Centro Paulista de Economia da Saúde, Universidade Federal de São Paulo, São Paulo, Brazil.
Clinics (Sao Paulo). 2011;66(10):1773-7. doi: 10.1590/s1807-59322011001000016.
To estimate the direct costs of hospital stays for premature newborns in the Interlagos Hospital and Maternity Center in São Paulo, Brazil and to assess the difference between the amount reimbursed to the hospital by the Unified Health System and the real cost of care for each premature newborn.
A cost-estimate study in which hospital and professional costs were estimated for premature infants born at 22 to 36 weeks gestation during the calendar year of 2004 and surviving beyond one hour of age. Direct costs included hospital services, professional care, diagnoses and therapy, orthotics, prosthetics, special materials, and blood products. Costs were estimated using tables published by the Unified Health System and the Brasindice as well as the list of medical procedures provided by the Brazilian Classification of Medical Procedures.
The average direct cost of care for initial hospitalization of a premature newborn in 2004 was $2,386 USD. Total hospital expenses and professional services for all premature infants in this hospital were $227,000 and $69,500 USD, respectively. The costs for diagnostic testing and blood products for all premature infants totaled $22,440 and $1,833 USD. The daily average cost of a premature newborn weighing less than 1,000 g was $115 USD, and the daily average cost of a premature newborn weighing more than 2,500 g was $89 USD. Amounts reimbursed to the hospital by the Unified Health System corresponded to only 27.42% of the real cost of care.
The cost of hospital stays for premature newborns was much greater than the amount reimbursed to the hospital by the Unified Health System. The highest costs corresponded to newborns with lower birth weight. Hospital costs progressively and discretely decreased as the newborns' weight increased.
评估巴西圣保罗市伊塔洛加斯医院和妇产科中心早产儿住院的直接费用，并评估统一卫生系统向医院报销的金额与每个早产儿实际护理费用之间的差异。
本项成本估算研究对 2004 年日历年内胎龄为 22 至 36 周且存活超过 1 小时的早产儿的住院和专业护理费用进行了估算。直接费用包括医院服务、专业护理、诊断和治疗、矫形器、假肢、特殊材料和血液制品。使用统一卫生系统和 Brasindice 发布的表格以及巴西医疗程序分类提供的医疗程序清单来估算成本。
2004 年，早产儿初次住院的平均直接护理费用为 2386 美元。该医院所有早产儿的总住院费用和专业服务费用分别为 227000 美元和 69500 美元。所有早产儿的诊断测试和血液制品费用总计为 22440 美元和 1833 美元。体重低于 1000 克的早产儿的日平均费用为 115 美元，体重超过 2500 克的早产儿的日平均费用为 89 美元。统一卫生系统向医院报销的金额仅占实际护理费用的 27.42%。
早产儿住院费用远高于统一卫生系统向医院报销的金额。最高的费用与出生体重较低的新生儿相对应。随着新生儿体重的增加，住院费用逐渐且离散地减少。
