Zandonadi Maithê Gomes Lima, Nogueira Danielly Negrão Guassú, Nascimento Amanda Salles Margatho do, Ruiz Paula Buck de Oliveira, Ferreira Natália Marciano de Araújo, Giroti Suellen Karina de Oliveira, Pieri Flávia Meneguetti
Programa de Pós-Graduação em Enfermagem, Universidade Estadual de Londrina, Londrina, PR, Brazil.
Escola de Enfermagem, Universidade de São Paulo de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Einstein (Sao Paulo). 2024 Dec 13;22:eGS0982. doi: 10.31744/einstein_journal/2024GS0982. eCollection 2024.
This study aimed to estimate the direct costs of peripherally inserted central catheterization by nurses for hospitalized patients.
A cost estimation study using a quantitative approach was conducted in a public teaching hospital in northern Paraná to calculate the direct costs of peripherally inserted central catheterization. The population included all medical records of patients between 15 and 99 years of age who were hospitalized and underwent peripherally inserted central catheterization by nurses between January 1, 2019, and December 31, 2021, totaling 664 insertions. The sample comprised 631 insertions.
The catheter kits (epicutaneous catheter + introducer + angulators) corresponded to the items with the highest unit costs and the greatest impact on the composition of costs. The cost of peripherally inserted central catheterization was US$ 217.14 (SD=75.21), with the cost of materials and staff's labor being US$ 195.39 (SD=74.15) and US$ 20.00 (SD=2.22), respectively.
Materials represented the highest cost, which was explained by the high unit cost of catheters and kits used in echocardiography, followed by the staff's labor costs. The estimated average direct cost allowed for financial visibility of the inputs used. The key challenge is promoting lasting changes in the behavior of managers who carry out administrative functions in healthcare institutions, where proper budget management directly affects the allocative efficiency of resources and the quality of care.
本研究旨在估算护士为住院患者进行外周静脉穿刺中心静脉置管的直接成本。
在巴拉那州北部的一家公立教学医院进行了一项采用定量方法的成本估算研究，以计算外周静脉穿刺中心静脉置管的直接成本。研究人群包括2019年1月1日至2021年12月31日期间住院并由护士进行外周静脉穿刺中心静脉置管的15至99岁患者的所有病历，共计664例置管。样本包括631例置管。
导管套件（经皮导管+导引器+血管成角器）是单位成本最高且对成本构成影响最大的项目。外周静脉穿刺中心静脉置管的成本为217.14美元（标准差=75.21），材料成本和工作人员劳动成本分别为195.39美元（标准差=74.15）和20.00美元（标准差=2.22）。
材料成本最高，这是由于超声心动图中使用的导管和套件单位成本较高，其次是工作人员的劳动成本。估计的平均直接成本使所用投入的财务状况清晰可见。关键挑战在于促使医疗机构中履行行政职能的管理人员的行为发生持久变化，在这些机构中，适当的预算管理直接影响资源的配置效率和护理质量。
