Direct costs of asthma in Brazil: a comparison between controlled and uncontrolled asthmatic patients

Direct costs of asthma in Brazil: a comparison between controlled and uncontrolled asthmatic patients

Autor Santos, Lucia Ande Autor UNIFESP Google Scholar
Oliveira, Maria Alenita de Autor UNIFESP Google Scholar
Faresin, Sonia Maria Autor UNIFESP Google Scholar
Santoro, Ilka Lopes Autor UNIFESP Google Scholar
Fernandes, Ana Luisa Godoy Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Asthma is a common chronic illness that imposes a heavy burden on all aspects of the patient's life, including personal and health care cost expenditures. To analyze the direct cost associated to uncontrolled asthma patients, a cross-sectional study was conducted to determine costs related to patients with uncontrolled and controlled asthma. Uncontrolled patient was defined by daytime symptoms more than twice a week or nocturnal symptoms during two consecutive nights or any limitations of activities, or need for relief rescue medication more than twice a week, and an ACQ score less than 2 points. A questionnaire about direct cost stratification in health services, including emergency room visits, hospitalization, ambulatory visits, and asthma medications prescribed, was applied. Ninety asthma patients were enrolled (45 uncontrolled/45 controlled). Uncontrolled asthmatics accounted for higher health care expenditures than controlled patients, US$125.45 and US$15.58, respectively [emergency room visits (US$39.15 vs US$2.70) and hospitalization (US$86.30 vs US$12.88)], per patient over 6 months. The costs with medications in the last month for patients with mild, moderate and severe asthma were US$1.60, 9.60, and 25.00 in the uncontrolled patients, respectively, and US$6.50, 19.00 and 49.00 in the controlled patients. In view of the small proportion of uncontrolled subjects receiving regular maintenance medication (22.2%) and their lack of resources, providing free medication for uncontrolled patients might be a cost-effective strategy for the public health system.
Palavra-chave Asthma
Health care costs
Health economy
Health care resources
Idioma Inglês
Data de publicação 2007-07-01
Publicado em Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 40, n. 7, p. 943-948, 2007.
ISSN 0100-879X (Sherpa/Romeo, fator de impacto)
Publicador Associação Brasileira de Divulgação Científica
Extensão 943-948
Fonte http://dx.doi.org/10.1590/S0100-879X2006005000129
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000248411200008
SciELO S0100-879X2007000700008 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/3800

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