scholarly journals Gastos públicos com hospitalizações devido às hepatites virais

2019 ◽  
Vol 13 ◽  
Author(s):  
Edison Vitório de Souza Júnior ◽  
Sarah Rodrigues Silva ◽  
Gabriel Aguiar Nunes ◽  
Larissa Vasconcelos Santos ◽  
Débora Fraga de Souza ◽  
...  
Keyword(s):  
Public Health ◽  
Viral Hepatitis ◽  
Public Hospital ◽  
The State ◽  
Public Institutions ◽  
Northeastern Brazil ◽  
System Data ◽  
Hospital Expenses ◽  
Care Costs ◽  
Sistemas De Informacion

Objetivo: descrever os gastos públicos com as hospitalizações devido às hepatites virais no Nordeste brasileiro entre 2013 e 2017. Método: trata-se de um estudo quantitativo, ecológico e descritivo com dados do Sistema de Informações Hospitalares. Analisaram-se os dados com o auxílio do software Excel, utilizando-se frequências absolutas e relativas e apresentando-os em tabelas. Resultados: registraram-se 4.317 internações para o tratamento das hepatites virais no Nordeste brasileiro. Destaca-se a prevalência de internações no ano de 2014 (40,6%), no Estado do Maranhão (27,2%) e nas instituições públicas (50,2%). Gerou-se, além disso, um impacto financeiro superior a R$ 1,3 milhão aos cofres públicos e o Maranhão representou o maior ônus (21,3%). Conclusão: torna-se necessário o incremento nas taxas diagnósticas e terapêuticas, especialmente, no Estado do Maranhão, por evidenciar a maior quantidade de internações, implicando maiores gastos públicos hospitalares. Descritores: Epidemiologia; Saúde pública; Vigilância em Saúde Pública; Custos de Cuidados de Saúde; Sistemas de informação.Abstract Objective: describe public expenditure on hospitalizations due to viral hepatitis in northeastern Brazil between 2013 and 2017. Method: this is a quantitative, ecological and descriptive study with data from the Hospital Information System. Data was analyzed with the aid of Excel software, using absolute and relative frequencies and presented in tables. Results: 4,317 hospitalizations were registered for the treatment of viral hepatitis in Northeastern Brazil. The prevalence of hospitalizations in 2014 (40.6%), in the State of Maranhão (27.2%) and in public institutions (50.2%) stands out. In addition, there was a financial impact of over R $ 1.3 million on public coffers and Maranhão represented the largest burden (21.3%). Conclusion: it is necessary to increase the diagnostic and therapeutic rates, especially in the state of Maranhão, as it shows the largest number of hospitalizations, implying higher public hospital expenses. Descriptors: Epidemiology; Public Health; Public Health Surveillance; Health Care Costs; Information Systems.Resumen Objetivo: describir los gastos públicos con las hospitalizaciones debido a las hepatitis virales en el noreste de Brasil entre 2013 y 2017. Método: se trata de un estudio cuantitativo, ecológico y descriptivo, con datos del Sistema de Informaciones del Hospital. Los datos se analizaron con el auxilio del software Excel utilizando frecuencias absolutas y relativas y presentadas en tablas. Resultados: se registraron 4,317 hospitalizaciones para el tratamiento de las hepatitis virales en el noreste de Brasil. Se destaca una mayor prevalencia de hospitalizaciones en 2014 (40.6%), en el Estado de Maranhão (27.2%) y en las instituciones públicas (50.2%). Además, se generó un impacto financiero de más de R $ 1,3 millones para las arcas públicas y Maranhão fue responsable de una mayor carga (21,3%). Conclusión: se torna necesario el aumento en las tasas diagnósticas y terapéuticas, especialmente en el Estado de Maranhão, ya que se evidencia una mayor cantidad de hospitalizaciones, lo que implica mayores costos hospitalarios. Descriptores: Epidemiología; Salud Pública; Vigilancia En Salud Pública; Costos De La Atención En Salud; Sistemas de Información.

scholarly journals Insuficiência renal aguda no Nordeste brasileiro: morbimortalidade e custos públicos

2019 ◽  
Vol 13 ◽  
Author(s):  
Edison Vitório de Souza Júnior ◽  
Diego Pires Cruz ◽  
Gabriel Aguiar Nunes ◽  
Giovanna Maria Nascimento Caricchio ◽  
Sávio Luiz Ferreira Moreira ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Kidney Diseases ◽  
Northeastern Brazil ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Average Value ◽  
Hospital Morbidity ◽  
Public Costs ◽  
Care Costs ◽  
Sistemas De Informacion

