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揭示公平救治创伤患者的经济价值:减少创伤差异是否具有成本效益?

Unveiling the economic value of equitable care for the traumatically injured: is it cost-effective to decrease trauma disparities?

作者信息

Soltani Tandis, Robles Anamaria J, Stadeli Kathryn M, Timmer-Murillo Sydney, Strong Bethany Lauren, Villarreal Cynthia Lizette, Rakhit Shayan, Ho Vanessa P, Price Michelle A, Jain Arpana, West Michaela A

机构信息

Department of Surgery, University of California Davis Medical Center, Sacramento, California, USA.

Department of Surgery, Loma Linda University, Loma Linda, CA, USA.

出版信息

Trauma Surg Acute Care Open. 2025 Jun 25;10(Suppl 4):e001470. doi: 10.1136/tsaco-2024-001470. eCollection 2025.

Abstract

In the USA, traumatic injury results in a significant financial burden, which is unevenly distributed in our society. In this paper, we will highlight some of the data around the costs of injury associated with a focus on socially vulnerable and historically resilient groups at risk for disparate outcomes. We delve into the concept of economic return on investment from multiple perspectives: the patient perspective, the community perspective and from a national and policy perspective. Targeted policy changes and dedicated efforts towards minimizing gaps in trauma care and enhancing survivorship can yield substantial economic benefits. This paper also describes several national funding agencies and their current priorities related to funding in equity and trauma research. This manuscript will demonstrate that reducing disparities in trauma care not only serves a moral imperative but also a necessary and financially sound strategy with a good economic return on investment.

摘要

在美国,创伤性损伤造成了巨大的经济负担,且在我们的社会中分布不均。在本文中,我们将重点介绍一些与损伤成本相关的数据,重点关注面临不同结果风险的社会弱势群体和历来具有复原力的群体。我们从多个角度深入探讨投资的经济回报概念:患者角度、社区角度以及国家和政策角度。有针对性的政策变革以及为尽量减少创伤护理差距和提高生存率而做出的专门努力能够产生巨大的经济效益。本文还介绍了几个国家资助机构及其目前在公平和创伤研究资助方面的优先事项。本手稿将表明,减少创伤护理方面的差距不仅是一项道德要求,也是一项必要且经济上合理的战略,具有良好的投资经济回报。

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