Economic modeling comparing trauma and general surgery reimbursement - 18/08/11
, Lanis L. Hicks, Ph.D. b
Corresponding author. Tel.: +1-573-882-8157; fax: +1-573-884-4611.Abstract |
Background |
The viability of trauma care as a surgical subspecialty is continually challenged by economic pressures related to reimbursement and opportunity costs.
Methods |
The literature was examined for articles focused on economic implications of a trauma focused surgical practice. Economic forecasting techniques were applied using a recalculating spreadsheet to examine charge and revenue generation comparing the effects of numerous variables affecting a trauma or general surgical service.
Results |
Elective general surgery practices derive the majority of revenues from procedural services, whereas trauma practices derive the majority of revenues from evaluation and management. Only centers with high admission volume can expect trauma surgeons to cover salary and expenses, predictably in association with high opportunity costs.
Conclusion |
The differences in time, effort, and patient volume required for a trauma surgeon to generate revenues comparable to an elective practice are dramatic. The current system creates disincentives for surgeons to participate in trauma care.
Le texte complet de cet article est disponible en PDF.Keywords : Economic model, Compensation, Reimbursement, Trauma, Surgical practice
Plan
Vol 190 - N° 6
P. 951-960 - décembre 2005 Retour au numéro
Article précédent
- Blast lung injury: clinical manifestations, treatment, and outcome
- Vered Avidan, Moshe Hersch, Yaron Armon, Ram Spira, Dvora Aharoni, Petachia Reissman, William P. Schecter
- Serum bicarbonate may replace the arterial base deficit in the trauma intensive care unit
- Elizabeth FitzSullivan, Ali Salim, Demetrios Demetriades, Juan Asensio, Matthew J. Martin
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?