Custo anual do manejo da cardiopatia isquêmica crônica no Brasil: perspectiva pública e privada
| Autor: | Ricardo Stein, Renato Gorga Bandeira de Mello, Carisi Anne Polanczyk, Clarissa Barlem Hohmann, Raquel Melchior, Angélica M. Lucchese, Juliana de Castro Dill, Jorge Pinto Ribeiro, Rodrigo Antonini Ribeiro |
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| Rok vydání: | 2005 |
| Předmět: |
Gerontology
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty business.industry Medical procedure Public sector doença arterial coronariana medicine.disease Coronary artery disease Indirect costs lcsh:RC666-701 Health care Ambulatory Emergency medicine medicine custo da doença Cardiology and Cardiovascular Medicine business análise econômica coorte health care economics and organizations Reimbursement Cohort study |
| Zdroj: | Arquivos Brasileiros de Cardiologia v.85 n.1 2005 Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC) instacron:SBC Arquivos Brasileiros de Cardiologia, Vol 85, Iss 1, Pp 3-8 (2005) |
| ISSN: | 0066-782X |
| DOI: | 10.1590/s0066-782x2005001400002 |
| Popis: | OBJECTIVE: To estimate the annual cost of coronary artery disease (CAD) management in Public Health Care System (SUS) and HMOs values in Brazil. METHODS: Cohort study, including ambulatory patients with proven CAD. Clinic visits, exams, procedures, hospitalizations and medications were considered to estimate direct costs. Values of appointments and exams were obtained from the SUS and the Medical Procedure List (LPM 1999) reimbursement tables. Costs of cardiovascular events were obtained from admissions in public and private hospitals with similar diagnoses-related group classifications in 2002. The price of medications used was the lowest found in the market. RESULTS: The 147 patients (65±12 years old, 63% men, 69% hypertensive, 35% diabetic and 59% with previous AMI) had an average follow-up of 24±8 months. The average estimated annual cost per patient was R$ 2,733.00, for the public sector, and R$ 6,788.00, for private and fee-for-service plans. Expenses with medications (R$ 1,154.00) represented 80% and 55% of outpatient costs, and 41% and 17% of total expenses, in public and non-public sectors, respectively. The occurrence of cardiovascular event had a great impact (R$ 4,626.00 vs. R$ 1,312.00, in SUS, and R$ 13,453.00 vs. R$ 1,789.00, for HMOs, p |
| Databáze: | OpenAIRE |
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