scholarly journals Cost of diseases related to alcohol consumption in the Brazilian Unified Health System

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Evandro Silva Freire Coutinho ◽  
Luciana Bahia ◽  
Laura Augusta Barufaldi ◽  
Gabriela de Azevedo Abreu ◽  
Thainá Alves Malhão ◽  
...  
Keyword(s):  
Information System ◽  
Relative Risk ◽  
Alcohol Consumption ◽  
Health System ◽  
Health Problem ◽  
Hospital Care ◽  
Meta Analysis ◽  
Direct Costs ◽  
Unified Health System ◽  
Consumption Rates

ABSTRACT OBJECTIVE To estimate the direct costs associated to outpatient and hospital care of diseases related to alcohol consumption in the Brazilian Unified Health System. METHODS Attributable populational risks were estimated for the selected diseases related to the use of 25 g/day or more of ethanol (risk consumption), considering a relative risk (RR) ≥ 1.20. The RR estimates were obtained from three meta-analysis. The risk consumption rates of the Brazilian population ≥ 18 years old were obtained by a national survey. Data from the Hospital Information System of SUS (HIS-SUS) were used to estimate the annual costs of the health system with the diseases included in the analysis. RESULTS The total estimated costs for a year regarding diseases related to risk consumption were U$8,262,762 (US$4,413,670 and US$3,849,092, for outpatient and hospital care, respectively). CONCLUSIONS Risk consumption of alcohol is an important economic and health problem, impacting significantly the health system and society.

scholarly journals Costs Related To Immunopreventable Diseases: Brazil And Its Geographic Areas (Immunopreventable Diseases’ Costs In Brazil)

2021 ◽  
Author(s):  
Elide Sbardellotto Mariano da Costa ◽  
Adriano Hyeda ◽  
Eliane M Cesario Periera Maluf
Keyword(s):  
Retrospective Study ◽  
Health System ◽  
Hospital Stay ◽  
Yellow Fever ◽  
Whooping Cough ◽  
Direct Costs ◽  
Unified Health System

Abstract Introduction: the occurrence of the immunopreventable diseases in a population global reality.Objective: to discriminate the direct costs of the hospitalizations from the immunopreventable diseases in the Unified Health System (SUS), in Brazil and their areas, between 2008 and 2018.Methods: A population, observational, descriptive and retrospective study, with data from the information supplied by the DATASUS website, these data were collected during the 2019.Results: It was identified 457,479 hospitalizations in the period; with a total of 2,450,870 days of hospital stay, with total costs of R$389,243,264.85. Only the disease mumps presented a growing tendency in whole areas; the chickenpox was decreasing; the illness whooping cough, yellow fever and tetanus were stationary in this period. Conclusions: The costs related to immunopreventable diseases were relevant in all the Brazil areas, with tendencies different between the geographic areas and between the several illnesses analyZed.

scholarly journals Previous hospital admissions in risk adjustment for mortality of elderly patients admitted with hip fracture

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Helen Machareth ◽  
Cláudia Coeli ◽  
Rejane Pinheiro
Keyword(s):  
Information System ◽  
Hip Fracture ◽  
Health System ◽  
Risk Adjustment ◽  
Hospital Information System ◽  
Hospital Admissions ◽  
Hospital Death ◽  
The Public ◽  
Unified Health System ◽  
Ischemic Diseases

