Health care costs in the last four years of life for private health plan beneficiaries in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/11600/45502 http://dx.doi.org/10.1590/S1020-49892008000800006 |
Resumo: | Objective. To examine health care use and expenditures by Brazilians covered by private health care plans in the last four years of life.Methods. Health plan provider enrollee files and death certificate data were used for 274 health plan beneficiaries who died in 1998, 1999, and 2000. Resources used for a beneficiary in the year of death and in the three years prior to death were identified. Descriptive statistical analyses were used for clinical and socio-demographic characteristics and to describe the costs.Results. Of the 274 deaths included in this analysis, 92 occurred in 1998, 82 in 1999, and 100 in 2000. Most of the deceased were males (61.4%). Distribution in terms of type of health plan coverage (full versus hospitalization-only coverage) was similar among beneficiaries (53% had hospitalization only and 47% had full coverage). The total health plan expenditure in the last four years of life for the 274 decedents was US$ 26 300 283 (US$ 12 287 723 for beneficiaries with hospitalization-only and US$ 14 012 560 for those with full coverage). Expenditures increased progressively in the four years preceding death. About 70% of medical expenses for decedents in the four years of this analysis were incurred in the last year of life.Conclusion. Relatively large amounts of health care resources are used by Brazilian private health plan participants in their last year of life, suggesting that specific strategies are needed to optimize the allocation of medical care resources for these patients. |
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Ferraz, Marcos Bosi [UNIFESP]Miranda, Isaura CristinaPadovan, JorgeSoarez, Patricia Coelho deCiconelli, Rozana [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Sao Paulo Ctr Hlth Econ2018-06-18T11:54:34Z2018-06-18T11:54:34Z2008-08-01Revista Panamericana De Salud Publica-pan American Journal Of Public Health. Washington: Pan Amer Health Organization, v. 24, n. 2, p. 120-126, 2008.1020-4989http://repositorio.unifesp.br/11600/45502http://dx.doi.org/10.1590/S1020-49892008000800006S1020-49892008000800006.pdfS1020-4989200800080000610.1590/S1020-49892008000800006WOS:000259501500006Objective. To examine health care use and expenditures by Brazilians covered by private health care plans in the last four years of life.Methods. Health plan provider enrollee files and death certificate data were used for 274 health plan beneficiaries who died in 1998, 1999, and 2000. Resources used for a beneficiary in the year of death and in the three years prior to death were identified. Descriptive statistical analyses were used for clinical and socio-demographic characteristics and to describe the costs.Results. Of the 274 deaths included in this analysis, 92 occurred in 1998, 82 in 1999, and 100 in 2000. Most of the deceased were males (61.4%). Distribution in terms of type of health plan coverage (full versus hospitalization-only coverage) was similar among beneficiaries (53% had hospitalization only and 47% had full coverage). The total health plan expenditure in the last four years of life for the 274 decedents was US$ 26 300 283 (US$ 12 287 723 for beneficiaries with hospitalization-only and US$ 14 012 560 for those with full coverage). Expenditures increased progressively in the four years preceding death. About 70% of medical expenses for decedents in the four years of this analysis were incurred in the last year of life.Conclusion. Relatively large amounts of health care resources are used by Brazilian private health plan participants in their last year of life, suggesting that specific strategies are needed to optimize the allocation of medical care resources for these patients.Univ Fed Sao Paulo, Div Rheumatol, Sao Paulo, BrazilSao Paulo Ctr Hlth Econ, Sao Paulo, BrazilUniv Fed Sao Paulo, Div Rheumatol, Sao Paulo, BrazilWeb of Science120-126engPan Amer Health OrganizationRevista Panamericana De Salud Publica-pan American Journal Of Public Healthdeathhealth care costsinsurance, healthterminal careBrazilHealth care costs in the last four years of life for private health plan beneficiaries in BrazilCostos de la atención sanitaria en los últimos cuatro años de vida de beneficiarios de seguros privados de salud en Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS1020-49892008000800006.pdfapplication/pdf134034${dspace.ui.url}/bitstream/11600/45502/1/S1020-49892008000800006.pdfc8275704d460adc66ae5bec5707ee50fMD51open accessTEXTS1020-49892008000800006.pdf.txtS1020-49892008000800006.pdf.txtExtracted texttext/plain30528${dspace.ui.url}/bitstream/11600/45502/2/S1020-49892008000800006.pdf.txtb47de88e9b57dde51696d69a691863eaMD52open accessTHUMBNAILS1020-49892008000800006.pdf.jpgS1020-49892008000800006.pdf.jpgIM Thumbnailimage/jpeg5836${dspace.ui.url}/bitstream/11600/45502/4/S1020-49892008000800006.pdf.jpg3f08fc3e4e7e4b388e0f0e9d07301f82MD54open access11600/455022022-08-02 12:41:22.195open accessoai:repositorio.unifesp.br:11600/45502Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:07:57.793056Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
