Análise de custos em unidade de Medicina Tradicional, Complementar e Integrativa no Brasil

Assunção, Marcone César Tabosa; Aquino, Camilla Maria Ferreira de; Sousa, Islândia Maria Carvalho de; Neto, Manoel Raymundo de Carvalho; Jordão, Vitor Pereira; Bezerra, Adriana Falangola Benjamin

doi:10.11606/s1518-8787.2020054001649

Cited by 6 publications

(3 citation statements)

References 13 publications

(13 reference statements)

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“…O intuito é ampliar o número de usuários e profissionais que conhecem seus benefícios, seja pelo acesso direto ou por meio de encaminhamento profissional para serviços dessa natureza. Iniciativas como essas podem diluir o custo por usuário de MTCI, visto que unidades voltadas a tais atendimentos apresentam um custo fixo alto (ASSUNÇÃO et al, 2020).…”

Section: Resultsunclassified

Covid-19: Uma Revisão De Literatura

Mendonça¹,

Jansen²,

Araújo³

et al. 2021

Desenvolvimento Científico E Tecnológico No Brasil: Interdisciplinaridade

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RESUMOEsse trabalho teve como objetivo avaliar os constituintes químicos, o índice de acidez e o índice de iodo do óleo obtido a partir das sementes da cagaita (Eugenia dysenterica) coletados no município de Nova Andradina e no distrito de Nova Casa Verde, ambos no estado de Mato Grosso do Sul. Para fins de comparação, utilizou-se o óleo de soja, pois é o óleo vegetal mais produzido no Brasil. Após realizada as análises de duas amostra de óleo produzida a partir das sementes da cagaita, o óleo obtido a partir das sementes coletadas no distrito de Nova Casa Verde apresentou 0,38 % de índice de acidez e 122,13 g I2/100g de índice de iodo, e 0,41% de índice de acidez e 126,48 g I2/100g de índice de iodo para o óleo obtido a partir das sementes coletadas em Nova Andradina. Os resultados também foram comparados com o óleo de soja comercial, que possui em torno de 0,087% de índice de acidez e 124 g I2/100g de índice de iodo. Dessa forma, o óleo obtido a partir das sementes da cagaita mostrou ser mais ácido que o óleo de soja, necessitando de processos que reduza essa acidez para que o óleo atenda ao padrão estabelecido pela ANVISA.

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Section: Resultsunclassified

Covid-19: Uma Revisão De Literatura

Mendonça¹,

Jansen²,

Araújo³

et al. 2021

Desenvolvimento Científico E Tecnológico No Brasil: Interdisciplinaridade

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“…Indirect costs are paid through hospital apportionment, which implies that areas that do not have their own cost center (laundry, cleaning, equipment maintenance, and information technology) have their expenses divided among all sectors of the hospital according to the size in square meters of the local area, number of employees, and number of appliances and equipment on-site ( 11 ). The revenue available for the care of patients in the stroke unit came from the Brazilian public healthcare system to pay all expenses to the patients in accordance with The Management System of Procedures, Medical, Drugs, Orthotics, Prosthetics and Special Materials in Brazil.…”

Section: Methodsmentioning

confidence: 99%

Challenges in adapting a stroke unit in a middle-income country: warning about costs and underfunding to achieve the Brazilian Ministry of Health’s benchmark

Ferreira,

Luvizutto,

Bazan

et al. 2024

Front. Public Health

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BackgroundSince the implementation of the stroke care line in Brazil, the relationship (adequacy) of costs spent during hospitalization with the Brazilian Ministry of Health indicators for a stroke unit have not yet been analyzed.AimsThis study aimed to assess the adequacy of a comprehensive stroke center for key performance indicators and analyze the costs involved in hospitalization. We verified the association between stroke severity at admission and care costs during hospitalization.MethodsA retrospective medical chart review of 451 patients was performed using semiautomatic electronic data from a single comprehensive stroke center in Brazil between July 2018 and January 2020. Clinical and resource utilization data were collected, and the mean acute treatment cost per person was calculated. The Kruskal–Wallis test with Dunn’s post-test was used to compare the total costs between stroke types and reperfusion therapies. A robust linear regression test was used to verify the association between stroke severity at hospital admission and the total hospitalization costs. Good adequacy rates were observed for several indicators.ResultsData from 451 patients were analyzed. The stroke unit had good adaptation to key performance indicators, but some critical points needed revision and improvement to adapt to the requirements of the Ministry of Health. The average total cost of the patient’s stay was the USD 2,637.3, with the daily hospitalization, procedure, operating room, and materials/medication costs equating to USD 2,011.1, USD 220.7, USD 234.1, and USD 98.8, respectively. There was a positive association between the total cost and length of hospital stay (p < 0.001).ConclusionThe stroke unit complied with most of the main performance indicators proposed by the Brazilian Ministry of Health. Underfunding of the costs involved in the hospitalization of patients was verified, and high costs were associated with the length of stay, stroke severity, and mechanical thrombectomy.

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“… 17 , 18 However, in other countries, including Brazil, successful integration of CIH into the education for healthcare professionals remains underreported and lacking. 19 , 20 Almost half of the CIH use in Brazil occurs outside the official health care system. 4 Lack of trained professionals, inadequate financial resources, limited knowledge on implementing and maintaining such practices, and incomplete scientific evidence on practices could explain the only partial integration of CIH into the public sector.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Health Professionals on the Implementation of Integrative and Complementary Practices at a University Pediatric Hospital in Brazil: A Qualitative Interview Study

Tröndle,

Matheus de Souza,

Tiziana Verardo Polastrini

et al. 2023

Integr Cancer Ther

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Background: Despite an increase in use of pediatric complementary and integrative health (PCIH), many healthcare professionals still have an inadequate understanding of such practices and consider their use inappropriate, which might thwart implementation processes. In a qualitative interview study we examined the feedback of conventional healthcare professionals about the integrative practices provided to pediatric patients by an integrative team in a pediatric oncological hospital. Methods: Fifteen semi-structured interviews were carried out with various conventional healthcare professionals in an university pediatric hospital in São Paulo, Brazil. The interviews were audio-recorded, transcribed and pseudonymized. DSCsoft® and MAXQDA® software assisted in a profound qualitative analysis using the collective subject discourse and thematic analysis method in order to display participants’ perspectives on PCIH and the project in their hospital. Results: Interviewees acknowledged their lack of knowledge about PCIH practices and reflected on the limits of their care as well as on new possibilities PCIH could offer. PCIH was perceived by interviewees as an effective supportive tool of care to promote patients’ wellbeing, assist overall compliance, strengthen cooperation between professionals, children and their relatives and hence facilitated general patient care. Since PCIH was implemented in their clinic, perceptions led interviewees to wish for increased PCIH offering and a more profound integration of its therapists into the standard of care. Discussion: The coexistence of integrative and conventional practices in the conventional healthcare setting is important to give visibility to the possibilities offered by the integrative pediatrics field. Regular and constant encounters with integrative practices, as well as information access seem crucial to reach a wider openness for PCIH and subsequently a broader application and dissemination of it.

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Análise de custos em unidade de Medicina Tradicional, Complementar e Integrativa no Brasil

Cited by 6 publications

References 13 publications

Covid-19: Uma Revisão De Literatura

Covid-19: Uma Revisão De Literatura

Challenges in adapting a stroke unit in a middle-income country: warning about costs and underfunding to achieve the Brazilian Ministry of Health’s benchmark

Perceptions of Health Professionals on the Implementation of Integrative and Complementary Practices at a University Pediatric Hospital in Brazil: A Qualitative Interview Study

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