Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases
| Autor: | Geórgia Silva Marques, Alessandra Maciel Almeida, Isabel Cristina Gomes, Michele Renata Barbosa da Silva, Bruno Almeida Rezende |
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| Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Revista Brasileira de Enfermagem, Vol 76, Iss 3 (2023) |
| Druh dokumentu: | article |
| ISSN: | 1984-0446 0034-7167 57466394 |
| DOI: | 10.1590/0034-7167-2022-0486 |
| Popis: | ABSTRACT Objectives: to identify whether implementing a supplementary Primary Health Care (PHC) system makes it possible to reduce care costs for older adults with heart diseases. Methods: a retrospective cohort of 223 patients with heart disease aged ≥ 60 years. Data were obtained from medical records and cost databases, assessed for a period of one year before and after PHC implementation. The results were expressed as mean absolute frequencies for number of hospitalizations and as average annual expenses expressed in dollars (US$) in relation to cost data. Results: there was a reduction in hospitalization expenses after implementing supplementary PHC (p=0.01) and a decrease in the frequency of hospitalizations for the entire sample (p=0.006). There was a reduction in the frequency of consultations at the Emergency Room among frail older adults (p=0.011). Conclusions: there was a reduction in hospitalization costs and frequency of visits to the Emergency Room after supplementary PHC. |
| Databáze: | Directory of Open Access Journals |
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