The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System

Detalhes bibliográficos
Autor(a) principal: Bahia, Luciana Ribeiro
Data de Publicação: 2011
Outros Autores: Araujo, Denizar Vianna [UNIFESP], Schaan, Beatriz D'Agord, Dib, Sergio Atala [UNIFESP], Negrato, Carlos Antonio, Leao, Marluce P. S., Ramos, Alberto José Santos, Forti, Adriana Costa e [UNIFESP], Gomes, Marilia de Brito, Foss, Maria Cristina, Monteiro, Rosane Aparecida, Sartorelli, Daniela Saes, Franco, Laercio Joel [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1016/j.jval.2011.05.009
http://repositorio.unifesp.br/handle/11600/33816
Resumo: Objective: the prevalence of type 2 diabetes has shown a significant increase in parallel with health care costs. the objective of the Brazilian Study on Diabetes Costs (ESCUDI study) was to estimate direct and indirect costs of type 2 diabetes outpatient care in the Brazilian Public Health Care System. Methods: Data were collected from different levels of health care in eight Brazilian cities in 2007. A total of 1000 outpatients were interviewed and had their medical records data analyzed. Direct medical costs included expenses with medications, diagnostic tests, procedures, blood glucose test strips, and office visits. Nonmedical direct costs included expenses with diet products, transportation, and caregivers. Absenteeism, sick leave, and early retirement were classified as indirect costs. Results: Total annual cost for outpatient care was US$2108 per patient, out of which US$1335 per patient of direct costs (63.3%) and US$773 per patient of indirect costs (36.7%). Costs escalated as duration of diabetes and level of health care increased. Patients with both microvascular and macrovascular complications had higher costs (US$3199 per patient) compared to those with either microvascular (US$2062 per patient) or macrovascular (US$2517 per patient) complications only. the greatest portion of direct costs was attributed to medication (48.2%). Conclusions: Diabetes treatment leads to elevated costs both to Brazilian Public Health Care System and society. Costs increased along with duration of disease, level of care and presence of chronic complications, which suggested a need to reallocate health resources focusing on primary prevention of diabetes and its complications.
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spelling The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health SystemBrazilcostsoutpatient caretype 2 diabetesObjective: the prevalence of type 2 diabetes has shown a significant increase in parallel with health care costs. the objective of the Brazilian Study on Diabetes Costs (ESCUDI study) was to estimate direct and indirect costs of type 2 diabetes outpatient care in the Brazilian Public Health Care System. Methods: Data were collected from different levels of health care in eight Brazilian cities in 2007. A total of 1000 outpatients were interviewed and had their medical records data analyzed. Direct medical costs included expenses with medications, diagnostic tests, procedures, blood glucose test strips, and office visits. Nonmedical direct costs included expenses with diet products, transportation, and caregivers. Absenteeism, sick leave, and early retirement were classified as indirect costs. Results: Total annual cost for outpatient care was US$2108 per patient, out of which US$1335 per patient of direct costs (63.3%) and US$773 per patient of indirect costs (36.7%). Costs escalated as duration of diabetes and level of health care increased. Patients with both microvascular and macrovascular complications had higher costs (US$3199 per patient) compared to those with either microvascular (US$2062 per patient) or macrovascular (US$2517 per patient) complications only. the greatest portion of direct costs was attributed to medication (48.2%). Conclusions: Diabetes treatment leads to elevated costs both to Brazilian Public Health Care System and society. Costs increased along with duration of disease, level of care and presence of chronic complications, which suggested a need to reallocate health resources focusing on primary prevention of diabetes and its complications.Univ Estado Rio de Janeiro, BR-20550011 Rio de Janeiro, BrazilUniv Fed Rio Grande do Sul, HCPA, Porto Alegre, RS, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilAssociacao Diabet Bauru, Bauru, BrazilUniv Estadual Santa Cruz, Itabuna, BrazilUniv Fed Campina Grande, Campina Grande, BrazilUniv Estadual Ceara, Fortaleza, Ceara, BrazilUniv São Paulo, BR-14049 Ribeirao Preto, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of ScienceBrazilian Diabetes SocietySanofi AventisEli Lilly pharmaceuticalsElsevier B.V.Universidade do Estado do Rio de Janeiro (UERJ)Univ Fed Rio Grande do SulUniversidade Federal de São Paulo (UNIFESP)Associacao Diabet BauruUniv Estadual Santa CruzUniv Fed Campina GrandeUniv Estadual CearaUniversidade de São Paulo (USP)Bahia, Luciana RibeiroAraujo, Denizar Vianna [UNIFESP]Schaan, Beatriz D'AgordDib, Sergio Atala [UNIFESP]Negrato, Carlos AntonioLeao, Marluce P. S.Ramos, Alberto José SantosForti, Adriana Costa e [UNIFESP]Gomes, Marilia de BritoFoss, Maria CristinaMonteiro, Rosane AparecidaSartorelli, Daniela SaesFranco, Laercio Joel [UNIFESP]2016-01-24T14:16:54Z2016-01-24T14:16:54Z2011-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionS137-S140application/pdfhttp://dx.doi.org/10.1016/j.jval.2011.05.009Value in Health. New York: Elsevier B.V., v. 14, n. 5, p. S137-S140, 2011.10.1016/j.jval.2011.05.009WOS000299081000031.pdf1098-3015http://repositorio.unifesp.br/handle/11600/33816WOS:000299081000031engValue in Healthinfo:eu-repo/semantics/openAccesshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policyreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-31T20:54:46Zoai:repositorio.unifesp.br/:11600/33816Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-31T20:54:46Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
title The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
spellingShingle The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
Bahia, Luciana Ribeiro
Brazil
costs
outpatient care
type 2 diabetes
title_short The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
title_full The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
title_fullStr The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
title_full_unstemmed The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
title_sort The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
author Bahia, Luciana Ribeiro
author_facet Bahia, Luciana Ribeiro
Araujo, Denizar Vianna [UNIFESP]
Schaan, Beatriz D'Agord
Dib, Sergio Atala [UNIFESP]
Negrato, Carlos Antonio
Leao, Marluce P. S.