Objetivo: descrever a morbimortalidade hospitalar e custos públicos relacionados à insuficiência renal aguda no Nordeste brasileiro. Método: trata-se de estudo quantitativo, ecológico e descritivo realizado com dados do Sistema de Informações Hospitalares. Coletaram-se as variáveis: internações; óbitos; mortalidade; valores dos serviços hospitalares; valores médios gastos com as internações e média de permanência hospitalar. Analisaram-se os dados com estatística descritiva, apresentando-os em tabelas elaboradas pelo software Excel. Resultados: registraram-se 21.100 internações, 4.460 óbitos e mortalidade de 21,1%. Destacaram-se a Bahia nas internações (28,6%) e óbitos (28,7%) e Sergipe na letalidade (35,6%). Gerou-se custo público superior a R$ 37,6 milhões e a Bahia responsabilizou-se por 32,1%. Revelou-se valor médio de R$ 1.969,97 para cada internação e a média de permanência hospitalar foi de 10,2 dias. Conclusão: conclui-se que as variáveis epidemiológicas apresentaram maior prevalência nos Estados da Bahia e Sergipe. Evidenciou-se, além disso, comportamento crescente das internações, implicando o incremento dos custos públicos. Descritores: Saúde Pública; Nefrologia; Nefropatias; Epidemiologia; Custos de Cuidados de Saúde; Sistemas de Informação. Abstract Objective: to describe hospital morbidity and mortality and public costs related to acute renal failure in northeastern Brazil. Method: this is a quantitative, ecological and descriptive study conducted with data from the Hospital Information System. The following variables were collected: hospitalizations; deaths; mortality; values of hospital services; average values spent on hospitalizations and average hospital stay. Data was analyzed with descriptive statistics and presented in tables prepared by Excel software. Results: 21,100 hospitalizations, 4,460 deaths and 21.1% mortality were registered. Bahia stood out in hospitalizations (28.6%) and deaths (28.7%) and Sergipe in lethality (35.6%). It generated a public cost over R $ 37.6 million and Bahia accounted for 32.1%. An average value of R $ 1,969.97 was revealed for each hospitalization and the average hospital stay was 10.2 days. Conclusion: it is concluded that the epidemiological variables were more prevalent in the states of Bahia and Sergipe. In addition, the increasing behavior of hospitalizations was evidenced, implying an increase in public costs. Descriptors:  Public Health; Nephrology; Kidney Diseases; Epidemiology; Health Care Costs; Information Systems.Resumen Objetivo: describir la morbimortalidad hospitalaria y los costos públicos relacionados con la Insuficiencia Renal Aguda en el Noreste de Brasil. Método: se trata de un estudio cuantitativo, ecológico y descriptivo realizado con datos del Sistema de Informaciones Hospitalarias. Se recogieron las siguientes variables: hospitalizaciones; muertes, mortalidad, valores de los servicios hospitalarios; promedio de valores gastados en admisiones y promedio de permanencia hospitalaria. Los datos se analizaron con estadísticas descriptivas y se presentaron en tablas elaboradas por el software Excel. Resultados: se registraron 21.100 admisiones, 4.460 muertes y 21.1% de mortalidad. Bahía se destacó en hospitalizaciones (28.6%) y muertes (28.7%), y Sergipe en letalidad (35.6%). Se generó un costo público de más de R$ 37,6 millones y Bahía fue responsable del 32.1%. El valor medio de R $ 1,969.97 se reveló para cada hospitalización y la permanencia hospitalaria con promedio de 10,2 días. Conclusión: se concluye que las variables epidemiológicas presentaron mayor prevalencia en los Estados de Bahía y Sergipe. Además, hubo evidencia de un mayor comportamiento de hospitalización, lo que implica un aumento en los costos públicos. Descriptores: Salud Pública; Nefrología; Enfermedades Renales; Epidemiología; Costos de la Atención en Salud; Sistemas de Información.

scholarly journals Perfil de morbiletalidade e impacto econômico por neoplasia maligna prostática

2019 ◽  
Vol 13 ◽  
Author(s):  
Edison Vitório de Souza Júnior ◽  
Michele Silva dos Santos ◽  
Caiuze Aguiar Nunes ◽  
Átila Rodrigues Souza ◽  
Laís Emily Souza Trindade ◽  
...  
Keyword(s):  
Public Health ◽  
Economic Impact ◽  
Medical Oncology ◽  
Public Health System ◽  
The Public ◽  
El Sistema ◽  
Care Costs ◽  
Sistemas De Informacion ◽  
Impacto Económico ◽  
Malignant Prostate

