Peixoto Henry Maia, Brito Marcelo Augusto Mota, Romero Gustavo Adolfo Sierra, Monteiro Wuelton Marcelo, Lacerda Marcus Vinícius Guimarães de, Oliveira Maria Regina Fernandes de
Núcleo de Medicina Tropical. Universidade de Brasília. Brasília, DF, Brasil.
Instituto de Avaliação de Tecnologia em Saúde. Porto Alegre, RS, Brasil.
Rev Saude Publica. 2017 Oct 5;51:90. doi: 10.11606/S1518-8787.2017051007084.
The aim of this study has been to study whether the top-down method, based on the average value identified in the Brazilian Hospitalization System (SIH/SUS), is a good estimator of the cost of health professionals per patient, using the bottom-up method for comparison. The study has been developed from the context of hospital care offered to the patient carrier of glucose-6-phosphate dehydrogenase (G6PD) deficiency with severe adverse effect because of the use of primaquine, in the Brazilian Amazon. The top-down method based on the spending with SIH/SUS professional services, as a proxy for this cost, corresponded to R$60.71, and the bottom-up, based on the salaries of the physician (R$30.43), nurse (R$16.33), and nursing technician (R$5.93), estimated a total cost of R$52.68. The difference was only R$8.03, which shows that the amounts paid by the Hospital Inpatient Authorization (AIH) are estimates close to those obtained by the bottom-up technique for the professionals directly involved in the care.
本研究的目的是，以上行法（基于巴西住院系统（SIH/SUS）中确定的平均值）为比较对象，采用自下而上法，研究其是否是每位患者卫生专业人员成本的良好估计方法。该研究是在巴西亚马逊地区开展的，针对因使用伯氨喹而出现严重不良反应的葡萄糖-6-磷酸脱氢酶（G6PD）缺乏症患者的医院护理情况。以上行法（基于SIH/SUS专业服务支出作为该成本的替代指标）得出的费用为雷亚尔60.71，而自下而上法（基于医生工资（雷亚尔30.43）、护士工资（雷亚尔16.33）和护理技术员工资（雷亚尔5.93））估计的总成本为雷亚尔52.68。两者的差异仅为雷亚尔8.03，这表明医院住院授权（AIH）支付的金额与自下而上法为直接参与护理的专业人员所获得的金额接近。
