Cost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazil

Cost estimate of hospital stays for premature newborns in a public tertiary hospital in Brazil

Autor Desgualdo, Claudia Maria Autor UNIFESP Google Scholar
Riera, Rachel Autor UNIFESP Google Scholar
Zucchi, Paola Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo OBJECTIVES: To estimate the direct costs of hospital stays for premature newborns in the Interlagos Hospital and Maternity Center in São Paulo, Brazil and to assess the difference between the amount reimbursed to the hospital by the Unified Health System and the real cost of care for each premature newborn. METHODS: A cost-estimate study in which hospital and professional costs were estimated for premature infants born at 22 to 36 weeks gestation during the calendar year of 2004 and surviving beyond one hour of age. Direct costs included hospital services, professional care, diagnoses and therapy, orthotics, prosthetics, special materials, and blood products. Costs were estimated using tables published by the Unified Health System and the Brasindice as well as the list of medical procedures provided by the Brazilian Classification of Medical Procedures. RESULTS: The average direct cost of care for initial hospitalization of a premature newborn in 2004 was $2,386 USD. Total hospital expenses and professional services for all premature infants in this hospital were $227,000 and $69,500 USD, respectively. The costs for diagnostic testing and blood products for all premature infants totaled $22,440 and $1,833 USD. The daily average cost of a premature newborn weighing less than 1,000 g was $115 USD, and the daily average cost of a premature newborn weighing more than 2,500 g was $89 USD. Amounts reimbursed to the hospital by the Unified Health System corresponded to only 27.42% of the real cost of care. CONCLUSIONS: The cost of hospital stays for premature newborns was much greater than the amount reimbursed to the hospital by the Unified Health System. The highest costs corresponded to newborns with lower birth weight. Hospital costs progressively and discretely decreased as the newborns' weight increased.
Palavra-chave Costs and Cost Analysis
Premature Birth
Infant
Low Birth Weight
Intensive Care Units
Neonatal Public Health
MeSH
Idioma Inglês
Data de publicação 2011-01-01
Publicado em Clinics. Faculdade de Medicina / USP, v. 66, n. 10, p. 1773-1777, 2011.
ISSN 1807-5932 (Sherpa/Romeo, fator de impacto)
Publicador Faculdade de Medicina / USP
Extensão 1773-1777
Fonte http://dx.doi.org/10.1590/S1807-59322011001000016
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000296015500016
SciELO S1807-59322011001000016 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/6157

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