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Main arrow Archive of previous Issues arrow №6 2012 (28) arrow Medical economic evaluation of hospital costs linked to quality of inpatient care for burning injury
Medical economic evaluation of hospital costs linked to quality of inpatient care for burning injury Print
Thursday, 24 January 2013

A.Yu. Unizhayeva1, S.A. Martynchik2
1Municipal hospital No. 36, Moscow
2I.M. Sechenov First Moscow State Medical University, Moscow

Summary. This is a brief systematic review of the foreign and domestic literature to evaluate economic loss due burning injuries of the population. Medical economic assessment of costs linked to quality of inpatient care for burning injury was performed. Combined evaluation of the rates of mortality, hospital lethality, and disability when associated with burning injury was fulfilled. Economic burden resulting from expenses of delivered inpatient care for trauma linked to its quality and accessibility was evaluated.

Measures outlined by appropriate programs for developing certain organizational trends of inpatient for burning injuries and wide introduction of modern medical technologies of early surgical interventions and plastic closure of the burn wounds were analyzed. The article introduces classification of burning injuries, methods of prognostic evaluation of its intrinsic severity and outcomes. Thus, evaluation of costs of the public health to deliver effect-oriented inpatient care for burning injuries – effectively treated patients.

Wide-scale realization of measures for reduction of mortality from thermal burns requires extensive funding and appropriate organizational possibilities and resources with more wide engagement of certain state budget items.

The very optimization of burn centers and relevant burn departments of municipal hospitals necessitated such an approach as creation of national register of burn cases, as well as introduction of quality assessment based on the use of medical standards and task indicators.

Keywords. burning injuries; burn condition; prognostic indexes and scales; completed case of treatment; hospital lethality; hospital registers; economic costs; program measures.



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Comments (1)
1. 05-12-2013 21:17
Уважаемые авторы. Вы сами верите в то, что публикуете? "Смертность, ассоциированная с ожоговой травмой, оценивается как 321,8 на 1000 населения и составляет около 195000 смертей в год." Это что, каждый третий умирает из-за ожога?. Где? В какой стране? Тогда ожоговые стационары должны быть завалены больными, а на самом деле количество ожогов в стране и в ближайшем зарубежье в последние лет 20 неуклонно снижается. Посоветовались бы сначала с комбустиологами.
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