Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405 |
Resumo: | Introduction: Cape Verde is a middle-income country benefiting from a health agreement with Portugal. The purpose of this study is to conduct a cost-benefit analysis on the enablement of Cape Verde to perform total hip replacement.Material and Methods: We assessed records from the Orthopaedic Department of Baptista de Sousa Hospital and the Portuguese Directorate-General of Health regarding hip fracture with indication for total hip replacement and hip arthritis cases evacuated to Portugal. We also analysed the direct costs of the treatment, and hypothesised the costs of performing total hip replacement in Cape Verde. We then conducted a cost-benefit analysis.Results: From 2011 to 2016, 126 patients (135 hips) would have indication for total hip replacement if it was possible to do it in Cape Verde. The performance of the procedure in Cape Verde would have resulted in a global benefit of €80 644.08, and a benefit of €597.36/per patient.Discussion: Our analysis indicates that the enablement of Cape Verde to autonomously perform total hip replacement on patients with hip fracture and arthritis would have a positive financial return. Total costs were underestimated due to the impossibility to calculate indirect costs. Enabling Cape Verde to perform total hip replacement would provide the recommended treatment for patients and reduce the socio-psychological impact of evacuation. Conclusion: Enabling Cape Verde to perform total hip replacement would represent an expense reduction, and an improvement of the country’s quality of healthcare and autonomy. |
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Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit StudyHabilitar Cabo Verde a Realizar Artroplastia Total da Anca: Estudo Custo-BenefícioArthroplastyReplacementHip/economicsCabo VerdeCost-Benefit AnalysisQuality of Health CareAnálise Custo-BenefícioArtroplastia Total da Anca/economiaCabo VerdeCuidados de SaúdeIntroduction: Cape Verde is a middle-income country benefiting from a health agreement with Portugal. The purpose of this study is to conduct a cost-benefit analysis on the enablement of Cape Verde to perform total hip replacement.Material and Methods: We assessed records from the Orthopaedic Department of Baptista de Sousa Hospital and the Portuguese Directorate-General of Health regarding hip fracture with indication for total hip replacement and hip arthritis cases evacuated to Portugal. We also analysed the direct costs of the treatment, and hypothesised the costs of performing total hip replacement in Cape Verde. We then conducted a cost-benefit analysis.Results: From 2011 to 2016, 126 patients (135 hips) would have indication for total hip replacement if it was possible to do it in Cape Verde. The performance of the procedure in Cape Verde would have resulted in a global benefit of €80 644.08, and a benefit of €597.36/per patient.Discussion: Our analysis indicates that the enablement of Cape Verde to autonomously perform total hip replacement on patients with hip fracture and arthritis would have a positive financial return. Total costs were underestimated due to the impossibility to calculate indirect costs. Enabling Cape Verde to perform total hip replacement would provide the recommended treatment for patients and reduce the socio-psychological impact of evacuation. Conclusion: Enabling Cape Verde to perform total hip replacement would represent an expense reduction, and an improvement of the country’s quality of healthcare and autonomy.Introdução: Cabo Verde é um país de médio-desenvolvimento, que ainda beneficia de um robusto acordo de Saúde com Portugal. No que diz respeito à artroplastia total da anca, a falta de implantes impossibilita a sua realização. O objectivo deste estudo é realizar uma análise custo-benefício da habilitação de Cabo Verde a realizar artroplastia total da anca.Material e Métodos: Recolhemos dos registos do Serviço de Ortopedia do Hospital Dr Baptista de Sousa e Direção Geral de Saúde Portuguesa, casos de fratura proximal do fémur com indicação para artroplastia total da anca e casos de artrose da anca evacuados para Portugal. Calculámos os custos diretos do tratamento destes doentes e supusemos o custo de realizar artroplastia total da anca em Cabo Verde. Efetuámos uma análise custo-benefício. Resultados: De 2011 a 2016, 126 doentes (135 ancas) teriam indicação para artroplastia total da anca. Comparando com a presente situação, habilitar Cabo Verde a realizar artroplastia total da anca resultaria num benefício global de €80 644,08, um benefício de €597,36/por doente.Discussão: A nossa análise indica que habilitar Cabo Verde a realizar artroplastia total da anca autonomamente para doentes com fractura proximal do fémur e coxartrose teria um retorno financeiro positivo. Os custos encontram-se subestimados, pela impossibilidade de calcular custos indiretos. Esta mudança permitiria oferecer o tratamento recomendado para os casos de fratura e reduziria o impacto sócio-psicológico dos doentes evacuados.Conclusão: Habilitar Cabo Verde a realizar artroplastia total da anca representaria uma redução de gastos e simultaneamente permitiria melhorar a qualidade dos cuidados de Saúde e autonomia do país.Ordem dos Médicos2018-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405oai:ojs.www.actamedicaportuguesa.com:article/10405Acta Médica Portuguesa; Vol. 31 No. 12 (2018): December; 738-741Acta Médica Portuguesa; Vol. 31 N.