Economic evaluation in oral health: rehabilitation of a single prosthetic space

• Autor(a) principal: Queiroz, Flavio Henrique Vieira
• Data de Publicação: 2020
• Outros Autores: Probst, Livia Fernandes, Mota, Aline Hohmann Gagliardi, Fonseca, Vitor Augusto de Oliveira, Cavalcante, Denise de Fátima Barros, Pereira, Antonio Carlos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/11076
• topic: Costos y análisis de costos; Análisis coste-beneficio; Eficiencia; Economía y organizaciones sanitarias; Salud bucal.; Custos e análise de custos; Análise de custo-benefício; Eficiência; Economia e Organizações de Saúde; Saúde bucal.; Costs and cost analysis; Cost-benefit analysis; Efficiency; Health care economics and organizations; Oral health.

Objective: To evaluate the allocative efficiency, financial impact, and cost-effectiveness of rehabilitation of a single tooth by means of a 3-unit fixed dental prosthesis and of a dental implant from the perspective of the Commercial Social Service - SESC (“Serviço Social do Comércio”). Methods: An economic analysis of the cost-effectiveness type was designed. A Markov model was developed to capture long-term clinical and economic outcomes considering the temporal horizon of 25 years. Results: Within this temporal horizon it would be possible to perform 308 more procedures with a saving of R$ 351,737.49, if rehabilitation by means of the one-unit implant were chosen. Conclusion: The implant technique with an implant and an implant-supported prosthesis was dominant; that is, it had lower cost and higher effectiveness and its allocative efficiency allowed a much higher number of persons to have access to treatment.