RESUMEN
INTRODUCTION: To fulfill Food and Drug Administration and Department of Health and Human Services emergency care research informed consent requirements, our burn center planned and executed a deferred consent strategy gaining Institutional Review Board (IRB) approval to proceed with the clinical study. These federal regulations dictate public disclosure and community consultation unique to acute care research. OBJECTIVE: Our regional burn center developed and implemented a deferred consent public notification and community consultation paradigm appropriate for a burn study. METHODS: Published accounts of deferred consent strategies focus on acute care resuscitation practices. We adapted those strategies to design and conduct a comprehensive public notification/community consultation plan to satisfy deferred consent requirements for burn center research. RESULTS: To implement a robust media campaign we engaged the hospital's public relations department, distributed media materials, recruited hospital staff for speaking engagements, enlisted community volunteers, and developed initiatives to inform "hard-to-reach" populations. The hospital's IRB determined we fulfilled our obligation to notify the defined community. CONCLUSION: Our communication strategy should provide a paradigm other burn centers may appropriate and adapt when planning and executing a deferred consent initiative.
Asunto(s)
Unidades de Quemados/legislación & jurisprudencia , Quemaduras/terapia , Relaciones Comunidad-Institución , Investigación sobre Servicios de Salud/organización & administración , Consentimiento Informado , Revelación , Regulación Gubernamental , Humanos , Estados UnidosAsunto(s)
Unidades de Quemados/organización & administración , Atención a la Salud/economía , Atención a la Salud/legislación & jurisprudencia , Fraude/prevención & control , Liderazgo , Medicare/economía , Actitud del Personal de Salud , Unidades de Quemados/economía , Unidades de Quemados/legislación & jurisprudencia , Reforma de la Atención de Salud , Humanos , Cobertura del Seguro , Seguro de Salud/economía , Seguro de Salud/legislación & jurisprudencia , Errores Médicos/prevención & control , Servicios Preventivos de Salud , Estados UnidosAsunto(s)
Unidades de Quemados/legislación & jurisprudencia , Trasplante de Piel/legislación & jurisprudencia , Bancos de Tejidos/legislación & jurisprudencia , United States Food and Drug Administration , Enfermedades Transmisibles/transmisión , Infecciones por VIH/transmisión , Humanos , Donantes de Tejidos , Trasplante Homólogo , Estados UnidosAsunto(s)
Unidades de Quemados , Quemaduras/prevención & control , Quemaduras/rehabilitación , Adolescente , Unidades de Quemados/economía , Unidades de Quemados/legislación & jurisprudencia , Unidades de Quemados/organización & administración , Quemaduras/mortalidad , Niño , Preescolar , Análisis Costo-Beneficio , Europa (Continente)/epidemiología , Femenino , Humanos , Lactante , Recién Nacido , Cooperación Internacional , Masculino , Pautas de la Práctica en Medicina , Factores Socioeconómicos , Tasa de SupervivenciaRESUMEN
The financial burden imposed on society by abusing children through burn injury is unknown. This study retrospectively evaluates the economic impact and demographics of such abuse on patients and their families treated at Children's Hospital Medical Center of Akron (CHMCA) from four counties over a 5 year period. The inclusive group consisted of all children evaluated during the stated period referred to Social Services for possible child abuse. There were 104 children (55 females and 49 males, 46% black and 56% white) with a mean age of 3.76 years. 71% of the patients came from single parent homes (all single mothers). There were a total of 58 admissions with a mean length of stay of 10.53 days. Total cost for all patients was approximately 1.2 million dollars for health care, of which 65% was government funded. In addition to hospital costs, the perpetrators incurred court costs and jail costs, all of which were the financial responsibility of Summit County. Child abuse through burns imposes a potentially preventable financial burden. This study does not take into account the socioeconomic and psychological impact on the abused victims through life, which is incalculable. By increasing awareness about the demographics and financial burden of child abuse, this paper may serve as a focus for further study and prevention of such abuse.