Entringer Aline Piovezan, Pinto Márcia Teixeira, Magluta Cynthia, Gomes Maria Auxiliadora de Sousa Mendes
Rev Saude Publica. 2013 Oct;47(5):976-83. doi: 10.1590/s0034-8910.2013047004569.
To estimate the budget impact of using the Kangaroo Method in a municipal health care network.
An analytical decision model was developed to simulate the costs of the Kangaroo Method and Neonatal Intermediate Care Unit in Rio de Janeiro, RJ, in 2011. The reference population was clinically stable newborns, who may receive either of the two types of care. The budget impact for a hypothetical cohort of 1,000 eligible newborns was estimated for one year. The proportion of eligible infants receiving the two type of care was obtained through data collection in hospitals included in the study. The probabilities of events and resource consumption of health care in the period were incorporated into the model. A scenario analysis was developed to reflect the adoption of the Kangaroo Method on a greater or smaller scale.
The use of the second and third stage of Kangaroo Method means a cost reduction of R$ 1,085,379.64 (16.0%) in a year if all eligible infants were assisted in Kangaroo Method.
The Kangaroo Method options costs less than the Neonatal Intermediate Care Unit. The analysis of the budget impact of this method on the public health care system showed significant savings in the year long period analyzed.
评估在市级医疗保健网络中采用袋鼠式护理法的预算影响。
建立了一个分析决策模型，以模拟2011年里约热内卢市袋鼠式护理法和新生儿中级护理单元的成本。参考人群为临床状况稳定的新生儿，他们可能接受两种护理中的任何一种。对一个假设的1000名符合条件的新生儿队列进行了为期一年的预算影响评估。通过对研究中纳入的医院进行数据收集，获得接受两种护理的符合条件婴儿的比例。将该期间内医疗保健事件的概率和资源消耗纳入模型。开展了情景分析，以反映袋鼠式护理法在更大或更小规模上的采用情况。
如果所有符合条件的婴儿都采用袋鼠式护理法，那么在一年中采用袋鼠式护理法的第二和第三阶段意味着成本降低1,085,379.64雷亚尔（16.0%）。
袋鼠式护理法的方案成本低于新生儿中级护理单元。对该方法对公共医疗保健系统的预算影响分析表明，在所分析的一年期间有显著节省。
