Banca de DEFESA: Emilie Batista Freire

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Emilie Batista Freire
DATE: 30/01/2023
TIME: 10:00
LOCAL: Plataforma Teams
TITLE:

Health care costs for patients with Cerebral Palsy by the Unified Health System in Brazil between 2015 and 2019.

KEY WORDS:

Cost of Illness; Hospital Cost; Ambulatory Care; Cerebral Palsy; Unified Health System.

PAGES: 70
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Cerebral Palsy (CP) occurs due to a nonprogressive lesion in the nervous system in childhood, causing changes in several systems and continuous demands for health care. The aim of the study was describe the costs of health care with CP in the hospital and outpatient setting by the Brazilian Unified Health System between the years 2015 and 2019. Methods: Descriptive study, a cost of illness study from the perspective of the public health system of Brazil (SUS). Data was obtained from the government’s information systems of hospital admissions and outpatient procedures on a national level. The patient's gender and age, amounts of inpatient admissions and outpatient procedures, ICD code for main diagnosis and total hospital and outpatient values were obtained. Costs were corrected for inflation considering the IPCA index. Results: Between 2015 and 2019, SUS spending on health care for CP patients was approximately BRL 400 million; with outpatient procedures accounting for 78% of the total. In the hospital system, 43,454 AIH were registered, of which 58.37% were male; with an average cost of R$1,857.09. Most were related to non-specific ICD classifications [G808 – 39.83% and G809 – 14.29%]. The amounts of daily’s, ICU daily’s, companion daily’s and permanence daily’s were 868,911, 11,918, 77,471 and 878,347; respectively. Adults [30-59 years] represent the majority of hospital records (35.83%), totaling approximately R$ 35 million. In the outpatient system, 5,677,939 APAC were registered, of which 55.72% were male, and an average cost of R$52.41. The number of approved procedures was 12,246,776; 41.69% referred to the G800 code, but with many records for non-specific codes [G808 – 15.16% and G809 – 23.73%]. Children [0-12 years old] accounted for the majority (63.94%), totaling around BRL 168 million. Conclusion: There was a large number of records of non-specific ICDs and a considerable cost arising from health care with CP in Brazil, most of which refer to outpatient care, reinforcing the need for public prevention policies. And finally, the variables age, race/color, type of CP and use of the ICU, in the SIH, are able to explain the public costs with CP in the SIH and SIA.

BANKING MEMBERS:
Externa à Instituição - ANA CAROLINA DE CAMPOS - UFSCAR
Presidente - 1552214 - ALINE MARTINS DE TOLEDO
Interna - 224.203.248-89 - ANDREA BARALDI CUNHA - UFSCAR
Externo ao Programa - 3011946 - HENRY MAIA PEIXOTO