Estudos de avaliação econômica em saúde: definição e aplicabilidade aos sistemas e serviços de saúde

Silva, Everton Nunes da; Silva, Marcus Tolentino; Pereira, Maúrício Gomes

doi:10.5123/s1679-49742016000100023

Cited by 11 publications

(7 citation statements)

References 1 publication

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“…According to the International Society for Pharmacoeconomics and Outcomes Research, the evaluation of economic outcomes is part of the routine of health systems and services and shows satisfactory results on cost reducion. 77-79 The literature has highlighted economic evidence for health interventions. 74,75,80-83 Ong et al 80 found a 41% reduction in risk for hospital admissions (incidence rate ratio = 0.59; 95% CI = 0.47-0.73; P < 0.001), cost of hospital admissions (from $16 118.35 to $12 773.40, P < 0.001), and length of stay (from 22.4 days to 17.6 days, 17.8 days, P = 0.010) in elderly Singaporeans after 6 months of pharmaceutical care.…”

Section: Discussionmentioning

confidence: 99%

Medication Regimen Complexity Measured by MRCI: A Systematic Review to Identify Health Outcomes

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Medication Regimen Complexity Measured by MRCI: A Systematic Review to Identify Health Outcomes

et al. 2018

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“…In this context, we have the concept of opportunity cost, which uses limited resources in a perspective of health interventions that compete with each other due to this financial shortage. Such a concept assumes that when a wrong intervention is performed, i.e., when there is no additional benefit, the opportunity to use the same monetary value in options that could bring more gains to the population is wasted 33 .…”

Section: Gratuity Of Justicementioning

confidence: 99%

“…According to Viola 45 , the provision could be limited only to what is necessary for the purpose of protecting human life. Such a situation is not characterized in the present demand, which refers to the treatment of a chronic condition by the use of the Therasuit Method, which, according to studies [33][34][35][36][37][38][39][40][41][42][43] , is presented with limited effectiveness.…”

Section: Rev Bras Epidemiol 2019; 22: E190006mentioning

confidence: 99%

Perfil da judicialização do Método Therasuit e seu custo direto no âmbito do Estado do Rio de Janeiro

Moraes

Teixeira

Santos

2019

Rev. bras. epidemiol.

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RESUMO: Introdução: O Método Therasuit possui alto custo e não é disponibilizado pelo Sistema Único de Saúde, o que tem ocasionado a judicialização desse tratamento. O estudo visou traçar o perfil dessa judicialização, bem como estimar os custos diretos decorrentes do cumprimento das decisões judiciais deferidas. Método: Foram analisados processos submetidos ao Tribunal de Justiça do Rio de Janeiro entre janeiro de 2013 e janeiro de 2017, no qual foi solicitado o Método Therasuit. Os dados demográficos, clínicos, advocatícios e jurídicos foram extraídos, assim como o tempo da decisão judicial e os orçamentos da tecnologia requerida. Resultados: O total de 11 processos foi analisado. Os autores tinham uma média de idade de 6,8 anos e mediana de 6, sendo a maioria do sexo masculino e residentes na capital do estado. A quadriparesia foi a condição mais relatada. A gratuidade de justiça foi solicitada por todos, e a Defensoria Pública foi utilizada em 9 dos 11 processos analisados. Foram consideradas as decisões judiciais em primeira instância. O tempo da decisão judicial foi em média de 266,5 dias com uma mediana de 35,5. Em todos houve requerimento da ferramenta jurídica tutela antecipada. O índice de deferimento foi de 90%, totalizando um custo direto anual de R$501.894,09. Discussão: A judicialização desse tratamento pode ocasionar um deslocamento não previsto de verba pública, podendo impactar nos princípios da equidade e na integralidade do Sistema Único de Saúde. Conclusão: Constatou-se elevada taxa de processos deferidos, acarretando um alto custo despendido pelo Poder Público para atender a uma pequena parcela de pacientes.

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“…In this complex and multifactorial equation of health analysis from an economic point of view (Table 1) 5 , the standard, potentially modifiable numerator, and with a direct impact on the economic costs of treatment, is the average length of hospital stay for a given disease or intervention (Figure 1) 6 .…”

Section: Introductionmentioning

confidence: 99%

Sigle-center, observational, prospective study describing same-day discharge implementation for uncomplicated elective percutaneous coronary intervention by radial approach: Study protocol

Aquino

Botelho

Matsuda³

et al. 2021

Rev Cienc Saude

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Objectives: The study's primary objective will be to evaluate the safety and describe the initial experience of implementing early discharge (on the same day) of coronary patients from the Unified Health System undergoing elective, uncomplicated, transradial percutaneous coronary intervention. The secondary objective will be to assess the impact on the direct cost per patient compared to previously known data from the classic hospital stay used (hospital overnight). Methods: Observational and prospective study of patients undergoing elective uncomplicated transradial percutaneous coronary intervention with early discharge, respecting the inclusion and exclusion criteria. Follow-up of patients will be carried out to prove the safety of the new strategy in the population of the Unified Health System and to compare the direct costs between overnight stays and discharge on the same day. This will be the first study dedicated to primarily evaluating the safety of early discharge after elective uncomplicated transradial coronary angioplasty, validating this protocol in the population of the Brazilian public health system.

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Estudos de avaliação econômica em saúde: definição e aplicabilidade aos sistemas e serviços de saúde

Cited by 11 publications

References 1 publication

Medication Regimen Complexity Measured by MRCI: A Systematic Review to Identify Health Outcomes

Medication Regimen Complexity Measured by MRCI: A Systematic Review to Identify Health Outcomes

Perfil da judicialização do Método Therasuit e seu custo direto no âmbito do Estado do Rio de Janeiro

Sigle-center, observational, prospective study describing same-day discharge implementation for uncomplicated elective percutaneous coronary intervention by radial approach: Study protocol

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