Lima Antônio Fernandes Costa
PhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Lat Am Enfermagem. 2018 Jul 16;26:e2944. doi: 10.1590/1518-8345.1812.2944.
to analyze the mean direct cost of the constituent procedures of conventional hemodialysis, performed in three public teaching and research hospitals.
quantitative, exploratory-descriptive study, of the multiple case study type. The mean direct cost was calculated by multiplying the time (timed) spent by nursing professionals, on the execution of procedures, by the unit cost of direct labor, added to the cost of materials and solutions/medications.
the total mean direct cost, in patients with an arteriovenous fistula corresponded to US$25.10 in hospital A, US$37.34 in hospital B and US$25.01 in hospital C, and in patients with a dual lumen catheter, US$32.07 in hospital A, US$40.58 in hospital B and US$30.35 in hospital C. The weighted mean values obtained were US$26.59 for hospital A, US$38.96 for hospital B and US$27.68 for hospital C. It was noted that the "installation and removal of hemodialysis fistula access" caused a significantly lower economic impact compared to "installation and removal of hemodialysis catheter access".
with the knowledge developed it will be possible to support hospital managers, technical managers and nursing professionals in the decision making process, with a view to the rational allocation of the necessary inputs for the performance of conventional hemodialysis.
分析在三家公立教学研究医院进行的常规血液透析组成程序的平均直接成本。
采用多案例研究类型的定量、探索性描述性研究。平均直接成本通过将护理专业人员执行程序所花费的时间（计时）乘以直接劳动力的单位成本，再加上材料和溶液/药物的成本来计算。
在有动静脉内瘘的患者中，A医院的总平均直接成本为25.10美元，B医院为37.34美元，C医院为25.01美元；在有双腔导管的患者中，A医院为32.07美元，B医院为40.58美元，C医院为30.35美元。A医院的加权平均值为26.59美元，B医院为38.96美元，C医院为27.68美元。值得注意的是，与“血液透析导管通路的安装和移除”相比，“血液透析内瘘通路的安装和移除”造成的经济影响显著较低。
凭借所获得的知识，将有可能在决策过程中支持医院管理人员、技术管理人员和护理专业人员，以合理分配进行常规血液透析所需的投入。
