Direct costs of integrated procedures of conventional hemodialysis performed by nursing professionals

Lima, Antônio Fernandes Costa

doi:10.1590/1518-8345.1812.2944

Cited by 9 publications

(20 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this context, the increased costs with material resources has attracted the attention and concern of health managers, who need to promote investments in resource management systems, in order to generate less burden and to maintain the quality and quantity of care. 21 In this perspective, a study 22 that investigated the panoramic situation of HD carried out by the public health system in Brazil revealed that almost 50% of the spendings with renal therapy in the country were concentrated in São Paulo, Rio de Janeiro and Minas Gerais. Such data also reflect the unequal treatment between the regions of the country, registered in another national study .…”

Section: Methodsmentioning

confidence: 99%

Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

Júnior

Santos

Jesus

et al. 2019

Rev enferm UFPE on line.

View full text Add to dashboard Cite

Objective: to analyze the records on the accomplishment of hemodialysis treatment and its financial impacts in Northeast Brazil, between 2014 and 2017. Method: this is a quantitative, descriptive and ecological study, with data from the Outpatient Information System. The options related to hemodialysis were selected, resulting in eight types of procedures. Data were analyzed by means of descriptive and simple statistics and presented as tables. Results: there were 11,837,165 hemodialysis procedures. There was higher prevalence of hemodialysis in Bahia (24.6%) and in elective character (97.9%). Moreover, the financial impact exceeding R$ 2.2 billion, higher prevalence of burden in Bahia (24.6%) and the procedure carried out up to three times per week are responsible for 93.6% of the total costs. Conclusion: there was a growing behavior in the number of hemodialysis procedures, implying increased public costs and becoming an economic burden for the Unified Health System. This study provides subsidies to encourage the adherence, strengthening and enhancement of Basic Care, especially in relation to the increased quality of care to users with risk factors. Descritores: Epidemiology; Public Health; Nephrology; Renal Dialysis; Healthcare Costs; Costs and Cost Analysis. RESUMOObjetivo: averiguar os registros sobre a realização de tratamento hemodialítico e seus impactos financeiros no Nordeste do Brasil, entre 2014 e 2017. Método: trata-se de estudo quantitativo, descritivo e ecológico, com dados do Sistema de Informações Ambulatoriais. Selecionou-se as opções referentes à hemodiálise, resultando em oito tipos de procedimentos. Analisaram-se os dados por meio de estatística descritiva simples que se apresentaram em tabelas. Resultados: realizaram-se 11.837.165 procedimentos hemodialíticos. Evidenciou-se maior prevalência de hemodiálise na Bahia (24,6%) e em caráter eletivo (97,9%). Destaca-se, ainda, o impacto financeiro superior a R$ 2,2 bilhões, maior prevalência de ônus na Bahia (24,6%) e o procedimento realizado na modalidade de no máximo três vezes por semana responsabilizou-se por 93,6% do total dos custos. Conclusão: conclui-se que, houve comportamento crescente na realização de hemodiálises, implicando no incremento dos custos públicos e tornando-se um fardo econômico para o Sistema Único de Saúde. Ressalta-se que, esse estudo fornece subsídios para incentivar a adesão, o fortalecimento e valorização da Atenção Básica, especialmente em relação ao aumento da qualidade assistencial aos usuários com fatores de risco. RESUMENObjetivo: analizar los registros sobre la realización de tratamiento de hemodiálisis y sus repercusiones financieras en el noreste de Brasil, entre 2014 y 2017. Método: se trata de un estudio cuantitativo, descriptivo y ecológico, con datos del Sistema de Informaciones Ambulatorias. Se seleccionaron las opciones relacionadas con la hemodiálisis, resultando en ocho tipos de procedimientos. Los datos fueron analizados mediante estadística descriptiva y sencilla y presentados en tablas. Resultados:...

show abstract

Section: Methodsmentioning

confidence: 99%

Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

Júnior

Santos

Jesus

et al. 2019

Rev enferm UFPE on line.

View full text Add to dashboard Cite

show abstract

“…As the execution of a procedure may require the consumption of different quantities of supplies, it is possible to establish the average direct cost

[\overset{true¯}{C (P_{i})}]

from the average direct cost of the set of materials

[\overset{true¯}{C {(P_{i})}_{m a t}}]

, solutions

[\overset{true¯}{C {(P_{i})}_{s o l}}]

and workforce

[\overset{true¯}{C {(P_{i})}_{m o b}}]

7 :

\overset{true¯}{C (P_{i})} = \overset{true¯}{C {(P_{i})}_{m a t}} + \overset{true¯}{C {(P_{i})}_{s o l}} + \overset{true¯}{C {(P_{i})}_{m o b}}

(equation 1).…”

Section: Methodsmentioning

confidence: 99%

“…The

\overset{true¯}{C {(P_{i})}_{m o b}}

is obtained by the sum of the average costs of each professional category (nurses and nursing technicians)

[\overset{true¯}{C h_{c}}]

participating in the procedure 7

\overset{true¯}{C {(P_{i})}_{m o b}} = {true140% \sum}_{c = 1}^{n} \overset{true¯}{C h_{c}}

(equation 8).…”

Section: Methodsmentioning

confidence: 99%

“…Finally, by replacing equations (4), (7) and (10) in the equation (1), we obtain equation (11) 7 :

