The Costs of Type 2 Diabetes Mellitus Outpatient Care in the Brazilian Public Health System
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , , , , , , |
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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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 |
_version_ |
1814268372651606016 |