The Public Cost of Motorcycle Trauma

Frederick P. Rivara, Barbara G. Dicker, Abraham B. Bergman, Ralph Dacey, Clifford Herman

Research output: Contribution to journalArticle

65 Scopus citations

Abstract

Despite the effectiveness of motorcycle helmet legislation, many states have repealed these laws during the last decade. Aspects often neglected by policy-makers are who pays for the care of these victims and how much of this cost is subsidized by public funds. To determine the extent of this subsidy, we studied the cost of care of 105 motorcyclists hospitalized at a major trauma center during a 12-month period. Total direct costs for these 105 patients, followed up for a mean of 20 months, were more than $2.7 million, with an average of $25 764 per patient. Only 60% of the direct costs were accounted for by the initial hospital care; 23% of costs were for rehabilitation care or readmission for treatment of acute problems. The majority (63.4%) of care was paid for by public funds, with Medicaid accounting for more than half of all charges.

Original languageEnglish
Pages (from-to)221-223
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume260
Issue number2
DOIs
StatePublished - Jul 8 1988
Externally publishedYes

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