The pediatric burn unit: A profit center
The pediatric burn unit: A profit center
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DOI：
10.1016/j.jpedsurg.2004.02.033
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发表时间：
2004-06-01
影响因子：
2.4
通讯作者：
Besner, GE
中科院分区：
文献类型：
--
作者：
Corpron, CA;Martin, AE;Besner, GE
背景：小儿烧伤中心的建立是一项重要的资源投入。儿科烧伤单位对儿童医院的财务状况的影响从来没有被报道，是本study.Methods的目的：烧伤登记数据从我们的儿科烧伤单位从2000年至2002年出院的患者与财务和行政数据进行了整合。通过计算每位患者的预期付款来确定报销额。百分之全身表面积（TBSA）烧伤和利润/损失利润率之间的关系进行了评估，使用回归analysis.Results：在研究期间，264例小儿烧伤患者被接纳到我们的烧伤服务。143例（54%）TBSA烧伤小于10%，平均损失幅度为-179.03美元/例患者。烧伤面积大于10%的121名患者（46%）的平均利润率为每名患者+349.68美元（P = 0.22，SE + 605.03）手术治疗的患者（49; 18%）的利润率为每例患者+2237.77美元，而非手术治疗的患者（215; 81%）的利润率为-$432.30 per patient（P = .0007，SE + 249.65），总利润率为+$63.88 per patient.Conclusions：我们的小儿烧伤服务覆盖了所有医院的固定成本，并取得了少量利润。小儿烧伤护理可以成为儿童医院的利润中心。对小儿烧伤项目的投资为医院提供了足够的财务回报。(C)2004爱思唯尔公司All rights reserved.
Background: Establishment of a pediatric burn center represents a major commitment of resources. The impact of a Pediatric Burn Unit on the finances of a children's hospital has never been reported and was the purpose of this study.Methods: Burn registry data for patients discharged from our Pediatric Burn Unit from 2000 to 2002 were integrated with financial and administrative data. Reimbursement was determined by calculating expected payments for each patient. The relationship between percent total body surface area (TBSA) burned and profit/loss margin was evaluated using regression analysis.Results: During the study period, 264 pediatric burn patients were admitted to our burn service. One hundred forty-three (54%) had less than 10% TBSA burned, and their average loss margin was -$179.03 per patient. The 121 patients (46%) who had greater than 10% TBSA burned had an average profit margin of +$349.68 per patient (P = .22, SE + 605.03) Patients treated operatively (49; 18%) had a profit margin of +$2237.77 per patient, whereas patients treated nonoperatively (215; 81%) had a profit margin of -$432.30 per patient (P = .0007, SE + 249.65) The overall profit margin was +$63.88 per patient.Conclusions: Our pediatric burn service covered all hospital fixed costs and made a small profit. Pediatric burn care can be a profit center for children's hospitals. Investment in a Pediatric Burn Program provides adequate financial return for the hospital. (C) 2004 Elsevier Inc. All rights reserved.