Entringer Aline Piovezan, Gomes Maria Auxiliadora de Sousa Mendes, Pinto Márcia, Caetano Rosângela, Magluta Cynthia, Lamy Zeni Carvalho
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2013 Jun;29(6):1205-16.
The aim of this study was to compare the direct costs of implementation of the Kangaroo Method and an Intermediate Neonatal Care Unit, from the perspective of the Brazilian Unified National Health System (SUS) in Rio de Janeiro, Brazil. Newborns were eligible for inclusion if they were clinically stable and were able to receive care in those two modalities. A decision tree model was developed that incorporated baseline variables and costs into a hypothetical cohort of 1,000 newborns, according to the literature and expert opinions. Daily cost was BR$343.53 for the second stage of the Kangaroo Unit and BR$394.22 for the Intermediate Neonatal Care Unit. The total cost for the hypothetical cohort was BR$5,710,281.66 for the second and third stages of the Kangaroo Unit and R$7,119,865.61 for the Intermediate Neonatal Care Unit. The Intermediate Neonatal Care Unit cost 25% more than the Kangaroo Unit. The study can contribute to decision-making in health, in addition to providing support for studies related to economic evaluation in neonatal health.
本研究的目的是从巴西里约热内卢的巴西统一国家卫生系统（SUS）的角度，比较袋鼠式护理法和新生儿中级护理病房的实施直接成本。如果新生儿临床状况稳定且能够接受这两种护理方式，则符合纳入条件。根据文献和专家意见，开发了一个决策树模型，将基线变量和成本纳入一个由1000名新生儿组成的假设队列。袋鼠式护理病房第二阶段的每日成本为343.53巴西雷亚尔，新生儿中级护理病房为394.22巴西雷亚尔。假设队列的总成本，袋鼠式护理病房第二和第三阶段为5710281.66巴西雷亚尔，新生儿中级护理病房为7119865.61巴西雷亚尔。新生儿中级护理病房的成本比袋鼠式护理病房高25%。该研究除了为新生儿健康经济评估相关研究提供支持外，还可为卫生决策提供参考。
