Understanding costs related to injuries can ultimately guide policies for surgical service delivery in achieving local, and universal health coverage objectives.
A prospective cost of illness study was conducted at Alotau Provincial Hospital (only major referral hospital), in the Milne Bay Province of Papua New Guinea, from the 1st of June 2020 to the 21st of December 2020. A bottom up approach of micro costing was used to estimate the direct medical cost of trauma aetiologies, and injuries of patients admitted to the surgical ward at Alotau Provincial Hospital.
The mean cost of managing traumatic injuries was K45, 900.40 (US$13,311.12) per patient. The most common cause of injury was alcohol related injuries (n=32) with a total direct medical cost of K1, 417, 023.73 (US$410,936.88). The most common injury was fractures (n=40) with a total direct medical cost of K1, 907, 531.88 (US$553,184.25). The highest cost for trauma aetiologies were MVAs with a mean cost of K48, 687.40 (US$14, 119.35) per patient. The highest cost for injuries was abdominal trauma with a mean cost K55,929.69(US$16,219.61) per patient.
Poor regulation of alcohol and road safety is associated with high surgical costs. In an era of financial instability, reducing injuries is economical in acheiving health care objectives that rely heavily on adequate funding, and financing.
No funding source.
伤害是全球重大的公共卫生问题。巴布亚新几内亚未能实现所有八项健康千年发展目标，在此过程中，以往的卫生政策未将伤害列为优先事项。了解与伤害相关的成本最终可为实现地方和全民健康覆盖目标的外科服务提供政策提供指导。
2020年6月1日至2020年12月21日，在巴布亚新几内亚米尔恩湾省的阿洛陶省医院（唯一的主要转诊医院）进行了一项前瞻性疾病成本研究。采用自下而上的微观成本核算方法来估算创伤病因以及阿洛陶省医院外科病房收治患者的伤害的直接医疗成本。
每位患者创伤性损伤的平均管理成本为45,900.40基那（13,311.12美元）。最常见的伤害原因是与酒精相关的伤害（n = 32），直接医疗总成本为1,417,023.73基那（410,936.88美元）。最常见的损伤是骨折（n = 40），直接医疗总成本为1,907,531.88基那（553,184.25美元）。创伤病因中成本最高的是机动车事故，每位患者的平均成本为48,687.40基那（14,119.35美元）。伤害中成本最高的是腹部创伤，每位患者的平均成本为55,929.69基那（16,219.61美元）。
酒精监管不力和道路安全问题与高昂的外科手术成本相关。在财政不稳定的时代，减少伤害对于实现严重依赖充足资金和融资的医疗保健目标而言是经济的。
无资金来源。
