Tuberculosis in Salvador, Brazil: costs to health system and families

Detalhes bibliográficos
Autor(a) principal: Costa, João G
Data de Publicação: 2005
Outros Autores: Santos, Andreia C, Rodrigues, Laura C, Barreto, Mauricio L, Roberts, Jennifer A
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/31841
Resumo: OBJECTIVE: Tuberculosis is one the greatest causes of mortality worldwide, but its economic effects are not well known. This study had the objective of estimating the costs to the public and private healthcare systems and to families of tuberculosis treatment and prevention. METHODS: This study was made in the municipality of Salvador, State of Bahia, Brazil, in 1999. Data for estimating the costs to the healthcare system were collected from the Department of Health, healthcare facilities and a philanthropic institution. The public and private costs were analyzed using cost accounting methodology. Cost data relating to families were collected by means of questionnaires, and included data on transportation, food and other expenses, and also income losses associated with this disease. RESULTS: The average cost of treating one new case of tuberculosis was approximately US$103. The cost of treating one multiresistant patient was 27 higher than this. The cost to the public services consisted of 65% on hospitalization, 32% on treatment, and only 3% on prevention. The families committed around 33% of their income on expenses related to tuberculosis. CONCLUSIONS: Despite the fact that the families did not have to pay for medications and treatment, given that this service is offered by the State, the costs to families related to loss of income due to the disease were very high. The proportion of public service funds utilized for prevention is small. Greater investment in prevention campaigns not only might diminish the numbers of cases but also might lead to earlier diagnosis, thus reducing the costs associated with hospitalization. The lack of an integrated cost accounting system makes it impossible to visualize costs across the various sectors.
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spelling Tuberculosis in Salvador, Brazil: costs to health system and families Tuberculose em Salvador: custos para o sistema de saúde e para as famílias Tuberculose^i1^seconoCustos de cuidados de saúdeEfeitos psicossociais da doençaTuberculose^i1^scustos para as famílTuberculosis^i2^sepidemiolHealth care costsCost of illnessTuberculosis^i2^scosts to famil OBJECTIVE: Tuberculosis is one the greatest causes of mortality worldwide, but its economic effects are not well known. This study had the objective of estimating the costs to the public and private healthcare systems and to families of tuberculosis treatment and prevention. METHODS: This study was made in the municipality of Salvador, State of Bahia, Brazil, in 1999. Data for estimating the costs to the healthcare system were collected from the Department of Health, healthcare facilities and a philanthropic institution. The public and private costs were analyzed using cost accounting methodology. Cost data relating to families were collected by means of questionnaires, and included data on transportation, food and other expenses, and also income losses associated with this disease. RESULTS: The average cost of treating one new case of tuberculosis was approximately US$103. The cost of treating one multiresistant patient was 27 higher than this. The cost to the public services consisted of 65% on hospitalization, 32% on treatment, and only 3% on prevention. The families committed around 33% of their income on expenses related to tuberculosis. CONCLUSIONS: Despite the fact that the families did not have to pay for medications and treatment, given that this service is offered by the State, the costs to families related to loss of income due to the disease were very high. The proportion of public service funds utilized for prevention is small. Greater investment in prevention campaigns not only might diminish the numbers of cases but also might lead to earlier diagnosis, thus reducing the costs associated with hospitalization. The lack of an integrated cost accounting system makes it impossible to visualize costs across the various sectors. OBJETIVO: A tuberculose é uma das maiores causas de mortalidade no mundo, porém seus efeitos econômicos são pouco conhecidos. O objetivo do estudo foi o de estimar os custos do tratamento e prevenção da tuberculose para o sistema de saúde (público e privado) e para as famílias. MÉTODOS: O estudo foi realizado no município de Salvador, BA, em 1999. Os dados para estimação dos custos para o sistema de saúde foram coletados nas secretarias de saúde, centros de saúde e em uma entidade filantrópica. Os custos públicos e privados foram estimados pela metodologia da contabilidade de custos. Os dados de custos para as famílias foram coletados por meio de questionários e incluem despesas com transporte, alimentação e outros, bem como as perdas de renda associadas à doença. RESULTADOS: O custo médio para tratamento de um caso novo de tuberculose foi de aproximadamente R$186,00 (US$103); para o tratamento de um paciente multiresistente o custo foi 27 vezes mais alto. Os custos para o serviço público corresponderam a 65% em internações, 32% em tratamento e apenas 3% em prevenção. As famílias comprometeram cerca de 33% da sua renda com despesas relacionadas a tuberculose. CONCLUSÕES: Apesar do fato das famílias não terem que pagar por medicamentos e tratamento, dado que este serviço é oferecido pelo Estado, os custos familiares