Abstract
A significant share of public healthcare expenditure is devoted to the treatment of severe trauma cases in Emergency Departments (EDs), many of which involve orthopedic injuries. Although existing trauma scoring systems support clinical assessment, they rarely incorporate logistical and economic factors that influence efficient resource allocation. This study proposes the development of a software application that records patients' clinical status alongside procedure-related costs to support decision-making in orthopedic emergencies. By integrating medical and economic data, the system facilitates the selection of appropriate diagnostic methods while improving cost estimation in the Emergency Departments. The proposed tool aims to enhance resource management and reduce unnecessary diagnostic examinations.
Cuvinte cheie
hospital financial management
cost assessment
emergency departments
health economics
hospital efficiency
Istoric articol
Publicat
01.04.2026
Informații autori
Citare recomandată
Nikolaos Tsaloukidis, Georgios Michas, Athina Lazakidou (2026). Hospital Emergency Department Costs: a Financial Management Perspective. Journal of Economic Sciences, 1(2), 35–45. https://doi.org/10.65631/jes.2.2026.3
Referințe bibliografice
Altay, N., & Green III, W. G. (2006). OR/MS research in disaster operations management. European Journal of Operational Research, 175(1), 475-493.
Baltzer, H. L., Hawker, G., Pequeno, P., Victor, J. C., & Krahn, M. (2023). A population-based study of the direct longitudinal health care costs of upper extremity trauma in patients aged 18-65 years. Canadian Medical Association Open Access Journal, 11(1), E13-E23.
Bashshur, R. L., Shannon, G. W., Bashshur, N., & Yellowlees, P. M. (2016). the empirical evidence for telemedicine interventions in mental disorders. Telemedicine and e-Health, 22(2), 87-113.
Bauer, D. C., Browner, W. S., Cauley, J. A., Orwoll, E. S., Scott, J. C., Black, D. M., ... & Study of Osteoporotic Fractures Research Group*. (1993). factors associated with appendicular bone mass in older women. Annals of Internal Medicine, 118(9), 657-665.
Bickerdyke, I., Dolamore, R., Monday, I., & Preston, R. (2002) Supplier-induced demand for medical services, Canberra: Productivity Commission Staff Working Paper, 1-113.
Chen, R., Sharman, R., Rao, H. R., & Upadhyaya, S. J. (2008). coordination in emergency response management. Communications of the ACM, 51(5), 66-73.
Christudas, B., & Christudas, B. (2019). MySQL (pp. 877-884). apress.
Comfort, L. K., Ko, K., & Zagorecki, A. (2004). coordination in rapidly evolving disaster response systems: the role of information. American Behavioral Scientist, 48(3), 295-313.
Comfort, L. K., Waugh, W. L., & Cigler, B. A. (2012). Emergency management research and practice in public administration: emergence, evolution, expansion, and future directions. Public Administration Review, 72(4), 539-547.
Connolly, T. M., & Begg, C. E. (2005). Database systems: a practical approach to design, implementation, and management. pearson Education.
Crockford, D. (2008). JavaScript: The Good Parts." O'Reilly Media, Inc.".
Delamater, P. L., Messina, J. P., Grady, S. C., WinklerPrins, V., & Shortridge, A. M. (2013). Do more hospital beds lead to higher hospitalization rates? A spatial examination of Roemer's law. PloS one, 8(2), e54900.
Dimoulas, C., & Dimoulas, Ch. (2021). Development methodologies and models [Content production & multimedia software authoring processes]. Handle.net Retrieved 12-08-2024. https://hdl.handle.net/11419/4345
Drummond, M. F., Schwartz, J. S., Jönsson, B., Luce, B. R., Neumann, P. J., Siebert, U., & Sullivan, S. D. (2008). Key principles for the improved conduct of health technology assessments for resource allocation decisions. International Journal of Technology Assessment in Health Care, 24(3), 244-258.
Fuchs, V. R. (1978) The supply of surgeons and the demand for operations (No. w0236). National Bureau of Economic Research.
Gaikwad, S. S., & Adkar, P. R. A. T. I. B. H. A. (2019). a review paper on bootstrap framework.IRE Journals, 2(10), 349-351.
Gustilo, R. B., & Anderson, J. T. (1976). prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. JBJS, 58(4), 453-458.
Gustilo, R. B., Mendoza, R. M., & Williams, D. N. (1984). Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. Journal of Trauma and Acute Care Surgery, 24(8), 742-746.
Hibbard, J. H., & Greene, J. (2013). what the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Affairs, 32(2), 207-214.
Labelle, R., Stoddart, G., & Rice, T. (1994). a re-examination of the meaning and importance of supplier-induced demand. Journal of Health Economics, 13(3), 347-368.
McGuire, T. G. (2000) Physician agency. Handbook of Health Economics, 1, 461-536.
Mullins, C. (2002). Database Administration: the complete guide to practices and procedures. Addison-Wesley Professional.
Nixon, R. (2014) Learning PHP, MySQL, JavaScript, CSS & HTML5: A step-by-step guide to creating dynamic websites." O'Reilly Media, Inc.".
Orthopaedic Trauma Association: Open Fracture Study Group (2010). a new classification scheme for open fractures. Journal of Orthopaedic Trauma, 24(8), 457-463.
Patzakis, M. J., Wilkins, J., & Moore, T. M. (1983). considerations in reducing the infection rate in open tibial fractures. Clinical Orthopaedics and Related Research, 178, 36-41.
Pean, C. A., Bird, M. L., Buchalter, D. B., Yang, S. S., & Egol, K. A. (2022). Orthopaedic urgent care versus the emergency department: cost implications for low-energy fracture care. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 30(3), e371-e374.
Purer, K. (2009) PHP vs. Python vs. Ruby-The web scripting language shootout, Vienna University of Technology.
Roemer, M. I. (1961). bed supply and hospital utilization: a natural experiment. Hospitals, 35, 36-42.
Rosenthal, M. B., Frank, R. G., Li, Z., & Epstein, A. M. (2005). early experience with pay-forperformance: from concept to practice. JAMA, 294(14), 1788-1793.
Spurlock, J. (2013). Bootstrap: Responsive Web Development." O'Reilly Media, Inc.
Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., ... & Trevena, L. (2017). decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, (4).
Taheri, P. A., Wahl, W. L., Butz, D. A., Iteld, L. H., Michaels, A. J., Griffes, L. C., ... & Greenfield, L. J. (1998). Trauma Service Cost: The Real Story. Annals of Surgery, 227(5), 720-725.
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