\overset{true¯}{C (P_{i})} = {true140% \sum}_{k = 1}^{n} (\overset{true¯}{q_{k}} \cdot \overset{true¯}{P u_{k}}) + {true140% \sum}_{k = 1}^{n} (\overset{true¯}{q s_{k}} \cdot \overset{true¯}{P s u_{k}}) + {true140% \sum}_{c = 1}^{n} (\overset{true¯}{t_{c}} \cdot \overset{true¯}{S u_{c}})

(11). Then, for calculation of the

\overset{true¯}{C (P_{i})}

, the following intervenient variables were defined: average quantity of materials

[\overset{true¯}{q m_{k}}]

; average unit price of each material

[\overset{true¯}{P m u_{k}}]

; average quantity of solutions/drugs

[\overset{true¯}{q s_{k}}]

; average unit price of each solution/drug

[\overset{true¯}{P s u_{k}}]

; average time spent per professional category

[\overset{true¯}{t_{c}}]

; average unit salary mass of each professional category

[\overset{true¯}{S u_{c}}]

7 .…”

Section: Methodsmentioning

confidence: 99%

“…Then, for calculation of the

\overset{true¯}{C (P_{i})}

, the following intervenient variables were defined: average quantity of materials

[\overset{true¯}{q m_{k}}]

; average unit price of each material

[\overset{true¯}{P m u_{k}}]

; average quantity of solutions/drugs

[\overset{true¯}{q s_{k}}]

; average unit price of each solution/drug

[\overset{true¯}{P s u_{k}}]

; average time spent per professional category

[\overset{true¯}{t_{c}}]

; average unit salary mass of each professional category

[\overset{true¯}{S u_{c}}]

7 .…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Direct cost of maintenance of totally implanted central venous catheter patency

Homo

Lima

2018

Rev. Latino-Am. Enfermagem

Self Cite

View full text Add to dashboard Cite

Objective:to identify the average direct cost of maintaining the patency of totally implanted central venous catheter with heparin at a Day Hospital of a public hospital of high complexity specialized in the treatment of cancer patients, and estimate the average direct cost of replacing heparin with sodium chloride 0.9%. Method:quantitative, exploratory-descriptive study, with a sample of 200 non-participant observations of the maintenance of totally implanted central venous catheters with heparin. The average direct cost was calculated by multiplying the (clocked) time spent by professionals to complete the procedure by the direct unit cost of workforce, added to the cost of materials and solutions. Results:the estimated total direct cost of catheter maintenance with heparin was US$ 9.71 (SD=1.35) on average, ranging from US$ 7.98 to US$ 23.28. The estimated total direct cost of maintenance with 0.9% sodium chloride in the place of heparin was US$ 8.81 (SD=1.29) on average, resulting in a reduction of US$ 0.90 per procedure. Conclusion:the results contributed to propose strategies to assist in cost containment/minimization in this procedure. The replacement of heparin by 0.9% sodium chloride proved to be an option to reduce the total average direct cost.

show abstract

Personalized Management of Sodium and Volume Imbalance in Hemodialysis to Mitigate High Costs of Hospitalization

Hornig¹,

Canaud²,

Bowry³

2023

Blood Purif

View full text Add to dashboard Cite

The primary objective of hemodialysis (HD) is lowering concentrations of organic uremic toxins that accumulate in blood in end-stage kidney disease (ESKD) and redress imbalances of inorganic compounds in particular sodium and water. Removal by ultrafiltration of excess fluid that has accumulated during the dialysis-free interval is a vital aspect of each HD session. Most HD patients are volume overloaded, with ∼25% of patients having severe (>2.5 L) fluid overload (FO). The potentially serious complications of FO contribute to the high cardiovascular morbidity and mortality observed in the HD population. Weekly cycles imposed by the schedule of HD treatments create a deleterious and unphysiological “tide phenomenon” marked by sodium-volume overload (loading) and depletion (unloading). Fluid overload-related hospitalizations are frequent and costly, with average cost estimates of $ 6,372 per episode, amounting to some $ 266 million total costs over a 2-year period in a US dialysis population. Various strategies (e.g., dry weight management or use of fluids with different sodium concentrations) have been attempted to rectify FO in HD patients but have met with limited success largely due to imprecise and cumbersome, or costly, approaches. In recent years, conductivity-based technologies have been refined to actively restore sodium and fluid imbalance and maintain the predialysis plasma sodium set point (plasma tonicity) of each patient. By automatically controlling the dialysate-plasma sodium gradient based on the specific patient needs throughout a session, an individualized sodium dialysate prescription can be delivered. Maintaining precise sodium mass balance helps better control of blood pressure, reduces FO, and thus tends to prevent hospitalization for congestive heart failure. We present the case for personalized salt and fluid management via a machine-integrated sodium management tool. Results from proof-of-principle clinical trials indicate that the tool enables individualized sodium-fluid volume control during each HD session. Its application in routine clinical practice has the potential to mitigate the substantial economic burden of hospitalizations attributed to volume overload complications in HD. Additionally, such a tool would contribute toward reduced symptomology and dialysis-induced multiorgan damage in HD patients and to improving their treatment perception and quality of life which matters most to patients.

show abstract

Direct costs of integrated procedures of conventional hemodialysis performed by nursing professionals

Cited by 9 publications

References 10 publications

Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

Direct cost of maintenance of totally implanted central venous catheter patency

Personalized Management of Sodium and Volume Imbalance in Hemodialysis to Mitigate High Costs of Hospitalization

Contact Info

Product

Resources

About