dc.title.alternative.es.fl_str_mv |
Costos de la atención sanitaria en los últimos cuatro años de vida de beneficiarios de seguros privados de salud en Brasil |
title |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
spellingShingle |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil Ferraz, Marcos Bosi [UNIFESP] death health care costs insurance, health terminal care Brazil |
title_short |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
title_full |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
title_fullStr |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
title_full_unstemmed |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
title_sort |
Health care costs in the last four years of life for private health plan beneficiaries in Brazil |
author |
Ferraz, Marcos Bosi [UNIFESP] |
author_facet |
Ferraz, Marcos Bosi [UNIFESP] Miranda, Isaura Cristina Padovan, Jorge Soarez, Patricia Coelho de Ciconelli, Rozana [UNIFESP] |
author_role |
author |
author2 |
Miranda, Isaura Cristina Padovan, Jorge Soarez, Patricia Coelho de Ciconelli, Rozana [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Sao Paulo Ctr Hlth Econ |
dc.contributor.author.fl_str_mv |
Ferraz, Marcos Bosi [UNIFESP] Miranda, Isaura Cristina Padovan, Jorge Soarez, Patricia Coelho de Ciconelli, Rozana [UNIFESP] |
dc.subject.eng.fl_str_mv |
death health care costs insurance, health terminal care Brazil |
topic |
death health care costs insurance, health terminal care Brazil |
description |
Objective. To examine health care use and expenditures by Brazilians covered by private health care plans in the last four years of life.Methods. Health plan provider enrollee files and death certificate data were used for 274 health plan beneficiaries who died in 1998, 1999, and 2000. Resources used for a beneficiary in the year of death and in the three years prior to death were identified. Descriptive statistical analyses were used for clinical and socio-demographic characteristics and to describe the costs.Results. Of the 274 deaths included in this analysis, 92 occurred in 1998, 82 in 1999, and 100 in 2000. Most of the deceased were males (61.4%). Distribution in terms of type of health plan coverage (full versus hospitalization-only coverage) was similar among beneficiaries (53% had hospitalization only and 47% had full coverage). The total health plan expenditure in the last four years of life for the 274 decedents was US$ 26 300 283 (US$ 12 287 723 for beneficiaries with hospitalization-only and US$ 14 012 560 for those with full coverage). Expenditures increased progressively in the four years preceding death. About 70% of medical expenses for decedents in the four years of this analysis were incurred in the last year of life.Conclusion. Relatively large amounts of health care resources are used by Brazilian private health plan participants in their last year of life, suggesting that specific strategies are needed to optimize the allocation of medical care resources for these patients. |
publishDate |
2008 |
dc.date.issued.fl_str_mv |
2008-08-01 |
dc.date.accessioned.fl_str_mv |
2018-06-18T11:54:34Z |
dc.date.available.fl_str_mv |
2018-06-18T11:54:34Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Revista Panamericana De Salud Publica-pan American Journal Of Public Health. Washington: Pan Amer Health Organization, v. 24, n. 2, p. 120-126, 2008. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/11600/45502 http://dx.doi.org/10.1590/S1020-49892008000800006 |
dc.identifier.issn.none.fl_str_mv |
1020-4989 |
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S1020-49892008000800006.pdf |
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S1020-49892008000800006 |
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10.1590/S1020-49892008000800006 |
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WOS:000259501500006 |
identifier_str_mv |
Revista Panamericana De Salud Publica-pan American Journal Of Public Health. Washington: Pan Amer Health Organization, v. 24, n. 2, p. 120-126, 2008. 1020-4989 S1020-49892008000800006.pdf S1020-49892008000800006 10.1590/S1020-49892008000800006 WOS:000259501500006 |
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http://repositorio.unifesp.br/11600/45502 http://dx.doi.org/10.1590/S1020-49892008000800006 |
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eng |
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Revista Panamericana De Salud Publica-pan American Journal Of Public Health |
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120-126 |
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Pan Amer Health Organization |
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Pan Amer Health Organization |
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