ABSTRACTIntroductionThe Hospital Information System of the Brazilian Unified Health System (SIH-SUS) can be an important tool in evaluating care through comparisons of mortality rates among hospitals. However, the SIH-SUS has limited availability of data on comorbidities, which are needed in order to measure the severity of patients' condition for risk adjustment when comparing mortality among hospitals. ObjectivesTo analyze previous hospital admissions as an indicator of severity of patients' condition using as an example hip fracture admissions. ApproachWe analyzed 1984 patients with 62 years of age or older with hip fracture who were admitted to the public health system in Rio de Janeiro City between 2010 and 2011. The causes of previous hospital admissions were obtained through probabilistic record linkage with the SIH-SUS for all causes of admissions between 2008 and 2010. We analyzed the association between the patient having had a any previous admission, adjusted by sex and age, with hospital death, through a logistic regression model. We also analyzed the association between groups of causes of admission with hospital death. ResultsHaving had at least one previous hospital admission due to any cause before the admission for hip fracture was associated with a 77% increase in the odds of hospital death (CI 95% = 1.06 – 2.94). Among comorbidities, the most relevant were severe or moderate kidney disease with OR = 20.196 (CI 95% = 3.042 – 134.092), ischemic diseases with OR = 9.099 (CI 95% = 0.973 – 85.106), pneumonia with OR = 3.619 (CI 95% = 0.977 – 13.401) and diverse fractures and lesions with OR = 2.041 (CI 95% = 0.900 – 4.627). We were not able to analyze the association for some comorbidities due to an absence in outcome variability in some groups. ConclusionResults point to a promising use of previous hospital admissions in the Hospital Information System as a proxy for patient's risk adjustment.

scholarly journals Evaluation of maternal and neonatal hospital care: quality index of completeness

2014 ◽  
Vol 48 (4) ◽  
pp. 682-691 ◽  
Author(s):  
Ana Lúcia Andrade da Silva ◽  
Antonio da Cruz Gouveia Mendes ◽  
Gabriella Morais Duarte Miranda ◽  
Domicio Aurélio de Sá ◽  
Wayner Vieira de Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Hospital Care ◽  
Care Quality ◽  
Composite Indicators ◽  
Care Practice ◽  
Delivery Care ◽  
Hospital Size ◽  
Unified Health System ◽  
Selection Of Variables

OBJECTIVE Develop an index to evaluate the maternal and neonatal hospital care of the Brazilian Unified Health System.METHODS This descriptive cross-sectional study of national scope was based on the structure-process-outcome framework proposed by Donabedian and on comprehensive health care. Data from the Hospital Information System and the National Registry of Health Establishments were used. The maternal and neonatal network of Brazilian Unified Health System consisted of 3,400 hospitals that performed at least 12 deliveries in 2009 or whose number of deliveries represented 10.0% or more of the total admissions in 2009. Relevance and reliability were defined as criteria for the selection of variables. Simple and composite indicators and the index of completeness were constructed and evaluated, and the distribution of maternal and neonatal hospital care was assessed in different regions of the country.RESULTS A total of 40 variables were selected, from which 27 single indicators, five composite indicators, and the index of completeness of care were built. Composite indicators were constructed by grouping simple indicators and included the following variables: hospital size, level of complexity, delivery care practice, recommended hospital practice, and epidemiological practice. The index of completeness of care grouped the five variables and classified them in ascending order, thereby yielding five levels of completeness of maternal and neonatal hospital care: very low, low, intermediate, high, and very high. The hospital network was predominantly of small size and low complexity, with inadequate child delivery care and poor development of recommended and epidemiological practices. The index showed that more than 80.0% hospitals had a low index of completeness of care and that most qualified heath care services were concentrated in the more developed regions of the country.CONCLUSIONS The index of completeness proved to be of great value for monitoring the maternal and neonatal hospital care of Brazilian Unified Health System and indicated that the quality of health care was unsatisfactory. However, its application does not replace specific evaluations.

scholarly journals Costs related to immunopreventable diseases: Brazil and its geographic areas (immunopreventable diseases’ costs in Brazil)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Élide Sbardellotto M. da Costa ◽  
Adriano Hyeda ◽  
Eliane M. C. P. Maluf
Keyword(s):  
Retrospective Study ◽  
Health System ◽  
Hospital Stay ◽  
Yellow Fever ◽  
Whooping Cough ◽  
Direct Costs ◽  
Unified Health System

