Análise parcial dos custos do protocolo assistencial da Casa de Parto David Capistrano Filho/Município do Rio de Janeiro: contribuição da enfermagem obstétrica

• Autor(a) principal: Oliveira, Fabiane Azevedo de
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11299
• topic: Health economics; Humanized delivery; Women health; Obstetric Nursing; Economia da saúde; Parto humanizado; Saúde da mulher; Enfermagem obstétrica; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM OBSTETRICA

This is a partial Economic Evaluation which object is the direct costs of care protocol of the Casa de Parto David Capistrano Filho / RJ. The overall goal is to perform analysis of the direct care costs of care for the pregnancy and childbirth in the Casa de Parto David Capistrano Filho (CPDCF), located in the municipality of Rio de Janeiro. The specific objectives of this study are: to estimate the type and amount of resources consumed in the implementation of care in pregnancy, childbirth and postpartum in accordance with the CPDCF protocol; analyze the direct costs related to the CPDCF protocol; compare costs assessed during the search the municipal budget for the assistance of low risk pregnant women in the same period. The method used was the Assessment of Health Economics, the adopted perspective was the Brazilian Public Health System as a managing agency, the medical records of pregnant women who underwent prenatal CPDCF in the year 2010 were evaleuted, excluding those who did not deliver at the unit, reaching a total of 161 records. The analysis was performed to describe the direct costs involved in pregnancy, childbirth and postpartum care, to that, the resources used were counted and assessed, defined as cost units for assistance in CPDCF during the prenatal, labor / delivery and postpartum, and then these resources were valued in accordance to the tables in the Table Management System Procedures, Drugs, Materials Prosthetics and Special Health System / Department of Health, Bank of Prices in Health and the Municipal Civil Defense Health / Rio de Janeiro. The results pointed that the cost of prenatal care for pregnant women was R$ 271.91, with a prevalence of costs for exams done along prenatal. In relation to labor and delivery costs were R$ 352.50 per pregnant woman, the highest costs associated with childbirth were human resources. The research demonstrated that CPDCF showed a lower value than the municipal budget allocated for delivery according to the Table Management System Procedures, Drugs, Materials Prosthetics and Special Health System / Department of Health (R$ 443.40 to R $ 475.16). Despite these data, and in accordance with the report of the directors, the CPDCF is idle, and this influence can be negative for the cost of delivery. Regarding postpartum the binomial cost was assessed at an average cost of R$ 269.94, the highest costs with postpartum were human resources. The overall cost of care in CPDCF was R$ 894.36 per pregnant woman, from that amount, 39.42% corresponded to the cost of labor, 30.40% corresponded to the cost prenatal and 30.18% with the postpartum care. To assert the efficiency and effectiveness of actions in CPDCF is necessary to carry out an economic assessment of the overall health. Labor / delivery were the most extensive costs. The cost of labor is less than the amount budgeted for low risk delivery, but action measures are necessary on idleness, as this can influence the cost of delivery.