Analysis of Hospital Resource Utilization of In-patients with Hepato-splenic Injuries

• Main Authors: Max Chien, 簡立建
• Other Authors: Jeremy C. Ying
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/48755109756672435035

碩士 === 義守大學 === 管理研究所碩士班 === 93 === Traumatic hepato-splenic injury is common and could be fatal during the accidental abdominal trauma with a trend toward the non-operative management. The purpose of this study is to describe the demographics of patients with hepato-splenic injuries contemporarily and the composition of recourses utilized including length of stay and monetary cost, and to understand and analyze the differences between the patients and the influence caused by’ the attributes of hospitals. This is a retrospective study dealing with the secondary data gained from the databank of National Health Insurance Bureau since 2000 to 2002. Every patient with a diagnosis ICD-9-CM number coded as 864 or 865 will be included. We analyzed the data by t-test, one-way ANOVA, Scheffe''s method and multiple regression. Total 6,746 patients are included and 69.1% is male；28.1% of patients are between 15~24 years ago. Mean age is 34.84± 17.7 years ago. Motor vehicle accident is the mechanism of injury for 30.4%. 58.7% of the victims owned 4 or 5 ICD code numbers. Age, gender, complexity and the attributes of treating hospitals, like professional rating, regional factor, and ownership have significant influences on the resource utilization each. In the multiple regression studies, age, complexity and ownership significantly influenced the LOS; complexity, mechanism of injury and the attributes of treating hospitals, like professional rating, regional factor, and ownership have significant influences on the monetary cost. Some epidemiologic variables are important for the understanding, analysis and management of trauma health care. For the concepts of cost effectiveness and optimal care, reformation and reinforcement of the ongoing studies on the NHIB databank is mandatory.