Ramos, Alberto José Santos
Forti, Adriana Costa e [UNIFESP]
Gomes, Marilia de Brito
Foss, Maria Cristina
Monteiro, Rosane Aparecida
Sartorelli, Daniela Saes
Franco, Laercio Joel [UNIFESP]
author_role author
author2 Araujo, Denizar Vianna [UNIFESP]
Schaan, Beatriz D'Agord
Dib, Sergio Atala [UNIFESP]
Negrato, Carlos Antonio
Leao, Marluce P. S.
Ramos, Alberto José Santos
Forti, Adriana Costa e [UNIFESP]
Gomes, Marilia de Brito
Foss, Maria Cristina
Monteiro, Rosane Aparecida
Sartorelli, Daniela Saes
Franco, Laercio Joel [UNIFESP]
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Estado do Rio de Janeiro (UERJ)
Univ Fed Rio Grande do Sul
Universidade Federal de São Paulo (UNIFESP)
Associacao Diabet Bauru
Univ Estadual Santa Cruz
Univ Fed Campina Grande
Univ Estadual Ceara
Universidade de São Paulo (USP)
dc.contributor.author.fl_str_mv Bahia, Luciana Ribeiro
Araujo, Denizar Vianna [UNIFESP]
Schaan, Beatriz D'Agord
Dib, Sergio Atala [UNIFESP]
Negrato, Carlos Antonio
Leao, Marluce P. S.
Ramos, Alberto José Santos
Forti, Adriana Costa e [UNIFESP]
Gomes, Marilia de Brito
Foss, Maria Cristina
Monteiro, Rosane Aparecida
Sartorelli, Daniela Saes
Franco, Laercio Joel [UNIFESP]
dc.subject.por.fl_str_mv Brazil
costs
outpatient care
type 2 diabetes
topic Brazil
costs
outpatient care
type 2 diabetes
description Objective: the prevalence of type 2 diabetes has shown a significant increase in parallel with health care costs. the objective of the Brazilian Study on Diabetes Costs (ESCUDI study) was to estimate direct and indirect costs of type 2 diabetes outpatient care in the Brazilian Public Health Care System. Methods: Data were collected from different levels of health care in eight Brazilian cities in 2007. A total of 1000 outpatients were interviewed and had their medical records data analyzed. Direct medical costs included expenses with medications, diagnostic tests, procedures, blood glucose test strips, and office visits. Nonmedical direct costs included expenses with diet products, transportation, and caregivers. Absenteeism, sick leave, and early retirement were classified as indirect costs. Results: Total annual cost for outpatient care was US$2108 per patient, out of which US$1335 per patient of direct costs (63.3%) and US$773 per patient of indirect costs (36.7%). Costs escalated as duration of diabetes and level of health care increased. Patients with both microvascular and macrovascular complications had higher costs (US$3199 per patient) compared to those with either microvascular (US$2062 per patient) or macrovascular (US$2517 per patient) complications only. the greatest portion of direct costs was attributed to medication (48.2%). Conclusions: Diabetes treatment leads to elevated costs both to Brazilian Public Health Care System and society. Costs increased along with duration of disease, level of care and presence of chronic complications, which suggested a need to reallocate health resources focusing on primary prevention of diabetes and its complications.
publishDate 2011
dc.date.none.fl_str_mv 2011-07-01
2016-01-24T14:16:54Z
2016-01-24T14:16:54Z
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://dx.doi.org/10.1016/j.jval.2011.05.009
Value in Health. New York: Elsevier B.V., v. 14, n. 5, p. S137-S140, 2011.
10.1016/j.jval.2011.05.009
WOS000299081000031.pdf
1098-3015
http://repositorio.unifesp.br/handle/11600/33816
WOS:000299081000031
url http://dx.doi.org/10.1016/j.jval.2011.05.009
http://repositorio.unifesp.br/handle/11600/33816
identifier_str_mv Value in Health. New York: Elsevier B.V., v. 14, n. 5, p. S137-S140, 2011.
10.1016/j.jval.2011.05.009
WOS000299081000031.pdf
1098-3015
WOS:000299081000031
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Value in Health
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
eu_rights_str_mv openAccess
rights_invalid_str_mv http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.format.none.fl_str_mv S137-S140
application/pdf
dc.publisher.none.fl_str_mv Elsevier B.V.
publisher.none.fl_str_mv Elsevier B.V.
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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