Desafios no cuidado às complicações agudas do diabetes mellitus em serviço de emergência adulto

Oliveira, Daiani Moraes; Schoeller, Soraia Dornelles; Hammerschmidt, Karina Almeida; Silva, Denise Maria Guerreiro Vieira da; Arruda, Cecília

doi:10.5216/ree.v18.35523

Cited by 5 publications

(10 citation statements)

References 17 publications

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“…Many studies have presented the theme of economic evaluation focused on the care provided by the pharmacist, such as pharmaceutical care, which uses methods such as MTM and patient empowerment [22,44]. Pharmaceutical care in a program for the elderly with T2DM and systemic arterial hypertension followed in primary health care in a municipality in the interior of the state of São Paulo, showed that the implementation of pharmaceutical care does not add significant costs to the health service when compared to the results of the best outcomes achieved in patient care [35].…”

Section: Diabetes and Its Complications 170mentioning

confidence: 99%

“…This stage of care is directed mainly to the direct costs. The glycemic value can be considered an intermediate outcome, and thus, health technologies capable of reducing glycemia have been tested in cost-effectiveness analysis to verify the efficiency of DM care [4,5,22].…”

Section: Costs Associated With the Treatment Of Diabetes Mellitusmentioning

confidence: 99%

“…The WHO estimates that the costs of loss of productivity of DM patients can exceed up to five times the direct costs of this disease [20,36]. It is seen that empowerment of the diabetic patient improves glycemic control and, consequently, reduces the incidence of DM complications over time, which is the main aspect to reduce costs with the treatment of the disease; empowerment of the diabetic patient can be considered an efficient health technology for health systems.Many studies have presented the theme of economic evaluation focused on the care provided by the pharmacist, such as pharmaceutical care, which uses methods such as MTM and patient empowerment [22,44]. Pharmaceutical care in a program for the elderly with T2DM and systemic arterial hypertension followed in primary health care in a municipality in the interior of the state of São Paulo, showed that the implementation of pharmaceutical care does not add significant costs to the health service when compared to the results of the best outcomes achieved in patient care [35].…”

mentioning

confidence: 99%

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Economic Evaluations in Health from the Perspective of the Costs Associated with Diabetes Mellitus Treatment

Cazarim¹,

Gonçalves²,

Pereira³

et al. 2018

Diabetes and Its Complications

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Diabetes mellitus (DM) is a morbidity that presents a wide range of difficulties for the patient to reach the control. This reality not only has impact on the clinical practice but also has serious financial and social consequences for both the patient and the health system. Health technologies that are capable of improving glycemic control have been tested in cost-effectiveness analysis to assess the efficiency of DM care. According to the Brazilian Society of Diabetes, patients with glycated hemoglobin (A1c) within the values considered adequate, less than 6.5%, present a relative risk of developing complications (neuropathy, retinopathy, diabetic foot, pressure ulcers, cardiovascular diseases and renal disease) equal to that of a nondiabetic patient. In highlight, health technologies health technologies have presented positive impact on reducing A1c and, consequently, on reducing diabetes complications. Thus, new health technologies have been capable saving of 72% of resources spent on DM care.Keywords: diabetes mellitus, economics, pharmaceutical, technology assessment, biomedical Economic evaluation in healthHistorically, evaluation processes are part of the development of humanity as a society. After World War II, there was an increase in State activities in the control of services such as health and education in many countries. An economic current gained strength in the development of methodological processes to evaluate these State activities, assessing their © 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.costs and their advantages. These processes conformed themselves into economic health assessments [1].In the course of time, economic evaluation in the area of health has been gaining more rigorous methodological contours, and nowadays, it is characterized as an important tool of public services, in the health economy sector. Health assessment has specific bodies in some developed countries such as the United States, Canada and France [1,2]. In Latin America, Brazil is considered one of the pioneers in the implementation of economic health assessment methodologies, and countries such as Colombia, Mexico, Argentina and Chile have advanced a lot in the area's development [3].The health area constantly goes through processes of technological innovation. Associated with the epidemiological changes of recent years, the incorporation of new health technologies has become a reality with which the management of health services has to deal constantly. This scenario has contributed to the increasing cost of maintaining health services and corroborated the increase in complexity in the administration and functioning of health services [2,4]. It is noteworthy that health has limited and finite resources, which makes health evaluation a complex task, with crit...

