The epidemiology and economic burden of hip fractures in Israel
Abstract Background Hip fractures increase the risks of mortality and major morbidity in the elderly. Hip fractures are associated with chronic pain, reduced mobility, disability and increasing dependence. We evaluated the direct costs incurred to the Israeli healthcare system in 2013 as a result of...
| المؤلفون الرئيسيون: | , , , |
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| التنسيق: | مقال |
| اللغة: | English |
| منشور في: |
BMC
2018-08-01
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| سلاسل: | Israel Journal of Health Policy Research |
| الموضوعات: | |
| الوصول للمادة أونلاين: | http://link.springer.com/article/10.1186/s13584-018-0235-y |
| _version_ | 1828860393715400704 |
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| author | Royi Barnea Yossi Weiss Ifat Abadi-Korek Joshua Shemer |
| author_facet | Royi Barnea Yossi Weiss Ifat Abadi-Korek Joshua Shemer |
| author_sort | Royi Barnea |
| collection | DOAJ |
| description | Abstract Background Hip fractures increase the risks of mortality and major morbidity in the elderly. Hip fractures are associated with chronic pain, reduced mobility, disability and increasing dependence. We evaluated the direct costs incurred to the Israeli healthcare system in 2013 as a result of hip fracture injuries in elderly patients. Methods Hip fractures costs evaluation consisted of first-year and long-term direct costs. Data on the incidence of hip fractures resulting in hospitalizations were retrieved from the Israeli Ministry of Health’s (MOH) Central Database of Hospital Admissions. Hospitalization, rehabilitation and nursing utilization rates and costs were estimated based on the professional literature and according to the MOH’s price list. Results During 2013, 6285 elderly patients were hospitalized in Israel due to hip fractures. Direct costs of hip fracture, comprising hospitalization, rehabilitation and nursing costs incurred during the first year after the injury, were estimated at 454 million New Israeli Shekels (NIS; 83,841 NIS per person). Long-term nursing care costs in 2013 were 265 million NIS, with an average cost of approximately 49,000 NIS for 1600 elderly persons receiving long-term nursing care as a result of a hip fracture. Overall, the total direct costs of hip fracture in the elderly population in Israel in 2013 were 719 million NIS. Conclusions The direct costs of hip fractures in Israel among the elderly are approximately 719 million NIS per year. The majority of costs are associated with the first year following the injury. To reduce healthcare costs in Israel, changes in the country’s healthcare policy on hip fractures are required. For example, there is a need for a program for detecting high- risk populations, and for early intervention following the injury. |
| first_indexed | 2024-12-13T02:38:01Z |
| format | Article |
| id | doaj.art-5c6b8ac3fd9d4b309faac11b51cf1be9 |
| institution | Directory Open Access Journal |
| issn | 2045-4015 |
| language | English |
| last_indexed | 2024-12-13T02:38:01Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Israel Journal of Health Policy Research |
| spelling | doaj.art-5c6b8ac3fd9d4b309faac11b51cf1be92022-12-22T00:02:21ZengBMCIsrael Journal of Health Policy Research2045-40152018-08-01711910.1186/s13584-018-0235-yThe epidemiology and economic burden of hip fractures in IsraelRoyi Barnea0Yossi Weiss1Ifat Abadi-Korek2Joshua Shemer3Assuta Health Services Research InstituteAssuta Health Services Research InstituteDepartment of Academy and Research, Assuta Medical CenterAssuta Medical Center NetworkAbstract Background Hip fractures increase the risks of mortality and major morbidity in the elderly. Hip fractures are associated with chronic pain, reduced mobility, disability and increasing dependence. We evaluated the direct costs incurred to the Israeli healthcare system in 2013 as a result of hip fracture injuries in elderly patients. Methods Hip fractures costs evaluation consisted of first-year and long-term direct costs. Data on the incidence of hip fractures resulting in hospitalizations were retrieved from the Israeli Ministry of Health’s (MOH) Central Database of Hospital Admissions. Hospitalization, rehabilitation and nursing utilization rates and costs were estimated based on the professional literature and according to the MOH’s price list. Results During 2013, 6285 elderly patients were hospitalized in Israel due to hip fractures. Direct costs of hip fracture, comprising hospitalization, rehabilitation and nursing costs incurred during the first year after the injury, were estimated at 454 million New Israeli Shekels (NIS; 83,841 NIS per person). Long-term nursing care costs in 2013 were 265 million NIS, with an average cost of approximately 49,000 NIS for 1600 elderly persons receiving long-term nursing care as a result of a hip fracture. Overall, the total direct costs of hip fracture in the elderly population in Israel in 2013 were 719 million NIS. Conclusions The direct costs of hip fractures in Israel among the elderly are approximately 719 million NIS per year. The majority of costs are associated with the first year following the injury. To reduce healthcare costs in Israel, changes in the country’s healthcare policy on hip fractures are required. For example, there is a need for a program for detecting high- risk populations, and for early intervention following the injury.http://link.springer.com/article/10.1186/s13584-018-0235-yHip fractureEconomic evaluationElderlyRehabilitationHealthcare costs |
| spellingShingle | Royi Barnea Yossi Weiss Ifat Abadi-Korek Joshua Shemer The epidemiology and economic burden of hip fractures in Israel Israel Journal of Health Policy Research Hip fracture Economic evaluation Elderly Rehabilitation Healthcare costs |
| title | The epidemiology and economic burden of hip fractures in Israel |
| title_full | The epidemiology and economic burden of hip fractures in Israel |
| title_fullStr | The epidemiology and economic burden of hip fractures in Israel |
| title_full_unstemmed | The epidemiology and economic burden of hip fractures in Israel |
| title_short | The epidemiology and economic burden of hip fractures in Israel |
| title_sort | epidemiology and economic burden of hip fractures in israel |
| topic | Hip fracture Economic evaluation Elderly Rehabilitation Healthcare costs |
| url | http://link.springer.com/article/10.1186/s13584-018-0235-y |
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