Navegando por Palavras-chave "Direct service costs"

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    Custo da facoemulsificação no projeto catarata em Itápolis, SP
    (Conselho Brasileiro de Oftalmologia, 2005-02-01) Saad Filho, Roberto [UNIFESP]; Saad, Flávia Gondim Loureiro; Freitas, Lincoln Lemes De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Santa Casa de Misericórdia e Maternidade Dona Julieta Lyra
    PURPOSE: To determine the average cost of cataract surgery using the phacoemulsification technique with intraocular lens implant (IOL). This study was conducted during a national campaign to treat patients with cataracts promoted by the Brazilian Council of Ophthalmology (CBO) and the Health Ministry in the city of Itápolis - SP from March to December, 2000. METHODS: All expenses related to the surgery were collected (pre-, intra-, and postoperative data) and analyzed. Fifty-eight patients with senile cataracts and without any other ocular findings were submitted to the procedure in a prospective study. RESULTS: The average cost of the surgery in this study was R$ 485.03 or US$ 248.05. This value represents the average cost of the surgery itself; in which some materials, equipment, taxes and other services were previously determined and used for this project. CONCLUSION: The phacoemulsification technique for cataract surgery has been used more and more, due to its effectiveness, being an excellent method to treat cataracts. Although this is an excellent technique, the economical aspect does not allow it to be used for part of the population
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    Gravidez na adolescência; as implicações econômicas dos cuidados neonatais em prematuros e em recém-nascidos de baixo peso em São Paulo, Brasil
    (Universidade Federal de São Paulo (UNIFESP), 2010-11-25) Mwamakamba, Lutufyo Witson [UNIFESP]; Zucchi, Paola [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION One in every four births in Brazil is a result of teen pregnacy. Apart of the numerous biological complications associated with these pregnancies, there is an exaggerated financial cost that gets worse in the presence of a preterm neonate. OBJECTIVES Estimate direct hospital costs of preterm neonates of teen mothers. METHODS A descriptive and retrospective study, through the analysis of direct medical costs and characteristics of preterm neonates, as stratified by weight of adolescents and non adolescents (control) from January to December of 2006, at a Municipal Maternity School Hospital Vila Nova Cachoeirinha, in the city of São Paulo Brazil. RESULTS In 2006, there were 5.180 childbirths, 897 (17.3%) pertained to the adolescents of which 108 (12%) were preterm neonates. As of this study (n = 84), 79,76% had prenatal care, with 47,62% admitted 48 hours before birth. A total daily occupation rate of 1.630 days was utilized, with costs per capita of R{dollar} 5.165,00. As of the control group 4284 (82,7%), 298 (6.9%) were preterm neonates. And in accordance with this study (n – 84) selected randomly, had 95,25% prenatal care, with 79,76% admitted 48 hours before birth. A total daily occupation rate of 1.418 days, with costs per capita of R{dollar} 4.071,00. The total cost with 168 infants was of R{dollar} 775.932,00, inversely proportional to weight at birth. The statistical analysis between the two groups demonstrated a significant difference in the immediate treatments prior to birth, adolescents showing a low index with p≤ 0,001 in the Chi – Squared test. As of costs, the multiple variance (ANOVA) test pointed a significance statistical compartmental pattern of costs (p ≤ 0.021), with adolescent group costing more. A significant statistical difference in costs in the weights between 1000 to 1499grs between the two groups, as demonstrated by test of contrastation of Tukey. CONCLUSIONS Prematurity is associated with significant neonatal hospital cost, which decrease exponentially with advance in gestational age. Teen pregnancies had less prenatal care and incurred higher intervention costs coupled with longer periods of hospitalizations compared to the control group.