Average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds.

Autor: Ruiz PBO; Universidade de São Paulo, Escola de Enfermagem, Departamento de Orientação Profissional, São Paulo, SP, Brazil., Lima AFC; Universidade de São Paulo, Escola de Enfermagem, Departamento de Orientação Profissional, São Paulo, SP, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2022 Nov 14; Vol. 56, pp. e20220295. Date of Electronic Publication: 2022 Nov 14 (Print Publication: 2022).
DOI: 10.1590/1980-220X-REEUSP-2022-0295en
Abstrakt: Objective: To analyze the average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds.
Method: Quantitative, exploratory-descriptive case study, carried out in a Comprehensive Wound Care Unit. Costs were obtained by multiplying the time spent by professionals by the unit cost of labor in the respective category, adding to the costs of materials and topical therapies.
Results: Outpatient care costs corresponded to US$4.25 (SD ± 7.60), hospital care to US$3.87 (SD ± 17.27), and home care to US$3.47 (SD ± 5.73). In these three modalities, direct costs with dressings and medical consultations were the most representative: US$7.76 (SD ± 9.46) and US$6.61 (SD ± 6.54); US$7.06 (SD ± 24.16) and US$15.60 (SD ± 0.00); US$4.09 (SD ± 5.28) and US$15.60 (SD ± 0.00), respectively.
Conclusion: Considering comprehensive care for patients with chronic wounds, the mean total direct cost was US$10.28 (SD ± 17.21), with the outpatient modality being the most representative in its composition. There was a statistically significant difference (p value = 0.000) between the costs of home and outpatient, home and hospital, and outpatient and hospital care.
Databáze: MEDLINE