engleski

Treatment Cost of Patients with Maxillofacial Fractures at the University Hospital in Mostar 2002-2006

The aim of this study was to establish the costs structure of medical tretment for the patients with maxillofacial fractures, to perform a treatment cost evaluation, describe the factors witch considerably influence the cost and discover the ways of achieving financial saving in treated patients. The study group consisted of patients with maxillofacial fractures who were admitted and treated at the Department of Maxillofacial Surgery of the University Hospital Mostar in the period from January 2002 until December 2006. Data for the study were collected from the patients databases, case histories and data obtained on the basis of individual payments for the treatment that was collected by Finance Department of the University Hospital Mostar. Most patients in this study were men (83%), age ranging 34±19 years. Zygomatic bone fracture was most common injury. Open procedure was used in 84, 7% of treated cases. The open procedure cost was considerable expensive than conservative treatment. Medication cost made 37, 9% and cost of hospitalization 27, 28% out of total hospital charge. Cost reduction of patients with maxillofacial fractures should be realized through urgent treatment protocols of maxillofacial trauma patients immediately after sustaining in injury and with early discharge to a lesser ranking hospitals or homecare when postoperative complications are not expected.

maxillofacial injuries ; jaw fractures ; zygomatic fractures ; surgical procedures ; jaw fixation techniques ; cost analysis

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