Análise de custo da assistência de crianças e adolescentes com condições crônicas complexas
Análise de custo da assistência de crianças e adolescentes com condições crônicas complexas
Data
2019
Autores
Pinto, Márcia
Gomes, Romeu
Tanabe, Roberta Falcão
Costa, Ana Carolina Carioca da
Moreira, Martha Cristina Nunes
Journal Title
Journal ISSN
Volume Title
Publisher
Ciência & Saúde Coletiva
Resumo
O objetivo deste artigo foi identificar a
utilização de tecnologias e estimar o custo direto
da atenção hospitalar de crianças e adolescentes
com condições crônicas complexas em um hospital
público federal especializado na assistência de alta
complexidade a pacientes pediátricos. O trabalho
foi realizado concomitantemente com um estudo
de coorte durante o período de um ano e incluiu
146 pacientes com condições complexas crônicas
e 37 pacientes não-crônicos. A análise identificou
que a maioria dos pacientes com condições com-
plexas crônicas internou em média duas vezes
em um ano e que tinham doenças com o envol-
vimento de pelo menos dois sistemas orgânicos. O
uso de drenos e cateteres e a gastrostomia foram
as tecnologias de maior utilização. Na compara-
ção com os pacientes não-crônicos, o custo direto
mediano dos pacientes com condições complexas
crônicas foi superior quando se comparou a utili-
zação de tecnologias. O estudo indica um elevado
custo da atenção hospitalar para esses pacientes.
Documentar a utilização de tecnologias e o custo
da atenção hospitalar permite subsidiar os gesto-
res e contribuir para a tomada de decisões de pla-
nejamento, gestão e financiamento das políticas
de saúde na área pediátrica.
This paper aimed to identify the use of technology and to analyze the cost of hospital care for children and adolescents with medical complex chronic conditions at a public federal hospital specialized in high-complexity pedia- tric care, and was performed concomitantly with a prospective cohort study conducted over a one-year period. It included 146 patients with complex medical chronic conditions and 37 non- chronic patients. The analysis showed that most patients had, on average, two hospitalizations a year and were diagnosed with diseases related to at least two organic systems. Catheters, drains and gastrostomy were the most common tech- nologies used. Median direct costs of patients with medically complex chronic conditions were higher than those of non-chronic patients when comparing the use of technology. The study shows high hospitalization cost to these patients. Technology use and hospitalization care costs documentation yields more data to support de- cision-makers in the planning, managing, and financing of pediatric health policies.
This paper aimed to identify the use of technology and to analyze the cost of hospital care for children and adolescents with medical complex chronic conditions at a public federal hospital specialized in high-complexity pedia- tric care, and was performed concomitantly with a prospective cohort study conducted over a one-year period. It included 146 patients with complex medical chronic conditions and 37 non- chronic patients. The analysis showed that most patients had, on average, two hospitalizations a year and were diagnosed with diseases related to at least two organic systems. Catheters, drains and gastrostomy were the most common tech- nologies used. Median direct costs of patients with medically complex chronic conditions were higher than those of non-chronic patients when comparing the use of technology. The study shows high hospitalization cost to these patients. Technology use and hospitalization care costs documentation yields more data to support de- cision-makers in the planning, managing, and financing of pediatric health policies.
Description
Palavras-chave
Criança, Adolescente, Custo e análise de custos, Child, Youth, Chronic disease, Cost and cost analysis
Citação
Pinto M, Gomes R, Tanabe RF, Costa ACCD, Moreira MCN. Analysis of the cost of care for children and adolescents with medical complex chronic conditions. Cien Saude Colet. 2019 Oct 28;24(11):4043-4052. Portuguese, English. doi: 10.1590/1413-812320182411.08912018.