Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082013000200014 |
Resumo: | OBJECTIVE: To describe the flow and costs associated with the diagnosis and treatment of patients with breast cancer who come from the public healthcare system and were treated at Hospital Israelita Albert Einstein. METHODS: Between August 2009, and December 2011, 51 patients referred by the Unified Public Healthcare System (SUS) had access to Hospital Israelita Albert Einstein for diagnostic radiology, medical oncology, radiotherapy, and oncologic/breast reconstruction surgery. The data were collected retrospectively from the hospital records, patient charts, pharmacy records, and from the hospital billing system. RESULTS: The total sum spent for diagnosis and treatment of these 51 patients was US$ 1,457,500.00. This value encompassed expenses with a total of 85 hospitalizations, 2,875 outpatient visits, 16 emergency room visits, and all expenses associated with these stays at the hospital. The expenditure for treatment of each patient submitted to biopsy, breast conserving surgery, adjuvant chemotherapy without trastuzumab (a regime with taxane followed by anthracycline), radiotherapy, and 5 years of tamoxifen was approximately US$ 25,500.00. CONCLUSION: Strategies for cost-reduction of treatment in the private setting are necessary to enable future large-scale public-private partnerships in oncology. |
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Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncologyBreast neoplasms/economyPublic-private partnershipHealthcare costsOBJECTIVE: To describe the flow and costs associated with the diagnosis and treatment of patients with breast cancer who come from the public healthcare system and were treated at Hospital Israelita Albert Einstein. METHODS: Between August 2009, and December 2011, 51 patients referred by the Unified Public Healthcare System (SUS) had access to Hospital Israelita Albert Einstein for diagnostic radiology, medical oncology, radiotherapy, and oncologic/breast reconstruction surgery. The data were collected retrospectively from the hospital records, patient charts, pharmacy records, and from the hospital billing system. RESULTS: The total sum spent for diagnosis and treatment of these 51 patients was US$ 1,457,500.00. This value encompassed expenses with a total of 85 hospitalizations, 2,875 outpatient visits, 16 emergency room visits, and all expenses associated with these stays at the hospital. The expenditure for treatment of each patient submitted to biopsy, breast conserving surgery, adjuvant chemotherapy without trastuzumab (a regime with taxane followed by anthracycline), radiotherapy, and 5 years of tamoxifen was approximately US$ 25,500.00. CONCLUSION: Strategies for cost-reduction of treatment in the private setting are necessary to enable future large-scale public-private partnerships in oncology.Instituto Israelita de Ensino e Pesquisa Albert Einstein2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082013000200014einstein (São Paulo) v.11 n.2 2013reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082013000200014info:eu-repo/semantics/openAccessKaliks,Rafael AlioshaPontes,Lucíola de BarrosBognar,Cinthia Leite Frizzera BorgesSantos,Kelly Cristine CarvalhoBromberg,Sílvio EduardoAmaral,Paulo Gustavo Tenório doKarnakis,TheodoraChen,MichaelAndrade,Cláudia Toledo deDantas,JoaciraEscobosa,Daísa de MesquitaDel Giglio,Auroeng2013-07-03T00:00:00Zoai:scielo:S1679-45082013000200014Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2013-07-03T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
title |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
spellingShingle |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology Kaliks,Rafael Aliosha Breast neoplasms/economy Public-private partnership Healthcare costs |
title_short |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
title_full |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
title_fullStr |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
title_full_unstemmed |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
title_sort |
Treatment of breast cancer patients from a public healthcare system in a private center: costs of care for a pilot public-private partnership in oncology |
author |
Kaliks,Rafael Aliosha |
author_facet |
Kaliks,Rafael Aliosha Pontes,Lucíola de Barros Bognar,Cinthia Leite Frizzera Borges Santos,Kelly Cristine Carvalho Bromberg,Sílvio Eduardo Amaral,Paulo Gustavo Tenório do Karnakis,Theodora Chen,Michael Andrade,Cláudia Toledo de Dantas,Joacira Escobosa,Daísa de Mesquita Del Giglio,Auro |
author_role |
author |
author2 |
Pontes,Lucíola de Barros Bognar,Cinthia Leite Frizzera Borges Santos,Kelly Cristine Carvalho Bromberg,Sílvio Eduardo Amaral,Paulo Gustavo Tenório do Karnakis,Theodora Chen,Michael Andrade,Cláudia Toledo de Dantas,Joacira Escobosa,Daísa de Mesquita Del Giglio,Auro |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Kaliks,Rafael Aliosha Pontes,Lucíola de Barros Bognar,Cinthia Leite Frizzera Borges Santos,Kelly Cristine Carvalho Bromberg,Sílvio Eduardo Amaral,Paulo Gustavo Tenório do Karnakis,Theodora Chen,Michael Andrade,Cláudia Toledo de Dantas,Joacira Escobosa,Daísa de Mesquita Del Giglio,Auro |
dc.subject.por.fl_str_mv |
Breast neoplasms/economy Public-private partnership Healthcare costs |
topic |
Breast neoplasms/economy Public-private partnership Healthcare costs |
description |
OBJECTIVE: To describe the flow and costs associated with the diagnosis and treatment of patients with breast cancer who come from the public healthcare system and were treated at Hospital Israelita Albert Einstein. METHODS: Between August 2009, and December 2011, 51 patients referred by the Unified Public Healthcare System (SUS) had access to Hospital Israelita Albert Einstein for diagnostic radiology, medical oncology, radiotherapy, and oncologic/breast reconstruction surgery. The data were collected retrospectively from the hospital records, patient charts, pharmacy records, and from the hospital billing system. RESULTS: The total sum spent for diagnosis and treatment of these 51 patients was US$ 1,457,500.00. This value encompassed expenses with a total of 85 hospitalizations, 2,875 outpatient visits, 16 emergency room visits, and all expenses associated with these stays at the hospital. The expenditure for treatment of each patient submitted to biopsy, breast conserving surgery, adjuvant chemotherapy without trastuzumab (a regime with taxane followed by anthracycline), radiotherapy, and 5 years of tamoxifen was approximately US$ 25,500.00. CONCLUSION: Strategies for cost-reduction of treatment in the private setting are necessary to enable future large-scale public-private partnerships in oncology. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082013000200014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082013000200014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082013000200014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
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.11 n.2 2013 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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