Skip to Main content Skip to Navigation
Master Thesis

Coûts pour l’assurance maladie des prises en charge initiales de traumatologie en station de sports d’hiver et dans trois hôpitaux publics de la région nord alpine : étude descriptive au cours de l’hiver 2013-2014

Abstract : INTRODUCTION: Each year, many injured patients are supported by doctors of medicine (MD) in winter ski resorts. The generated costs are not well-known. The objective was to describe the costs supported by the national health insurance office for initial trauma management by MD working in winter sports resorts and in public hospital emergency services. METHODS: This retrospective descriptive study was conducted in 8 winter sports resorts and 3 public hospital emergency services, in Isere, Savoie and Haute-Savoie. Included patients had a single injury without immediate hospitalization including: anterior shoulder dislocation, shoulder or wrist injuries without initial surgical management, collarbone fracture, sprained ankle, or sprained knee. The amount reimbursed by national health insurance office for the initial medical consultation was collected. RESULTS: 860 patients were included, 489 from winter sports resorts, 371 from hospitals emergency services. On weekdays, in winter sports resorts, the amount reimbursed ranged from 37,80 ± 9,90 € for sprained ankle to 72,32 ± 22,98 € for anterior shoulder dislocation. In the hospital emergency services, it ranged from 61,75 ± 10,08 € for the sprained knee to 97,16 ± 31,87 € for shoulder dislocation. The 2 groups were not comparable. Differences on medical fees, practices, and invoice errors increased the cost variability. CONCLUSION: With a high percentage of patients treated on site at a reasonable cost, doctors of medicine (MD) in winter ski resorts appears to be a strong link in the injured patients care system. A longitudinal study would better appreciate and compare practices and costs of mountain medicine and hospital emergency services.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [10 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01108123
Contributor : Jean-Hugues Morneau <>
Submitted on : Thursday, January 22, 2015 - 11:20:47 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Friday, September 11, 2015 - 8:26:02 AM

Identifiers

  • HAL Id : dumas-01108123, version 1

Citation

Juliette Virard, Guillaume Desseigne. Coûts pour l’assurance maladie des prises en charge initiales de traumatologie en station de sports d’hiver et dans trois hôpitaux publics de la région nord alpine : étude descriptive au cours de l’hiver 2013-2014. Médecine humaine et pathologie. 2015. ⟨dumas-01108123⟩

Share

Metrics

Record views

348

Files downloads

1821