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[统一卫生系统中对初级保健敏感疾病的住院费用相关因素]

[Factors associated with the cost of hospitalization for diseases sensitive to Primary Care in the Unified Health System].

作者信息

Oliveira Thatiane Lopes, Santos Claudio Medeiros, Miranda Leonardo de Paula, Nery Maria Luiza Ferreira, Caldeira Antônio Prates

机构信息

Instituto Federal do Norte de Minas Gerais. R. Prof. Monteiro Fonseca 216, Vila Brasilia. 39400-149 Montes Claros MG Brasil.

Fundação Hospitalar de Montes Claros. Montes Claros MG Brasil.

出版信息

Cien Saude Colet. 2021 Oct;26(10):4541-4552. doi: 10.1590/1413-812320212610.10862021. Epub 2021 May 22.

DOI:10.1590/1413-812320212610.10862021
PMID:34730642
Abstract

The scope of this article is to identify the factors associated with the costs of hospital admissions for Conditions Sensitive to Primary Care (CSPC) in the Unified Health System (SUS). It involved a cross-sectional, analytical study with random samples of hospitalizations in the SUS over the period of two years. The distribution of costs and the duration of 414 hospitalizations were evaluated according to sex, age group and CSPC. The high cost had a prevalence of 37.8% and was associated with being over 40 years of age and unmarried, with an income below 1.5 minimum wages, hospitalization longer than 7 days and admission to the ICU. The average period of hospitalizations was 9.35 days, and the average cost was R$3,606.09. The hospitalization of youths had a cost/day of R$207.08, while for the elderly the cost/day was R$399.53. Men had a higher prevalence of hospitalizations and were responsible for the elevated average cost of hospitalization. Cardiac, pulmonary, and cerebrovascular diseases were prevalent, and cardiac diseases were responsible for the highest cost of hospitalization. These results point to the urgent need to bolster Primary Health Care, with constant monitoring of these diseases, thereby ensuring that available resources are sufficient to treat them, without the need for hospitalization and unnecessary expenses.

摘要

本文旨在确定统一卫生系统(SUS)中对初级保健敏感疾病(CSPC)的住院费用相关因素。这是一项横断面分析研究,对SUS在两年期间的住院随机样本进行了研究。根据性别、年龄组和CSPC评估了414例住院病例的费用分布和住院时长。高费用的患病率为37.8%,与40岁以上、未婚、收入低于1.5个最低工资、住院超过7天以及入住重症监护病房有关。平均住院时长为9.35天,平均费用为3606.09雷亚尔。青年住院患者的每日费用为207.08雷亚尔,而老年患者的每日费用为399.53雷亚尔。男性住院患病率较高,导致住院平均费用升高。心脏、肺部和脑血管疾病较为普遍,心脏病导致的住院费用最高。这些结果表明迫切需要加强初级卫生保健,持续监测这些疾病,从而确保现有资源足以治疗这些疾病,避免住院和不必要的费用。

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