Kinzl L, Gebhard F, Arand M
Abteilung für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie der Universität.
Unfallchirurgie. 1996 Aug;22(4):179-85.
Treatment of polytrauma patients requires a large number of well trained staff and expensive medical equipment. The high medical standard in polytrauma care resulted in a reduction of a 40% lethality in the 70's to 10 to 15% today. The changes in german health systems (GSG) cut down the financial resources and call for careful evaluation of costs in trauma centers. Our analysis of the costs of 1 multiple injured patient in 1996 showed, that the reimbursements of hospital charges ended in a deficit of DM 30,000,-. Our department treats approximately 100 polytraumas a year which implies a budget deficit of 3 million DM per year. Today the aim of trauma centers is the maintenance of a high surgical standard in trauma care together with adequate reimbursement of hospital expenses. Trauma care and life saving interventions must not be shortened by financial restrictions. The trauma surgeon has to take care for his multiple injured patients and balanced financial reimbursements as well.
多发伤患者的治疗需要大量训练有素的工作人员和昂贵的医疗设备。多发伤护理的高医疗标准使70年代40%的致死率降至如今的10%至15%。德国医疗体系（GSG）的变革削减了财政资源，这就要求对创伤中心的成本进行仔细评估。我们对1996年1例多发伤患者的成本分析表明，医院收费的报销最终出现了30000德国马克的赤字。我们科室每年大约治疗100例多发伤患者，这意味着每年预算赤字达300万德国马克。如今，创伤中心的目标是在创伤护理中保持较高的外科标准，同时医院费用得到适当报销。创伤护理和救生干预措施绝不能因财政限制而缩短。创伤外科医生必须既要照顾好他的多发伤患者，又要兼顾合理的财政报销。
