Implementing apportionment strategy to identify costs in a multidisciplinary clinic

Ferraz, Renato Ribeiro Nogueira; Neri, Anna Sofia Costa; Barbosa, Estela Capelas; Cesso, Marcus Vinicius

doi:10.1590/s1679-45082017gs3759

Cited by 3 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given this, the reality of the scarcity of research on the expenses generated, often derives from the multiple characteristics contemplated in each case, their repercussions and the particularity of each patient, making cost analysis difficult. 26 So, the interpretation of data is based on the identification of existing needs in general, which requires the use of funds.…”

Section: Discussionmentioning

confidence: 99%

http://seer.unirio.br/index.php/cuidadofundamental/article/view/7156

Júnior

Nunes

Jesus

et al. 2020

R.pesq.:cuid.fundam.Online

View full text Add to dashboard Cite

Objetivo: Descrever os casos de internações e custos hospitalares por aborto espontâneo no estado da Bahia, Brasil no período de 2011 a 2016. Métodos: Estudo epidemiológico, descritivo e transversal baseado no banco de dados secundários do Departamento de Informática do Sistema Único de Saúde. As variáveis coletadas foram: faixa etária, raça/cor e custos hospitalares. Resultados: Foram registrados 53.761 casos de internações. A maior prevalência ocorreu na macrorregião leste (n=21.925), com faixa etária entre 20 e 24 anos (n=11.944) e cor/raça parda (n=30.319). Os custos hospitalares foram de R$ 6.497.904,99 reais, sendo que o ano de 2012 e a macrorregião Leste geraram maior ônus ao estado. Conclusão: Evidenciou-se grande prevalência de internações na Bahia. A análise desse quadro retoma a necessidade de conceder atenção especial à problemática, principalmente nos grupos prioritários da macrorregião leste do estado.

show abstract

Section: Discussionmentioning

confidence: 99%

http://seer.unirio.br/index.php/cuidadofundamental/article/view/7156

Júnior

Nunes

Jesus

et al. 2020

R.pesq.:cuid.fundam.Online

View full text Add to dashboard Cite

show abstract

“…The complete vaccination schedule is capable of producing protective antibodies in more than 95% of neonates, children and young adults 1 . However, there are host factors (genetic or otherwise) that may influence the vaccine response, which is more effective in newborns, children and adolescents and less immunogenic among the elderly and immunocompromised individuals 8 .…”

Section: Introductionmentioning

confidence: 99%

High prevalence of hepatitis B virus and low vaccine response in children and adolescents in Northeastern Brazil

Castro

Cordeiro

Rolim

et al. 2023

Rev. Inst. Med. trop. S. Paulo

View full text Add to dashboard Cite

Children have an increased likelihood of becoming carriers of the chronic hepatitis B virus. A total of 1,381 children and adolescents were assessed in five municipalities of Maranhao State, Brazil, for detection of anti-HBc, HBsAg and anti-HBs serologic markers and sociodemographic and behavioral features. Among those who were HBsAg negative and anti-HBc negative, the proportion of anti-HBs positives was calculated after the individuals had completed the vaccination schedule. The robust variance of the Poisson’s regression model was used in order to have adjusted tables and calculate the prevalence ratio. Multivariate analysis was performed to identify the factors associated with the prevalence of anti-HBc with or without HBsAg and the vaccine response. It was observed that 163 children were anti-HBc positive and nine individuals were HBsAg positive. The factors associated with the infection were: municipality of residence (residing in Morros municipality or Humberto de Campos municipality), residence in a rural area, aged between 13 and 15 years old, and illicit drug use. The percentage of individuals who were anti-HBc negative and received all three doses of the vaccine was 48.5%. Among these, only 276 (38.9%) had antibodies at protective concentrations. In an adjusted analysis, Morros municipality presented an increased positivity of vaccine response (p < 0.001), and the age ranging between 6 and 10 years old presented a reduced frequency of response. This study reveals a high prevalence of current and past HBV infection within the targeted age group which, in addition to the low vaccination coverage and serological responses, raises concerns about the management of prevention measures, especially the quality of vaccination in these locations.

show abstract

“…One of the main etiologies is viral, in which hepatotropic viruses such as hepatitis A, B, C, D, and E stand out. Out of those ones, hepatitis caused by the B, C, and delta tend to become more chronic and may progress to liver cirrhosis 1 , representing important causes of liver transplantation in industrialized countries 2 .…”

Section: Introductionmentioning

confidence: 99%

Hepatitis mortality in Brazil and regions, 2001–2020: temporal trend and spatial analysis

Sousa

Santos

Oliveira

et al. 2023

Rev. bras. epidemiol.

View full text Add to dashboard Cite

Objective: To analyze the spatial distribution and the temporal trend of the hepatitis mortality rate in Brazil from 2001 to 2020. Methods: Ecological, temporal, and spatial study on mortality from hepatitis in Brazil with data from the Mortality Information System (Sistema de Informações sobre Mortalidade – SIM/DATASUS). Information was stratified by year of diagnosis, region of the country, municipalities (of residence). Standardized mortality rates (SMR) were calculated. The temporal trend was estimated by Prais-Winsten regression and the spatial distribution by the Global Moran Index (GMI). Results: The highest SMR means in Brazil were for Chronic viral hepatitis with 0.88 deaths per 100,000 inhabitants (SD=0.16), followed by Other viral hepatitis with 0.22/100,000 (SD=0.11). In Brazil, the temporal trend of mortality from Hepatitis A was −8.11% per year (95%CI −9.38; −6.82), while for Hepatitis B it was −4.13% (95%CI −6.03; −2.20), of Other viral hepatitis of −7.84% (95%CI −14.11; −1.11) and of Unspecified Hepatitis −5.67% per year (95%CI −6.22; −5.10). Mortality due to chronic viral hepatitis increased by 5.74% (95%CI 3.47; 8.06) in the North and 4.95% in the Northeast (95%CI 0.27; 9.85). The Moran Index (I) for Hepatitis A was 0.470 (p<0.001), for Hepatitis B 0.846 (p<0.001), Chronic viral hepatitis=0.666 (p<0.001), other viral hepatitis=0.713 (p<0.001), and Unspecified Hepatitis=0.712 (p<0.001). Conclusion: The temporal trend of hepatitis A, B, other viral, and unspecified hepatitis was decreasing in Brazil, while mortality from chronic hepatitis was increasing in the North and Northeast.

show abstract

Implementing apportionment strategy to identify costs in a multidisciplinary clinic

Cited by 3 publications

References 3 publications

http://seer.unirio.br/index.php/cuidadofundamental/article/view/7156

http://seer.unirio.br/index.php/cuidadofundamental/article/view/7156

High prevalence of hepatitis B virus and low vaccine response in children and adolescents in Northeastern Brazil

Hepatitis mortality in Brazil and regions, 2001–2020: temporal trend and spatial analysis

Contact Info

Product

Resources

About