Objetivo: descrever o perfil de morbiletalidade e impacto econômico por neoplasia maligna de próstata. Método: trata-se de estudo quantitativo, do tipo ecológico e descritivo, com dados do Sistema de Informações Hospitalares referentes às internações registradas no Nordeste brasileiro entre 2012 a 2017. Analisaram-se os resultados no software Excel, com frequências absoluta e relativa, apresentando-os em tabelas. Resultados: registraram-se 33.426 internações e 2.702 óbitos, correspondendo a uma letalidade de 8,1%. Destacou-se maior prevalência de internações em pessoas entre 65 a 69 anos (21,6%), óbitos na faixa etária igual ou superior a 80 anos (28,8%) e letalidade entre 35 a 39 anos (31,3%). Observa-se, ainda, um impacto econômico superior a R$ 126 milhões. Conclusão: conclui-se que o perfil de morbiletalidade se refere à maior prevalência das variáveis em homens acima de 35 anos de idade, evidenciando, dessa forma, a fragilidade dessa população. Destaca-se, ainda, que a doença implica maior oneração ao sistema público de saúde, além de constituir um fator de grande impacto na identidade pessoal masculina. Descritores: Epidemiologia; Saúde Pública; Saúde do Homem; Oncologia; Custos de Cuidados de Saúde; Sistemas de Informação.Abstract Objective: to describe the profile of morbidity and economic impact of malignant prostate cancer. Method: This is a quantitative, ecological and descriptive study, with data from the Hospital Information System regarding hospitalizations registered in the Northeast of Brazil from 2012 to 2017. The results were analyzed in Excel software with absolute and relative frequencies, presenting the in tables. Results: 33,426 hospitalizations and 2,702 deaths were registered, corresponding to a lethality of 8.1%. There was a higher prevalence of hospitalizations in people aged 65 to 69 years (21.6%), deaths aged 80 years or over (28.8%) and lethality between 35 to 39 years (31.3%). There is also an economic impact of over R $ 126 million. Conclusion: it can be concluded that the morbidity profile refers to the higher prevalence of variables in men over 35 years of age, thus evidencing the fragility of this population. It is also highlighted that the disease implies greater burden on the public health system, besides being a factor of great impact on male personal identity. Descriptors:  Epidemiology; Public Health; Men's Health; Medical Oncology; Health Care Costs; Information Systems.Resumen Objetivo: describir el perfil de morbiletalidad y el impacto económico por neoplasia maligna de próstata. Método: se trata de un estudio cuantitativo, ecológico y descriptivo con datos del Sistema de Informaciones Hospitalarias que se refieren a las hospitalizaciones registradas en el noreste de Brasil entre 2012 y 2017. Los resultados se analizaron en un software Excel con frecuencias absolutas y relativas presentándose en tablas. Resultados: se registraron 33,426 hospitalizaciones y 2,702 muertes, lo que corresponde a una tasa de letalidad del 8.1%. Se observó una mayor prevalencia de hospitalizaciones en personas de 65 a 69 años (21.6%), muertes en el grupo de edad de 80 años o más (28.8%) y letalidad entre 35 y 39 años (31.3%). También se observa un impacto económico de más de R $ 126 millones. Conclusión: se concluye que, el perfil de morbiletalidad se refiere a la mayor prevalencia de las variables en hombres mayores de 35 años, evidenciando, de esta manera, la fragilidad de esta población. También vale la pena señalar que la enfermedad implica una mayor carga para el sistema de salud pública, además de ser un factor de gran impacto en la identidad personal masculina. Descriptores: Epidemiología; Salud Pública; Salud del Hombre; Oncología Médica; Costos de la Atención en Salud; Sistemas de Información.

A Synopsis of Dicliptera (Acanthaceae) in Brazil, with the Description of Two New Species

2020 ◽  
Vol 45 (2) ◽  
pp. 340-348
Author(s):  
James Lucas da Costa-Lima ◽  
Earl Celestino de Oliveira Chagas
Keyword(s):  
New Species ◽  
South America ◽  
The State ◽  
Northeastern Brazil ◽  
Mato Grosso ◽  
The North ◽  
New Synonyms ◽  
Two New Species ◽  
Mato Grosso Do Sul ◽  
A New Species

Abstract—A synopsis of Dicliptera (Acanthaceae) for Brazil is presented. Six species are recognized: Dicliptera ciliaris, D. sexangularis, and D. squarrosa, widely distributed in South America; D. purpurascens, which ranges from the North Region of Brazil (in the state of Acre) to eastern Bolivia; D. gracilirama, a new species from the Atlantic Forest of northeastern Brazil; and D. granchaquenha, a new species recorded in dry and semideciduous forests in Bolivia and western Brazil, in the state of Mato Grosso do Sul. Furthermore, we propose new synonyms and designate lectotypes for eleven names. An identification key to the six accepted Dicliptera species in Brazil is provided.