ligados a perda de rendimentos devido a doença foram muito elevados. A proporção utilizada em prevenção pelo serviço público é pequena. Um maior investimento em campanhas de prevenção poderia não somente diminuir o número de casos, mas também, levar a um diagnósticos precoce, diminuindo os custos associados à hospitalização. A falta de um sistema integrado de custos não permite a visualização dos custos nos diversos setores. Universidade de São Paulo. Faculdade de Saúde Pública2005-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3184110.1590/S0034-89102005000100016Revista de Saúde Pública; Vol. 39 No. 1 (2005); 122-128 Revista de Saúde Pública; Vol. 39 Núm. 1 (2005); 122-128 Revista de Saúde Pública; v. 39 n. 1 (2005); 122-128 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/31841/33789https://www.revistas.usp.br/rsp/article/view/31841/33790Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCosta, João GSantos, Andreia CRodrigues, Laura CBarreto, Mauricio LRoberts, Jennifer A2012-07-08T22:33:13Zoai:revistas.usp.br:article/31841Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:33:13Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Tuberculosis in Salvador, Brazil: costs to health system and families
Tuberculose em Salvador: custos para o sistema de saúde e para as famílias
title Tuberculosis in Salvador, Brazil: costs to health system and families
spellingShingle Tuberculosis in Salvador, Brazil: costs to health system and families
Costa, João G
Tuberculose^i1^secono
Custos de cuidados de saúde
Efeitos psicossociais da doença
Tuberculose^i1^scustos para as famíl
Tuberculosis^i2^sepidemiol
Health care costs
Cost of illness
Tuberculosis^i2^scosts to famil
title_short Tuberculosis in Salvador, Brazil: costs to health system and families
title_full Tuberculosis in Salvador, Brazil: costs to health system and families
title_fullStr Tuberculosis in Salvador, Brazil: costs to health system and families
title_full_unstemmed Tuberculosis in Salvador, Brazil: costs to health system and families
title_sort Tuberculosis in Salvador, Brazil: costs to health system and families
author Costa, João G
author_facet Costa, João G
Santos, Andreia C
Rodrigues, Laura C
Barreto, Mauricio L
Roberts, Jennifer A
author_role author
author2 Santos, Andreia C
Rodrigues, Laura C
Barreto, Mauricio L
Roberts, Jennifer A
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Costa, João G
Santos, Andreia C
Rodrigues, Laura C
Barreto, Mauricio L
Roberts, Jennifer A
dc.subject.por.fl_str_mv Tuberculose^i1^secono
Custos de cuidados de saúde
Efeitos psicossociais da doença
Tuberculose^i1^scustos para as famíl
Tuberculosis^i2^sepidemiol
Health care costs
Cost of illness
Tuberculosis^i2^scosts to famil
topic Tuberculose^i1^secono
Custos de cuidados de saúde
Efeitos psicossociais da doença
Tuberculose^i1^scustos para as famíl
Tuberculosis^i2^sepidemiol
Health care costs
Cost of illness
Tuberculosis^i2^scosts to famil
description OBJECTIVE: Tuberculosis is one the greatest causes of mortality worldwide, but its economic effects are not well known. This study had the objective of estimating the costs to the public and private healthcare systems and to families of tuberculosis treatment and prevention. METHODS: This study was made in the municipality of Salvador, State of Bahia, Brazil, in 1999. Data for estimating the costs to the healthcare system were collected from the Department of Health, healthcare facilities and a philanthropic institution. The public and private costs were analyzed using cost accounting methodology. Cost data relating to families were collected by means of questionnaires, and included data on transportation, food and other expenses, and also income losses associated with this disease. RESULTS: The average cost of treating one new case of tuberculosis was approximately US$103. The cost of treating one multiresistant patient was 27 higher than this. The cost to the public services consisted of 65% on hospitalization, 32% on treatment, and only 3% on prevention. The families committed around 33% of their income on expenses related to tuberculosis. CONCLUSIONS: Despite the fact that the families did not have to pay for medications and treatment, given that this service is offered by the State, the costs to families related to loss of income due to the disease were very high. The proportion of public service funds utilized for prevention is small. Greater investment in prevention campaigns not only might diminish the numbers of cases but also might lead to earlier diagnosis, thus reducing the costs associated with hospitalization. The lack of an integrated cost accounting system makes it impossible to visualize costs across the various sectors.
publishDate 2005
dc.date.none.fl_str_mv 2005-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31841
10.1590/S0034-89102005000100016
url https://www.revistas.usp.br/rsp/article/view/31841
identifier_str_mv 10.1590/S0034-89102005000100016
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31841/33789
https://www.revistas.usp.br/rsp/article/view/31841/33790
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 39 No. 1 (2005); 122-128
Revista de Saúde Pública; Vol. 39 Núm. 1 (2005); 122-128
Revista de Saúde Pública; v. 39 n. 1 (2005); 122-128
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
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instname_str Universidade de São Paulo (USP)
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institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
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