Abstract Introduction The occurrence of the immunopreventable diseases in a population global reality. Objective To discriminate the direct costs of the hospitalizations from the immunopreventable diseases in the Unified Health System (SUS), in Brazil and their areas, between 2008 and 2018. Methods A population, observational, descriptive and retrospective study, with data from the information supplied by the DATASUS website, these data were collected during the 2019. Results It was identified 457,479 hospitalizations in the period; with a total of 2,450,870 days of hospital stay, with total costs of R$389,243,264.85. Only the disease mumps presented a growing tendency in whole areas; the chickenpox was decreasing; the illness whooping cough, yellow fever and tetanus were stationary in this period. Conclusions The costs related to immunopreventable diseases were relevant in all the Brazil areas, with tendencies different between the geographic areas and between the several illnesses analysed.

scholarly journals OVERVIEW OF THE UNIQUE HEALTH SYSTEM (SUS):

2021 ◽  
Vol 1 (06) ◽  
Author(s):  
Suellen Cristina Ribeiro Akamine
Keyword(s):  
Primary Care ◽  
Health System ◽  
Hospital Care ◽  
Hospital Admissions ◽  
Care Service ◽  
Family Health ◽  
Health Problems ◽  
Unified Health System ◽  
Family Health Strategy ◽  
Care Family

The Unified Health System has a network of teaching and research institutions such as universities, institutes and schools of public health that interact with state and municipal secretariats, the ministry of health, agencies and foundations. Primary Care is the main gateway to the SUS, starting with welcoming, listening and offering solutions to most health problems of the population, minimizing damage and suffering, aiming at the effectiveness of care, ensuring its completeness. SUS offers users the Hospital Care service of medium and high complexity. The objective of this study was to emphasize the importance of organizing the Unified Health System, highlighting Primary Care, Family Health Strategy and NASF, aiming at preventing health problems for the population. The results observed through bibliographic studies were the importance of adopting prevention strategies to minimize or avoid the individual's illness. It was concluded that the organization of the health system from Primary Care to Hospital Care is extremely important, emphasizing the need to seek preventive strategies adopted by the teams to prevent diseases, minimizing the need for hospital admissions, and providing quality of life to population.

scholarly journals Costs Related to Immunopreventable Diseases: Brazil and Its Geographic Areas (Immunopreventable Diseases’ Costs in Brazil)

2021 ◽  
Author(s):  
Elide Sbardellotto Mariano da Costa ◽  
Adriano Hyeda ◽  
Eliane M Cesario Periera Maluf
Keyword(s):  
Retrospective Study ◽  
Health System ◽  
Hospital Stay ◽  
Key Words ◽  
Yellow Fever ◽  
Whooping Cough ◽  
Hospital Costs ◽  
Direct Costs ◽  
Communicable Diseases ◽  
Unified Health System

Abstract Introduction: the occurrence of the immunopreventable diseases in a population global reality. Objective: to discriminate the direct costs of the hospitalizations from the immunopreventable diseases in the Unified Health System (SUS), in Brazil and their areas, between 2008 and 2018. Methods: A population, observational, descriptive and retrospective study, with data from the information supplied by the DATASUS website, these data were collected during the 2019. Results: It was identified 457,479 hospitalizations in the period; with a total of 2,450,870 days of hospital stay, with total costs of R$389,243,264.85. Only the disease mumps presented a growing tendency in whole areas; the chickenpox was decreasing; the illness whooping cough, yellow fever and tetanus were stationary in this period. Conclusions: The costs related to immunopreventable diseases were relevant in all the Brazil areas, with tendencies different between the geographic areas and between the several illnesses analyZed. KEY WORDS: Hospital Costs; Communicable diseases; Vaccines; Unified Health System

scholarly journals Economic burden of colorectal and breast cancers attributable to lack of physical activity in Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leandro F. M. Rezende ◽  
Gerson Ferrari ◽  
Luciana Ribeiro Bahia ◽  
Roger Dos Santos Rosa ◽  
Michelle Quarti Machado da Rosa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Economic Burden ◽  
Meta Analysis ◽  
Direct Costs ◽  
National Health Survey ◽  
Exposure Level ◽  
Breast Cancers ◽  
Physical Activity Guidelines ◽  
Unified Health System ◽  
Post Menopausal

