Coronary artery bypass graft surgery cost coverage by the brazilian unified health system (SUS)
Rev. bras. cir. cardiovasc
;
32(4): 253-259, July-Aug. 2017. tab
Article
in English
| LILACS
| ID: biblio-897922
ABSTRACT
Abstract Introduction:
Cost management has been identified as an essential tool for the general control and evaluation of health organizations.Objectives:
To identify the coverage percentage of transferred funds from the Unified Health System for coronary artery bypass grafts in a philanthropic hospital having a consolidated costing system in the municipality of São Paulo.Methods:
A quantitative, descriptive and cross-sectional research with information provided from a database composed of 1913 patients undergoing coronary artery bypass graft from March 13 to September 30, 2012, including isolated elective coronary artery bypass graft with the use of extracorporeal circulation. It excluded 551 (28.8%) patients, among them 76 (4.0%) deaths and 8 hospitalized patients, since the cost was compared according to the length of hospital stay. Therefore, the sample consisted of 1362 patients.Results:
The average total cost per patient was $7,992.55. The average fund transfer by the Unified Health System was $3,450.73 (48.66%), resulting in a deficit of $4,541.82 (51.34%).Conclusion:
The Unified Health System transfers covered 48.66% of the average total cost of hospitalization. Although the amount transferred increased with increasing costs, it was not proportional to the total cost, resulting in a percentage difference in revenue that was increasingly negative for each increase in cost and hospital stay. Those hospitalized for longer than seven days presented higher costs, older age, higher percentage of diabetics and chronic kidney disease patients and more postoperative complications.
Full text:
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Index:
LILACS (Americas)
Main subject:
Coronary Artery Bypass
/
Hospital Costs
/
National Health Programs
Type of study:
Health economic evaluation
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2017
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Real e Benemérita Associação Portuguesa de Beneficência/BR
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