Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Nobrega, Caroline Rife; Lima, Antônio Fernandes Costa

doi:10.1590/s0080-623420140000400018

Cited by 14 publications

(20 citation statements)

References 10 publications

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“…Material costs, especially extracorporeal circuits, and medication/solutions corresponded to the values that contributed the most to the total mean direct cost, similarly to the results of other studies on the direct costs of procedures performed by nursing professionals 11 - 12 .…”

Section: Discussionsupporting

confidence: 83%

“…Hospital organizations undoubtedly need detailed and consistent information on the costs incurred in the provision of their services, since they assist in the adequate application of scarce resources, especially in hospitals providing services to the SUS 12 . However, efforts need to be centered beyond cost containment strategies, since it is necessary to know how these cost are formed in the different care processes, in order to improve the distribution of resources and services without losing quality, increasing the accessibility for the users 18 .…”

Section: Discussionmentioning

confidence: 99%

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

Lima

2018

Rev. Latino-Am. Enfermagem

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Objective:to analyze the mean direct cost of the constituent procedures of conventional hemodialysis, performed in three public teaching and research hospitals. Method:quantitative, exploratory-descriptive study, of the multiple case study type. The mean direct cost was calculated by multiplying the time (timed) spent by nursing professionals, on the execution of procedures, by the unit cost of direct labor, added to the cost of materials and solutions/medications. Results:the total mean direct cost, in patients with an arteriovenous fistula corresponded to US$25.10 in hospital A, US$37.34 in hospital B and US$25.01 in hospital C, and in patients with a dual lumen catheter, US$32.07 in hospital A, US$40.58 in hospital B and US$30.35 in hospital C. The weighted mean values obtained were US$26.59 for hospital A, US$38.96 for hospital B and US$27.68 for hospital C. It was noted that the “installation and removal of hemodialysis fistula access” caused a significantly lower economic impact compared to “installation and removal of hemodialysis catheter access”. Conclusion:with the knowledge developed it will be possible to support hospital managers, technical managers and nursing professionals in the decision making process, with a view to the rational allocation of the necessary inputs for the performance of conventional hemodialysis.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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

Lima

2018

Rev. Latino-Am. Enfermagem

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“…Perhaps, the biggest advantage of the current study relates to its “household-based” data collection. Most published papers addressing inpatient care expenditures belonged to “hospital-based” investigations [ 4 , 9 , 10 , 12 ] and hence suffered from major selection biases since ICC expenditures vary greatly across hospitals and drawing a sample of ICC cases from hospitals in proportion to ICC cases actually happened in the community is almost impossible. Although estimating ICC burden via “household surveys” avoids the sampling difficulties faced with “hospital-based” studies, it is prone to recall biases.…”

Section: Discussionmentioning

confidence: 99%

Inpatient care burden due to cancers in Anhui, China: a cross-sectional household survey

et al. 2016

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BackgroundThe financial burden of cancers has profound effects and there is a clear need to explore the issue from different perspectives and for different population groups. This study aimed at investigating inpatient cancer care (ICC) burden in Anhui, a typical inland province of China.MethodsThe study collected data through a household survey conducted during April to November, 2014 using cluster-randomized sampling and a structured questionnaire administered face-to-face by trained interviewers.ResultsThe survey covered 60,678 urban and rural residents and 318 person-times of ICC during the past year. Age-adjusted annual person-times and days of ICC per thousand population added up to 4.24 and 76.78 respectively and urban residents showed significantly greater admission rates and length of stay than that of rural ones. Total ICC expenditures accounted for 13.30 % of all that of inpatient care for the whole population. Per-case direct and indirect costs of all types of cancers were estimated as 10365.1 and 929.9 RMB. Per-case total cost on ICC at township hospitals was 2142.3 RMB and at province level hospitals, 17133.0 RMB. Significant variations in per-case ICC expenditures also existed between patients with different household income and type of medical insurance systems, but patients suffering from different types of cancers. Out-of-pocket payment due to ICC turned out to be catastrophic for 20.6 % of all cancer patients and 65.2 % for other medical insurance, 45.6 % for enrollees of urban and rural medical insurance, 43.2 % for the 65 to 74 years old. Multi regression revealed statistically significant association between ICC costs and education, reimbursement ratio, household income and level of hospital.ConclusionsCancers characterize low incidence, moderate service use and high expenses. There exist substantial differences between subgroups and part of these variations cannot be explained by pathological factors. ICC expenses are catastrophic in nature to a large part of patients. There is a clear need for more effectively regulating cancer-related medical practices and service seeking behaviors.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2995-z) contains supplementary material, which is available to authorized users.

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“…Muitos países reconhecem que serviços de saúde são caros e, consequentemente, os gastos em saúde são altos (15)(16). Nas organizações hospitalares, a elevação crescente dos custos, para o atendimento das diferentes necessidades de cuidados, demanda a realização de estudos sobre os aspectos financeiros a fim de propiciar estratégias que contribuam com o uso racional dos recursos, equilibrando a oferta de serviços de saúde e a sua viabilidade econômica (17)(18) .…”

Section: Discussionunclassified

Custo Direto Da Hemodiálise Em Unidade De Terapia Intensiva Adulto

Hsiao¹,

Lima

2015

Cogitare Enferm.

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Objetivou-se identificar o custo direto médio total da hemodiálise convencional realizada por técnicos de enfermagem a pacientes com lesão renal aguda em Unidade de Terapia Intensiva Adulto. Pesquisa quantitativa em estudo de caso, realizada em hospital público de ensino e pesquisa, entre janeiro e abril de 2014. Calculou-se o custo direto médio das etapas constituintes da hemodiálise multiplicando-se o tempo despendido na sua execução pelo custo unitário da mão-de-obra direta, somando-se ao custo dos materiais, soluções e medicamentos. Obteve-se o custo direto médio total de R$ 434,83 (DP= 65,10) que foi impactado pelos custos diretos médios das etapas “monitorização” (R$ 205,58), “preparo da máquina e do circuito extracorpóreo” (R$ 120,96) e “desinfecção interna e limpeza da máquina” (R$ 42,10). Conclui-se que a metodologia proposta poderá ser reproduzida em outras Unidades de Terapia Intensiva subsidiando a tomada de decisões com vistas à eficiência alocativa dos recursos envolvidos na consecução da hemodiálise convencional.

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Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Cited by 14 publications

References 10 publications

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

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

Inpatient care burden due to cancers in Anhui, China: a cross-sectional household survey

Custo Direto Da Hemodiálise Em Unidade De Terapia Intensiva Adulto

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