Abstract Background The increasing number of cancer patients has an escalating economic impact to public health systems (approximately, International dollars- Int$ 60 billion annually in Brazil). Physical activity is widely recognized as one important modifiable risk factor for cancer. Herein, we estimated the economic costs of colon and post-menopausal breast cancers in the Brazilian Unified Health System (SUS) attributable to lack of physical activity. Methods Population attributable fractions were calculated using prevalence data from 57,962 adults who answered a physical activity questionnaire in the Brazilian National Health Survey, and relative risks of colon and breast cancer from a meta-analysis. Annual costs (1 Int$ = 2.1 reais) with hospitalization, chemotherapy and radiotherapy were obtained from the Hospital and Ambulatory Information Systems of the Brazilian SUS. Two counterfactual scenarios were considered: theoretical minimum risk exposure level (≥8000 MET-min/week) and physical activity guidelines (≥600 MET-min/week). Results Annually, the Brazilian SUS expended Int$ 4.5 billion in direct costs related to cancer treatment, of which Int$ 553 million due to colon and breast cancers. Direct costs related to colon and breast cancers attributable to lack of physical activity were Int$ 23.4 million and Int$ 26.9 million, respectively. Achieving at least the physical activity guidelines would save Int$ 10.3 mi (colon, Int$ 6.4 mi; breast, Int$ 3.9 mi). Conclusions Lack of physical activity accounts for Int$ 50.3 million annually in direct costs related to colon and post-menopausal breast cancers. Population-wide interventions aiming to promote physical activity are needed to reduce the economic burden of cancer in Brazil.

Identifying psychosocial determinants related to alcohol consumption during pregnancy: a systematic literature review

2018 ◽  
Author(s):  
Sylvia Roozen ◽  
Gjalt - Jorn Ygram Peters ◽  
Gerjo Kok ◽  
Leopold Curfs
Keyword(s):  
Alcohol Consumption ◽  
Pregnant Women ◽  
Perceived Risk ◽  
Human Subjects ◽  
Meta Analysis ◽  
Univariate Analysis ◽  
Childbearing Age ◽  
Psychosocial Determinants ◽  
Maternal Alcohol ◽  
Maternal Alcohol Consumption

BackgroundFetal Alcohol Spectrum Disorders (FASD) is an important global health problem in need of prevention. For FASD prevention it is important to understand why pregnant women engage or do not engage in drinking alcohol. It remains unknown which psychosocial determinants related to maternal alcohol consumption are most in need of prevention. The objective of this study was to identify these.MethodWe searched in PubMed, PsychINFO, PsychARTICLES, ERIC, CINAHL, EMBASE and MEDLINE databases up to May 2018 using an extensive query consisting of keywords related to pregnancy (e.g., maternal, prenatal), alcohol use (e.g., alcohol, drink) and determinants (e.g., attitude, norm). Studies were excluded when not published in English, were reviews, or involved non-human subjects. Substantial heterogeneity precluded aggregation or meta-analysis of the data. Instead, data were qualitatively inspected.ResultsA total of 23 studies including 150 identified items were eligible for data analysis. Studies covered over 15 psychosocial determinants (e.g., attitude, perceived social norm, risk perception). Studies differed in their operationalizations. As a majority of data was based on univariate analysis, little is known about the relationship with specific drinking behaviors. The majority of studies targeted perceived risk and motivation to comply with each social referents' approval or disapproval. A large proportion of studies focused on disadvantages and risks of maternal alcohol consumption. Results from these studies show that women do not continue to drink because the risks are unknown to them. Cautious interpretation is needed while the observed heterogeneity hindered firm conclusions. Conclusion We aimed to identify all relevant psychosocial determinants of maternal alcohol consumption behavior(s). The state of the literature precludes such conclusions. It remains unknown which determinants are most in need of intervention. It is recommended for future studies to (i) identify all possible psychosocial determinants of drinking during pregnancy using both quantitative and qualitative methods; (ii) include different target groups (e.g., women with unplanned pregnancies, pregnant women, women in childbearing age); (iii) identify key environmental agents; (iv) operationalize their measures based on theoretical models; (v) report specific variables such as the study method and association with behavior.

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