Cost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazil

Página do item simplificado
dc.contributor.authorDesgualdo, Claudia Maria [UNIFESP]
dc.contributor.authorRiera, Rachel [UNIFESP]
dc.contributor.authorZucchi, Paola [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2015-06-14T13:42:45Z
dc.date.available2015-06-14T13:42:45Z
dc.date.issued2011-01-01
dc.description.abstractOBJECTIVES: 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.en
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Centro Paulista de Economia da Saúde
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Brazilian Cochrane Center
dc.description.affiliationUnifespUNIFESP, Centro Paulista de Economia da Saúde
dc.description.affiliationUnifespUNIFESP, Brazilian Cochrane Center
dc.description.sourceSciELO
dc.format.extent1773-1777
dc.identifierhttp://dx.doi.org/10.1590/S1807-59322011001000016
dc.identifier.citationClinics. Faculdade de Medicina / USP, v. 66, n. 10, p. 1773-1777, 2011.
dc.identifier.doi10.1590/S1807-59322011001000016
dc.identifier.fileS1807-59322011001000016.pdf
dc.identifier.issn1807-5932
dc.identifier.scieloS1807-59322011001000016
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/6157
dc.identifier.wosWOS:000296015500016
dc.language.isoeng
dc.publisherFaculdade de Medicina / USP
dc.relation.ispartofClinics
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCosts and Cost Analysisen
dc.subjectPremature Birthen
dc.subjectInfanten
dc.subjectLow Birth Weighten
dc.subjectIntensive Care Unitsen
dc.subjectNeonatal Public Healthen
dc.subjectMeSHen
dc.titleCost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazilen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S1807-59322011001000016.pdf
Tamanho:
97.03 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos