Budget impact analysis of implementing trauma registries in Argentina
Por:
Klappenbach, R, Monteverde, E, Santero, M, Bosque, L, Neira, J
Publicada:
1 nov 2024
Ahead of Print:
1 ago 2024
Resumen:
Introduction: In high-income countries, quality improvement interventions and research are usually guided by trauma registries. In low- and middle-income countries, the implementation of trauma registries has been limited mainly for cost reasons. Objective: To analyze the budgetary impact of the implementation of trauma registries in Argentina. Methods: We estimated direct costs of implementing trauma registries in public hospitals located in cities with a population over 50,000 inhabitants. In large urban areas, we selected hospitals by estimating a minimum volume of 240 severe trauma admissions/year and using the NBATS-2 instrument with geolocation techniques. We estimated costs based on a micro-costing approach of a trauma registry developed by Fundacion Trauma. Scenario analysis was carried out restricting the population to hospitals from bigger cities and/or with higher concentration of trauma patients' care. For the high budget impact threshold, we used the total health spending estimation, and alternatively the health spending of the public sector. Results: For the base case, 139 hospitals from 104 cities were included, comprising 175,605 injury-related discharges and 13,707 severely injured patients/year. The average cost for the initial three years was USD 3,753,085 (21.4 USD/per patient), falling below the high budget impact thresholds. The scenarios analysis showed a significantly costs reduction. Conclusions: The implementation of trauma registries in Argentina would be affordable, and in consequence, it would improve the coordination, management and quality of care for this great public health issue.
Filiaciones:
Klappenbach, R:
Fdn Trauma, Tacuari 352,C1071AAH, Buenos Aires, Argentina
Monteverde, E:
Fdn Trauma, Tacuari 352,C1071AAH, Buenos Aires, Argentina
Santero, M:
Fdn Trauma, Tacuari 352,C1071AAH, Buenos Aires, Argentina
Biomed Res Inst St Pau IIB St Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Bosque, L:
Fdn Trauma, Tacuari 352,C1071AAH, Buenos Aires, Argentina
Neira, J:
Fdn Trauma, Tacuari 352,C1071AAH, Buenos Aires, Argentina
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