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Section: Diabetes and Its Complications 170mentioning

confidence: 99%

Section: Costs Associated With the Treatment Of Diabetes Mellitusmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Economic Evaluations in Health from the Perspective of the Costs Associated with Diabetes Mellitus Treatment

Cazarim¹,

Gonçalves²,

Pereira³

et al. 2018

Diabetes and Its Complications

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“…Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Enfermagem, Florianópolis, SC, Brasil. Correio eletrônico: vipecini@gmail.com 3 Enfermeira. Doutora em Filosofia da Enfermagem.…”

Section: Introductionunclassified

“…Viviane Pecini da Cunha 2 , Alacoque Lorenzini Erdmann 3 , José Luís Guedes dos Santos 4 , Fernando Henrique Antunes Menegon 5 , Keyla Cristiane do Nascimento 6 Institução: Universidade Federal de Santa Catarina…”

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Atendimento a pacientes em situação de urgência: do serviço pré-hospitalar móvel ao serviço hospitalar de emergência

Cunha

Erdmann

Menegon

et al. 2019

Revenf

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O objetivo desta pesquisa foicompreender o atendimento do paciente em situação de urgência desde o serviço pré-hospitalar móvel ao serviço hospitalar de emergência. Trata-se de uma pesquisa qualitativa, com o referencial metodológico da Teoria Fundamentada nos Dados. A coleta de dados ocorreu por meio de entrevistas semi-estruturadas, entre abril a setembro de 2016, com uma amostragem teórica de 24 participantes, entre profissionais de um hospital referência em trauma, Batalhão do Corpo de Bombeiros Militar e Base Operacional Avançada do Serviço Móvel de Urgência. A análise dos dadosocorreu mediante codificação inicial e focalizada.Obtiveram-se três categorias: (1) Atendendo os chamados por atendimentos, (2) Prestando atendimento ao paciente no local de ocorrência e (3) Realizando atendimento ao paciente no serviço hospitalar, que sustentam o fenômeno: “Realizando o atendimento do paciente em situação de urgência do APH móvel para o serviço hospitalar de emergência”. Conclui-se que a acolhimento ao paciente em situação de urgência é iniciado com o acionamento do serviço de atendimento pré-hospitalar móvel. A continuidade deste atendimento ocorre no ambiente hospitalar por meio do acolhimento da equipe e realização dos cuidados necessários, conforme a gravidade do quadro clínico dos pacientes.

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Barriers and facilitators to successful management of type 2 diabetes mellitus in Latin America and the Caribbean: A systematic review

et al. 2020

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Background Given that most evidence-based recommendations for managing type 2 diabetes mellitus (T2DM) are generated in high-income settings, significant challenges for their implementation exist in Latin America and the Caribbean region (LAC), where the rates of T2DM and related mortality are increasing. The aim of this study is to identify the facilitators and barriers to successful management of T2DM in LAC, from the perspectives of patients, their families or caregivers, healthcare professionals, and/or other stakeholders.

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Desafios no cuidado às complicações agudas do diabetes mellitus em serviço de emergência adulto

Cited by 5 publications

References 17 publications

Economic Evaluations in Health from the Perspective of the Costs Associated with Diabetes Mellitus Treatment

Economic Evaluations in Health from the Perspective of the Costs Associated with Diabetes Mellitus Treatment

Atendimento a pacientes em situação de urgência: do serviço pré-hospitalar móvel ao serviço hospitalar de emergência

Barriers and facilitators to successful management of type 2 diabetes mellitus in Latin America and the Caribbean: A systematic review

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