Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods
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2017
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Resumo
Objective: To determine and compare hospitalization costs of
bacterial community-acquired pneumonia cases via different costing
methods under the Brazilian Public Unified Health System perspective.
Methods: Cost-of-illness study based on primary data collected
from a sample of 59 children aged between 28 days and 35 months
and hospitalized due to bacterial pneumonia. Direct medical and
non-medical costs were considered and three costing methods
employed: micro-costing based on medical record review, micro-costing
based on therapeutic guidelines and gross-costing based on the
Brazilian Public Unified Health System reimbursement rates. Costs
estimates obtained via different methods were compared using
the Friedman test. Results: Cost estimates of inpatient cases of
severe pneumonia amounted to R$ 780,70/$Int. 858.7 (medical
record review), R$ 641,90/$Int. 706.90 (therapeutic guidelines) and
R$ 594,80/$Int. 654.28 (Brazilian Public Unified Health System
reimbursement rates). Costs estimated via micro-costing (medical
record review or therapeutic guidelines) did not differ significantly
(p=0.405), while estimates based on reimbursement rates were
significantly lower compared to estimates based on therapeutic
guidelines (p<0.001) or record review (p=0.006). Conclusion:
Brazilian Public Unified Health System costs estimated via different
costing methods differ significantly, with gross-costing yielding
lower cost estimates. Given costs estimated by different micro-costing
methods are similar and costing methods based on therapeutic
guidelines are easier to apply and less expensive, this method may be a valuable alternative for estimation of hospitalization costs of
bacterial community-acquired pneumonia in children.
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Pneumonia, Hospitalization, Child, Costs and cost analysis, Health expenditures, Medical records, Unified Health System, Pneumonia, Hospitalização, Criança, Custos e análise de custo, Gastos em saúde, Registros médicos, Sistema Único de Saúde
Citação
NUNES, Sheila Elke Araujo et al. Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods. Einstein, São Paulo, v. 15, n. 2, p. 212-219, 2017. DOI: 10.1590/S1679-45082017GS3855. Disponível em: https://www.scielo.br/j/eins/a/LpgSrXtHwf4xjb4bxcJLKJp. Acesso em: 12 ago. 2024.