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住院部静脉炎治疗程序的直接成本。

Direct cost of procedures for phlebitis treatment in an Inpatient Unit.

机构信息

Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Gerenciamento em Enfermagem, São Paulo, SP, Brasil.

Universidade de São Paulo, Escola de Enfermagem, Departamento de Orientação Profissional, São Paulo, SP, Brasil.

出版信息

Rev Esc Enferm USP. 2020 Dec 11;54:e03647. doi: 10.1590/S1980-220X2019011403647. eCollection 2020.

Abstract

OBJECTIVE

To identify the average direct cost of the procedures performed for phlebitis treatment in patients in an Inpatient Unit and estimate the costs of the procedures performed to treat phlebitis in this unit.

METHOD

A quantitative, exploratory-descriptive, single-case study. Initially, records of the procedures performed for phlebitis management were identified. Then, the cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing technicians by the unit cost of direct labor, added to the cost of materials in 2017.

RESULTS

107 phlebitis referring to 96 patients were reported. To treat the different grades of phlebitis, three procedures were carried out "application of ointment of chamomile flower extract"; "Compress application"; "Peripheral venous access installation". "Peripheral venous access installation with Íntima® catheter" corresponded to the most expensive procedure (US$ 8.90-SD=0.06). Considering the record of the execution of 656 (100%) procedures, the total average direct cost estimate corresponded to US$ 866.18/year.

CONCLUSION

Knowledge about the costs of procedures can support decision making that increase allocation efficiency of consumed resources.

摘要

目的

确定住院患者静脉炎治疗程序的平均直接成本,并估算该科室治疗静脉炎所执行程序的成本。

方法

一项定量、探索性描述性单病例研究。最初,确定了用于静脉炎管理的程序记录。然后,通过乘以护理技术人员执行程序所花费的时间(使用计时器计时)乘以直接劳动的单位成本,并加上 2017 年的材料成本,计算出成本。

结果

报告了 96 例患者的 107 例静脉炎。为了治疗不同程度的静脉炎,共进行了三项程序:“应用洋甘菊花提取物软膏”;“压缩敷贴”;“外周静脉通路安装”。“外周静脉通路安装与Íntima®导管”对应于最昂贵的程序(8.90 美元-标准差=0.06)。考虑到执行 656 项(100%)程序的记录,总平均直接成本估计为每年 866.18 美元。

结论

了解程序成本可以支持决策,从而提高消耗资源的分配效率。

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