Prefeitura Municipal de Florianópolis, Florianópolis, Brasil.
Universidade do Estado de Santa Catarina, Florianópolis, Brasil.
Cad Saude Publica. 2023 Apr 14;39(3):e00095522. doi: 10.1590/0102-311XEN095522. eCollection 2023.
Telephone nurse triage services are becoming increasingly common in healthcare systems worldwide. Florianópolis (Santa Catarina State, Brazil) is the first municipality in the country to provide this service in its public health system. This study adopted a quantitative, descriptive, and analytical methodology to evaluate the impact of this program on overall costs of the public health system. The research examined all 33,869 calls received by the telephone triage service from March 16 to October 31 in 2020, and calculated the program costs during the period. Avoided cost were calculated by the difference between estimated consultation costs considering patient-stated first alternative and the program recommendation after triage. Analyzing only the costs for the municipality of Florianópolis, the program's costs exceeded avoided costs by almost BRL 2.5 million during the period. By expanding the analysis to include costs of emergency department consultation - not administered by the municipality - based on data from previous research, we found that the program spares BRL 34.59 per call, a 21% cost reduction for the health system. Considering the preliminary results of the study and its limitations, it is understood that the service of telephone nurse triage can reduce costs in the healthcare system.
电话护士分诊服务在全球医疗系统中越来越普遍。弗洛里亚诺波利斯（巴西圣卡塔琳娜州）是该国第一个在公共卫生系统中提供此项服务的城市。本研究采用定量、描述和分析方法，评估该计划对公共卫生系统总成本的影响。该研究调查了 2020 年 3 月 16 日至 10 月 31 日期间电话分诊服务收到的所有 33869 个电话，并计算了该期间的项目成本。避免成本是通过考虑患者自述的首选和分诊后建议之间的估计咨询成本之间的差异来计算的。仅分析弗洛里亚诺波利斯市的成本，该计划在此期间的成本超出了避免成本近 250 万雷亚尔。通过扩展分析，根据之前研究的数据，包括紧急部门咨询的成本-不由该市管理，我们发现该计划每通电话节省 34.59 雷亚尔，使医疗系统的成本降低了 21%。考虑到研究的初步结果及其局限性，可以理解电话护士分诊服务可以降低医疗保健系统的成本。
