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

被引:6
作者
Oliveira, Thatiane Lopes [1 ]
Santos, Claudio Medeiros [2 ]
Miranda, Leonardo de Paula [3 ]
Ferreira Nery, Maria Luiza [4 ]
Caldeira, Antonio Prates [5 ]
机构
[1] Inst Fed Norte Minas Gerais, R Prof Monteiro Fonseca 216, BR-39400149 Montes Claros, MG, Brazil
[2] Fundacao Hosp Montes Claros, Montes Claros, MG, Brazil
[3] Univ Estadual Montes Claros, Montes Claros, MG, Brazil
[4] Confederacao Nacl Cooperat Med, Sao Paulo, SP, Brazil
[5] Univ Estadual Montes Claros, Dept Saude Mulher & Crianca, Montes Claros, MG, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2021年 / 26卷 / 10期
关键词
Primary Health Care; Hospital costs; Hospitalization; BRAZIL; SERVICES; TRENDS; STATE;
D O I
10.1590/1413-812320212610.10862021
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:4541 / 4552
页数:12
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