scholarly journals Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

2014 ◽  
Vol 60 (3) ◽  
pp. 222-230 ◽  
Author(s):  
Roger Rosa ◽  
Marcelo Eidi Nita ◽  
Roberto Rached ◽  
Bonnie Donato ◽  
Elaine Rahal
Keyword(s):  
Diabetes Mellitus ◽  
Healthcare System ◽  
Primary Diagnosis ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public ◽  
Unified Health System ◽  
The Mean ◽  
Mean Cost ◽  
The Impact

Objective: to estimate the number of hospitalizations attributable to diabetes mellitus (DM) and its complications within the public healthcare system in Brazil (SUS) and the mean cost paid per hospitalization. Methods: the official database from the Hospital Information System of the Unified Health System (SIH/SUS) was consulted from 2008 to 2010. The proportion of hospitalizations attributable to DM was estimated using attributable risk methodology. The mean cost per hospitalization corresponds to direct medical costs in nursing and intensive care, from the perspective of the SUS. Results: the proportion of hospitalizations attributable to DM accounted for 8.1% to 12.2% of total admissions in the period, varying according to use of maximum (self-reported with correction factor) or minimal (self-reported) DM prevalence. The hospitalization rate was 47 to 70.8 per 10.000 inhabitants per year. The mean cost per hospitalization varied from 1.302 Brazilian Reais (BRL) to 1,315 BRL. Assuming the maximum prevalence, hospitalizations were distributed as 10.3% as DM itself, 36.6% as chronic DM-associated complications and 53.1% as general medical conditions. Advancing age was accompanied by an increase in hospitalization rates and corresponding costs, and more pronounced in male patients. Conclusion: the results express the importance of DM in terms of the use of health care resources and demonstrate that studies of hospitalizations with DM as a primary diagnosis are not sufficient to assess the magnitude of the impact of this disease.

scholarly journals Breaking the breach in Latin America. A pilot study of mechanical thrombectomy in the public healthcare system in Chile

2020 ◽  
pp. 159101992096537
Author(s):  
Luis A Lemme Plaghos
Keyword(s):  
Latin America ◽  
Pilot Study ◽  
Healthcare System ◽  
Mechanical Thrombectomy ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public

Brief commentary about implications of the Pilot Study of Mechanical Thrombectomy in the Public Healthcare System of Chile.

scholarly journals Telerehabilitation program for older adults on a waiting list for physical therapy after hospital discharge: study protocol for a pragmatic randomized trial protocol

2021 ◽  
Author(s):  
Pollyana Ruggio Tristao Borges ◽  
Renan Resende ◽  
Jane Fonseca Dias ◽  
Marisa Cotta Mancini ◽  
Rosana Ferreira Sampaio
Keyword(s):  
Older Adults ◽  
Clinical Trial ◽  
Cost Effectiveness ◽  
Physical Therapy ◽  
Hospital Discharge ◽  
Healthcare System ◽  
Economic Evaluations ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public

Abstract Background: Delays in starting physical therapy after hospital discharge worsen deconditioning in older adults. Intervening quickly can minimize the negative effects of deconditioning. Telerehabilitation is a strategy that increases access to rehabilitation, improves clinical outcomes, and reduces costs. This paper presents the protocol for a pragmatic clinical trial that aims to determine the effectiveness and cost-effectiveness of a multi-component intervention offered by telerehabilitation for discharged older adults awaiting physical therapy for any specific medical condition.Methods: This is a pragmatic randomized controlled clinical trial with two groups: telerehabilitation and control. Participants (n=230) will be recruited among individuals discharged from hospitals who are in the public healthcare system physical therapy waiting lists. The telerehabilitation group will receive a smartphone app with a personalized program (based on individual’s functional ability) of resistance, balance, and daily activity training exercises. The intervention will be implemented at the individuals’ homes. This group will be monitored weekly by phone and monthly through a face-to-face meeting until they start physical therapy. The control group will adhere to the public healthcare system usual flow and will be monitored weekly by telephone until they start physical therapy. The primary outcome will be physical function (Timed Up and Go and 30-second Chair Stand Test). The measurements will take place in baseline, start, and discharge of outpatient physical therapy. The economic evaluations will be performed from the perspective of society and the Brazilian public healthcare system.Discussion: The study will produce evidence on the effectiveness and cost-effectiveness of multi-component telerehabilitation intervention for discharged older adult patients awaiting physical therapy, providing input that can aid implementation of similar proposals in other patient groups. Trial registration: Brazilian Clinical Trials Registry, RBR-9243v7. Registered on 24 August 2020.

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