Key result
The mean acute in-hospital cost for femoral neck fractures was J$110,878.80 for public patients versus J$284,287.61 for private patients, significantly driven by length of stay and complications.
Why the study?
What is the acute in-hospital cost of managing osteoporotic femoral neck fractures in Jamaica, and how does it compare between public and private care?
Observational (n=85)
No
What is the acute in-hospital cost of managing osteoporotic femoral neck fractures in Jamaica, and how does it compare between public and private care?
The acute cost of managing femoral neck fractures in Jamaica is significantly higher in private care, though public care is associated with longer preoperative delays and hospital stays.
Answers are grounded in this paper and cite their sources.
These cost differences highlight economic inequities in Jamaican fracture care; leaves open research on value-based improvements in public and private systems.
Osteoporotic femoral neck fractures are increasing as the population ages. There is a significant cost to care for patients with such fractures. We prospectively analysed the in-hospital cost of managing 85 patients admitted to the University Hospital of the West Indies (UHWI) with such fractures. The majority of patients were females, 78.8%, and the mean age of the cohort was 83.7 years. There was a significant difference in the mean preoperative delay and length of stay between those patients treated publicly as compared to those treated privately, 9.6 vs 3.1 days and 18.9 vs 8.8 days, respectively. The mean acute cost of those treated publicly was 39% of the cost of those treated privately, J$110 878.80 vs J$284 287.61. The economic cost per year to the country for the acute management of femoral neck fractures was calculated at J$46 264 528.76 which is 0.30% of the 2005-2006 budgetary allocation for health. This cost was significantly associated with the length of hospital stay and the number of complications developed.
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VAUGHAN et al. (2014) conducted an observational in Osteoporotic femoral neck fractures (n=85). Public hospital care vs. Private hospital care was evaluated on Mean acute in-hospital cost. The mean acute in-hospital cost for femoral neck fractures was J$110,878.80 for public patients versus J$284,287.61 for private patients, significantly driven by length of stay and complications.
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