º 12 (2018): Dezembro; 738-7411646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/5563https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10068https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10069https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10534https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10743Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessNunes, Andreia MercierCanhão, HelenaRodrigues, Tito Lívio2022-12-20T11:05:57Zoai:ojs.www.actamedicaportuguesa.com:article/10405Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:52.738452Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study Habilitar Cabo Verde a Realizar Artroplastia Total da Anca: Estudo Custo-Benefício |
title |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study |
spellingShingle |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study Nunes, Andreia Mercier Arthroplasty Replacement Hip/economics Cabo Verde Cost-Benefit Analysis Quality of Health Care Análise Custo-Benefício Artroplastia Total da Anca/economia Cabo Verde Cuidados de Saúde |
title_short |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study |
title_full |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study |
title_fullStr |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study |
title_full_unstemmed |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study |
title_sort |
Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study |
author |
Nunes, Andreia Mercier |
author_facet |
Nunes, Andreia Mercier Canhão, Helena Rodrigues, Tito Lívio |
author_role |
author |
author2 |
Canhão, Helena Rodrigues, Tito Lívio |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Nunes, Andreia Mercier Canhão, Helena Rodrigues, Tito Lívio |
dc.subject.por.fl_str_mv |
Arthroplasty Replacement Hip/economics Cabo Verde Cost-Benefit Analysis Quality of Health Care Análise Custo-Benefício Artroplastia Total da Anca/economia Cabo Verde Cuidados de Saúde |
topic |
Arthroplasty Replacement Hip/economics Cabo Verde Cost-Benefit Analysis Quality of Health Care Análise Custo-Benefício Artroplastia Total da Anca/economia Cabo Verde Cuidados de Saúde |
description |
Introduction: Cape Verde is a middle-income country benefiting from a health agreement with Portugal. The purpose of this study is to conduct a cost-benefit analysis on the enablement of Cape Verde to perform total hip replacement.Material and Methods: We assessed records from the Orthopaedic Department of Baptista de Sousa Hospital and the Portuguese Directorate-General of Health regarding hip fracture with indication for total hip replacement and hip arthritis cases evacuated to Portugal. We also analysed the direct costs of the treatment, and hypothesised the costs of performing total hip replacement in Cape Verde. We then conducted a cost-benefit analysis.Results: From 2011 to 2016, 126 patients (135 hips) would have indication for total hip replacement if it was possible to do it in Cape Verde. The performance of the procedure in Cape Verde would have resulted in a global benefit of €80 644.08, and a benefit of €597.36/per patient.Discussion: Our analysis indicates that the enablement of Cape Verde to autonomously perform total hip replacement on patients with hip fracture and arthritis would have a positive financial return. Total costs were underestimated due to the impossibility to calculate indirect costs. Enabling Cape Verde to perform total hip replacement would provide the recommended treatment for patients and reduce the socio-psychological impact of evacuation. Conclusion: Enabling Cape Verde to perform total hip replacement would represent an expense reduction, and an improvement of the country’s quality of healthcare and autonomy. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405 oai:ojs.www.actamedicaportuguesa.com:article/10405 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405 |
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oai:ojs.www.actamedicaportuguesa.com:article/10405 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/5563 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10068 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10069 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10534 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10405/10743 |
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Direitos de Autor (c) 2018 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2018 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 31 No. 12 (2018): December; 738-741 Acta Médica Portuguesa; Vol. 31 N.º 12 (2018): Dezembro; 738-741 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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