Interaction of the State and Business on Indicators of Values and Innovations of Public Health

2019 ◽  
pp. 27-37
Author(s):  
V.A. Morozov
Keyword(s):  
Public Health ◽  
State Power ◽  
The State ◽  
Medical Institutions ◽  
Business Structures

The article analyzes the state of public health on the example of domestic and foreign statistics, as well as prospects for its development and improvement. The state of relations and forms of interaction of budgetary medical institutions (state, municipal) with private clinics, as well as directly private clinics with the structures of municipal and state power are considered. The directions and ways of interaction of power and business structures for improvement of methods and forms of service of patients on the basis of indicators of values and innovations are offered.

Japanese-language videos on YouTube as a source of public health information for COVID-19 (Preprint)

2020 ◽  
Author(s):  
Takeo Yasu
Keyword(s):  
Public Health ◽  
Health Information ◽  
Scientific Evidence ◽  
The State ◽  
Video Content ◽  
Sources Of Information ◽  
State Of Emergency ◽  
Public Health Information ◽  
Youtube Videos ◽  
Spread Of Infection

BACKGROUND Serious public health problems, such as the COVID-19 pandemic, can cause an infodemic. Sources of information that may cause an infodemic include social networking services; YouTube, which consists of content created and uploaded by individuals, is one such source. OBJECTIVE To survey the content and changes in YouTube videos that present public health information about COVID-19 in Japan. METHODS We surveyed YouTube content regarding public health information pertaining to COVID-19 in Japan. YouTube searches were performed on March 6, 2020 (before the state of emergency), April 14 (during the state of emergency), and May 27 (after the state of emergency was lifted), with 136, 113, and 140 sample videos evaluated, respectively. The main outcome measures were: (1) The total number of views for each video, (2) video content, and (3) the usefulness of the video. RESULTS In the 100 most viewed YouTube videos during the three periods, the number of videos on public health information in March was significantly higher than in May (p = .02). Of the 331 unique videos, 9.1% (n = 30) were released by healthcare professionals. Useful videos providing public health information about the prevention of the spread of infection comprised only 13.0% of the sample but were viewed significantly more often than not useful videos (p = .006). CONCLUSIONS Individuals need to take care when obtaining information from YouTube before or early in a pandemic, during which time scientific evidence is scarce.

The State Action Doctrine and The Local Government Antitrust Act: The Restructured Public Hospital Model

1988 ◽  
Vol 14 (2-3) ◽  
pp. 171-219
Author(s):  
Theodore N. McDowel ◽  
J. Marbury Rainer
Keyword(s):  
Local Government ◽  
Public Hospital ◽  
The State ◽  
State Action ◽  
Hospital Facility ◽  
Practical Matter ◽  
Antitrust Analysis ◽  
The Impact ◽  
State Action Doctrine ◽  
Public Entity

This Article analyzes the development and complexities of the antitrust state action doctrine and the Local Government Antitrust Act as these doctrines apply to both “municipalities” and private entities. The restructuring of a public hospital is used as a model to facilitate the antitrust analysis. The restructuring model, which typically involves the leasing of a hospital facility by a public entity to a private nonprofit corporation, offers the unique opportunity to compare the different standards employed under the state action doctrine and the Local Government Antitrust Act. As a practical matter, the Article provides a framework for a public hospital to evaluate the impact of corporate restructuring on its antitrust liability exposure and to develop strategies to minimize antitrust risks.

scholarly journals A Panel Evaluation of the Changes in the General Public’s Social-Media-Following of United States’ Public Health Departments during COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
pp. 215013272199545
Author(s):  
Areej Khokhar ◽  
Aaron Spaulding ◽  
Zuhair Niazi ◽  
Sikander Ailawadhi ◽  
Rami Manochakian ◽  
...  
Keyword(s):  
Public Health ◽  
Social Media ◽  
State Level ◽  
The State ◽  
Public Health Department ◽  
Health Departments ◽  
The Public ◽  
Public Health Departments ◽  
The Social ◽  
The U.S

