Navegando por Palavras-chave "Costs and Cost Analysis"
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- ItemAcesso aberto (Open Access)Cost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazil(Faculdade de Medicina / USP, 2011-01-01) Desgualdo, Claudia Maria [UNIFESP]; Riera, Rachel [UNIFESP]; Zucchi, Paola [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVES: To estimate the direct costs of hospital stays for premature newborns in the Interlagos Hospital and Maternity Center in São Paulo, Brazil and to assess the difference between the amount reimbursed to the hospital by the Unified Health System and the real cost of care for each premature newborn. METHODS: A cost-estimate study in which hospital and professional costs were estimated for premature infants born at 22 to 36 weeks gestation during the calendar year of 2004 and surviving beyond one hour of age. Direct costs included hospital services, professional care, diagnoses and therapy, orthotics, prosthetics, special materials, and blood products. Costs were estimated using tables published by the Unified Health System and the Brasindice as well as the list of medical procedures provided by the Brazilian Classification of Medical Procedures. RESULTS: The average direct cost of care for initial hospitalization of a premature newborn in 2004 was $2,386 USD. Total hospital expenses and professional services for all premature infants in this hospital were $227,000 and $69,500 USD, respectively. The costs for diagnostic testing and blood products for all premature infants totaled $22,440 and $1,833 USD. The daily average cost of a premature newborn weighing less than 1,000 g was $115 USD, and the daily average cost of a premature newborn weighing more than 2,500 g was $89 USD. Amounts reimbursed to the hospital by the Unified Health System corresponded to only 27.42% of the real cost of care. CONCLUSIONS: The cost of hospital stays for premature newborns was much greater than the amount reimbursed to the hospital by the Unified Health System. The highest costs corresponded to newborns with lower birth weight. Hospital costs progressively and discretely decreased as the newborns' weight increased.
- ItemAcesso aberto (Open Access)Custos dos mutirões de mamografia de 2005 e 2006 na Direção Regional de Saúde de Marília, São Paulo, Brasil(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2011-08-01) Marconato, Roseli Regina Freire [UNIFESP]; Soárez, Patrícia Coelho De [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Departamento Regional de Saúde de MaríliaThe aim of this study was to measure the direct costs of mammogram campaigns conducted by the Regional Health Division of Marília, São Paulo State, Brazil, in 2005 and 2006. A total of 11,952 mammograms were performed. Mammographic outcomes were classified according to BI-RADS. Cost analysis was based on the amount paid by the Brazilian Unified National Health System (SUS). Ten cases of breast cancer were diagnosed (0.84 per 1,000 mammograms), 70% of which between 50 and 69 years of age. The campaigns and follow-up cost a total of R$450,019 (U$280,000), with R$431,467 paid for 11,952 mammograms and R$18,552 for diagnosing 29 suspected cases and treating 3 cases of benign tumors and 6 cancer cases. Mean cost per diagnosed case was R$43,268. The high cost per diagnosed case highlights the need to implement effective screening programs and improve the quality of mammography services in this region of São Paulo State.
- ItemAcesso aberto (Open Access)Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital(Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2014-11-01) Salzedas-Netto, Alcides Augusto [UNIFESP]; Gonzalez, Adriano Miziara [UNIFESP]; Fagundes, Ulysses [UNIFESP]; Linhares, Marcelo Moura [UNIFESP]; Vicentine, Fernando Pompeu Piza; Romero, Luis Ramiro Núñez; Martins, Jose Luiz [UNIFESP]; Pestana, Jose Osmar Medina [UNIFESP]; Oliva, Carlos Alberto Garcia; Universidade Federal de São Paulo (UNIFESP); Hypertension and Kidney HospitalPURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component.