Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods

Detalhes bibliográficos
Autor(a) principal: Nunes,Sheila Elke Araujo
Data de Publicação: 2017
Outros Autores: Minamisava,Ruth, Vieira,Maria Aparecida da Silva, Itria,Alexander, Pessoa Junior,Vicente Porfirio, Andrade,Ana Lúcia Sampaio Sgambatti de, Toscano,Cristiana Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000200212
Resumo: ABSTRACT Objective To determine and compare hospitalization costs of bacterial community-acquired pneumonia cases via different costing methods under the Brazilian Public Unified Health System perspective. Methods Cost-of-illness study based on primary data collected from a sample of 59 children aged between 28 days and 35 months and hospitalized due to bacterial pneumonia. Direct medical and non-medical costs were considered and three costing methods employed: micro-costing based on medical record review, micro-costing based on therapeutic guidelines and gross-costing based on the Brazilian Public Unified Health System reimbursement rates. Costs estimates obtained via different methods were compared using the Friedman test. Results Cost estimates of inpatient cases of severe pneumonia amounted to R$ 780,70/$Int. 858.7 (medical record review), R$ 641,90/$Int. 706.90 (therapeutic guidelines) and R$ 594,80/$Int. 654.28 (Brazilian Public Unified Health System reimbursement rates). Costs estimated via micro-costing (medical record review or therapeutic guidelines) did not differ significantly (p=0.405), while estimates based on reimbursement rates were significantly lower compared to estimates based on therapeutic guidelines (p<0.001) or record review (p=0.006). Conclusion Brazilian Public Unified Health System costs estimated via different costing methods differ significantly, with gross-costing yielding lower cost estimates. Given costs estimated by different micro-costing methods are similar and costing methods based on therapeutic guidelines are easier to apply and less expensive, this method may be a valuable alternative for estimation of hospitalization costs of bacterial community-acquired pneumonia in children.
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spelling Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methodsPneumoniaHospitalizationChildCosts and cost analysisHealth expendituresMedical recordsUnified Health SystemABSTRACT Objective To determine and compare hospitalization costs of bacterial community-acquired pneumonia cases via different costing methods under the Brazilian Public Unified Health System perspective. Methods Cost-of-illness study based on primary data collected from a sample of 59 children aged between 28 days and 35 months and hospitalized due to bacterial pneumonia. Direct medical and non-medical costs were considered and three costing methods employed: micro-costing based on medical record review, micro-costing based on therapeutic guidelines and gross-costing based on the Brazilian Public Unified Health System reimbursement rates. Costs estimates obtained via different methods were compared using the Friedman test. Results Cost estimates of inpatient cases of severe pneumonia amounted to R$ 780,70/$Int. 858.7 (medical record review), R$ 641,90/$Int. 706.90 (therapeutic guidelines) and R$ 594,80/$Int. 654.28 (Brazilian Public Unified Health System reimbursement rates). Costs estimated via micro-costing (medical record review or therapeutic guidelines) did not differ significantly (p=0.405), while estimates based on reimbursement rates were significantly lower compared to estimates based on therapeutic guidelines (p<0.001) or record review (p=0.006). Conclusion Brazilian Public Unified Health System costs estimated via different costing methods differ significantly, with gross-costing yielding lower cost estimates. Given costs estimated by different micro-costing methods are similar and costing methods based on therapeutic guidelines are easier to apply and less expensive, this method may be a valuable alternative for estimation of hospitalization costs of bacterial community-acquired pneumonia in children.Instituto Israelita de Ensino e Pesquisa Albert Einstein2017-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000200212einstein (São Paulo) v.15 n.2 2017reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/s1679-45082017gs3855info:eu-repo/semantics/openAccessNunes,Sheila Elke AraujoMinamisava,RuthVieira,Maria Aparecida da SilvaItria,AlexanderPessoa Junior,Vicente PorfirioAndrade,Ana Lúcia Sampaio Sgambatti deToscano,Cristiana Mariaeng2017-10-16T00:00:00Zoai:scielo:S1679-45082017000200212Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2017-10-16T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
title Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
spellingShingle Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
Nunes,Sheila Elke Araujo
Pneumonia
Hospitalization
Child
Costs and cost analysis
Health expenditures
Medical records
Unified Health System
title_short Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
title_full Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
title_fullStr Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
title_full_unstemmed Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
title_sort Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
author Nunes,Sheila Elke Araujo
author_facet Nunes,Sheila Elke Araujo
Minamisava,Ruth
Vieira,Maria Aparecida da Silva
Itria,Alexander
Pessoa Junior,Vicente Porfirio
Andrade,Ana Lúcia Sampaio Sgambatti de
Toscano,Cristiana Maria
author_role author
author2 Minamisava,Ruth
Vieira,Maria Aparecida da Silva
Itria,Alexander
Pessoa Junior,Vicente Porfirio
Andrade,Ana Lúcia Sampaio Sgambatti de
Toscano,Cristiana Maria
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nunes,Sheila Elke Araujo
Minamisava,Ruth
Vieira,Maria Aparecida da Silva
Itria,Alexander
Pessoa Junior,Vicente Porfirio
Andrade,Ana Lúcia Sampaio Sgambatti de
Toscano,Cristiana Maria
dc.subject.por.fl_str_mv Pneumonia
Hospitalization
Child
Costs and cost analysis
Health expenditures
Medical records
Unified Health System
topic Pneumonia
Hospitalization
Child
Costs and cost analysis
Health expenditures
Medical records
Unified Health System
description ABSTRACT Objective To determine and compare hospitalization costs of bacterial community-acquired pneumonia cases via different costing methods under the Brazilian Public Unified Health System perspective. Methods Cost-of-illness study based on primary data collected from a sample of 59 children aged between 28 days and 35 months and hospitalized due to bacterial pneumonia. Direct medical and non-medical costs were considered and three costing methods employed: micro-costing based on medical record review, micro-costing based on therapeutic guidelines and gross-costing based on the Brazilian Public Unified Health System reimbursement rates. Costs estimates obtained via different methods were compared using the Friedman test. Results Cost estimates of inpatient cases of severe pneumonia amounted to R$ 780,70/$Int. 858.7 (medical record review), R$ 641,90/$Int. 706.90 (therapeutic guidelines) and R$ 594,80/$Int. 654.28 (Brazilian Public Unified Health System reimbursement rates). Costs estimated via micro-costing (medical record review or therapeutic guidelines) did not differ significantly (p=0.405), while estimates based on reimbursement rates were significantly lower compared to estimates based on therapeutic guidelines (p<0.001) or record review (p=0.006). Conclusion Brazilian Public Unified Health System costs estimated via different costing methods differ significantly, with gross-costing yielding lower cost estimates. Given costs estimated by different micro-costing methods are similar and costing methods based on therapeutic guidelines are easier to apply and less expensive, this method may be a valuable alternative for estimation of hospitalization costs of bacterial community-acquired pneumonia in children.
publishDate 2017
dc.date.none.fl_str_mv 2017-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/s1679-45082017gs3855
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dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.source.none.fl_str_mv einstein (São Paulo) v.15 n.2 2017
reponame:Einstein (São Paulo)
instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
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repository.name.fl_str_mv Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
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