Importance: Social media is widely used by various segments of society. Its role as a tool of communication by the Public Health Departments in the U.S. remains unknown. Objective: To determine the impact of the COVID-19 pandemic on social media following of the Public Health Departments of the 50 States of the U.S. Design, Setting, and Participants: Data were collected by visiting the Public Health Department web page for each social media platform. State-level demographics were collected from the U.S. Census Bureau. The Center for Disease Control and Prevention was utilized to collect information regarding the Governance of each State’s Public Health Department. Health rankings were collected from “America’s Health Rankings” 2019 Annual report from the United Health Foundation. The U.S. News and World Report Education Rankings were utilized to provide information regarding the public education of each State. Exposure: Data were pulled on 3 separate dates: first on March 5th (baseline and pre-national emergency declaration (NED) for COVID-19), March 18th (week following NED), and March 25th (2 weeks after NED). In addition, a variable identifying the total change across platforms was also created. All data were collected at the State level. Main Outcome: Overall, the social media following of the state Public Health Departments was very low. There was a significant increase in the public interest in following the Public Health Departments during the early phase of the COVID-19 pandemic. Results: With the declaration of National Emergency, there was a 150% increase in overall public following of the State Public Health Departments in the U.S. The increase was most noted in the Midwest and South regions of the U.S. The overall following in the pandemic “hotspots,” such as New York, California, and Florida, was significantly lower. Interesting correlations were noted between various demographic variables, health, and education ranking of the States and the social media following of their Health Departments. Conclusion and Relevance: Social media following of Public Health Departments across all States of the U.S. was very low. Though, the social media following significantly increased during the early course of the COVID-19 pandemic, but it still remains low. Significant opportunity exists for Public Health Departments to improve social media use to engage the public better.

Spatiotemporal clustering, social inequities and the risk of leptospirosis in an endemic area of Brazil: a retrospective spatial modelling

2020 ◽  
Author(s):  
Katyucia O C de Souza ◽  
José Augusto P Góes ◽  
Matheus S Melo ◽  
Paula M G Leite ◽  
Lucas A Andrade ◽  
...  
Keyword(s):  
Urban Areas ◽  
Spatial Regression ◽  
Temporal Trends ◽  
Spatial Dynamics ◽  
Secondary Data ◽  
The State ◽  
Scan Statistics ◽  
Northeastern Brazil ◽  
Metropolitan Region ◽  
Social Inequities

Abstract Background Leptospirosis is an endemic disease in Brazil of social and economic relevance related to behavioural and socioenvironmental factors. This study aimed to analyse the spatiotemporal distribution of the incidence of leptospirosis and its association with social determinants in health in a state of northeastern Brazil. Methods An ecological study of temporal series with techniques of spatial analysis using secondary data of the cases of leptospirosis notified in the Information System of Notifiable Diseases of the state of Sergipe (2008–2017) was conducted. The analysis of temporal trends was performed using Poisson regression. Spatial analyses were performed using the Moran index, the local empirical Bayesian model, scan statistics and spatial regression. Results The incidence rate decreased from 3.66 to 1.44 cases per 100 000 inhabitants in 2008 and 2017, respectively. Leptospirosis was associated with social inequities, mostly affecting males aged 20–49 y living in urban areas. The space-time scan indicated the formation of a risk cluster in municipalities in the metropolitan region of the state. Conclusions The data indicated the persistence of leptospirosis transmission, maintaining a pattern of high endemicity in some municipalities associated with social inequities. The study showed the temporal and spatial dynamics of the disease to better target specific actions for prevention and control.

scholarly journals Vitamin D, SARS-CoV-2 and Causal Associations in Transversal Studies: The Time-Series Analysis to Reveal Potential Confounders. Comment on Gaudio et al. Vitamin D Levels Are Reduced at the Time of Hospital Admission in Sicilian SARS-CoV-2-Positive Patients. Int. J. Environ. Res. Public Health 2021, 18, 3491

2021 ◽  
Vol 18 (13) ◽  
pp. 6793
Author(s):  
Cristiano Ialongo ◽  
Antonella Farina ◽  
Raffaella Labriola ◽  
Antonio Angeloni ◽  
Emanuela Anastasi
Keyword(s):  
Public Health ◽  
Vitamin D ◽  
Time Series ◽  
Severe Acute Respiratory Syndrome ◽  
Time Series Analysis ◽  
Hospital Admission ◽  
The State ◽  
Series Analysis ◽  
Vitamin D Levels ◽  
Time Of Admission

We read with great interest the paper by Gaudio and colleagues on vitamin D and on the state of patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at the time of admission [...]

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