The Journal of Trauma: Injury, Infection, and Critical Care · 1992 · 47 citations · 0 references
MedicineEmergency MedicineHealth Services AdministrationEmergency ManagementResuscitationTrauma CareTrauma ResuscitationTrauma SurgeryBlunt Trauma CareHospital Closure ImpactOperating Room CostsPhysician RetentionPhysician ShortagesTrauma System Organization
A 1990 national survey of 66 closed trauma centers across 14 states was conducted to ascentain the factors that promoted closure. Data from 44 facilities, or 67% of the centers identified, indicate that inadequate financing and physican participation were comonplace. The findings support the work of other investigators and demonstrate that uncompensated care, inadequate reimbursement, high operating costs, and lack of physician support all adversel affect trauma care in both urban and suburban settings.