Cost evaluation during 2002 in a Medicine/ Immunodeficiency hospital outpatient attendance

• Autor(a) principal: Fevereiro, Teresa
• Data de Publicação: 2009
• Outros Autores: Afonso, Susana, Lozano, Eva, Ribeirinho, Augusto, Calado, João, Matos, Ricardo, Brazão, Helena
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1390
• topic: Infecção VIH; Consulta Externa; Custos; HIV infection; Hospital outpatient attendance; medical expenditure

Governments, hospital administrators and health providers are always concerned with economical resources consumption in Health, being HIV care and follow-up nowadays considered as one of the areas of major consumption.By studying the outpatients of the Consulta de Medicina/Imunodeficiência of the Hospital de Santo António dos Capuchos (Lisboa) during a year (2002), we have concretely tried to assess its functioning costs.Material and Methods: The study included the outpatients of the Consulta de Medicina/Imunodeficência of the Hospital de Santo António dos Capuchos that were observed, at least twice, during 2002.Cost evaluation concerning consultation, blood tests and other exams was based in the values defined in the Grupos de Diagnósticos Homogéneos (GDHs). Antiretroviral therapy costs were estimated according to the values provided by the Hospital Pharmacy and assuming its monthly dispense.Results: During 2002, 107 patients were observed, in a total of 498 consultations (€11.424). Viral load was assessed 244 times (€24.321) and CD4 studies 245 times (€15.445). Other blood tests totalled €36.586. Eighty-five of the 107 patients were on antiretroviral therapy, with an average expense per patient of €7.122. Eighteen patients had to be admitted in the Hospital, for a total of 219 days (€41.699). Conclusion: The yearly average cost per patient was €6.408.