Banca de QUALIFICAÇÃO: Ana Carolina Esteves da Silva Pereira

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : Ana Carolina Esteves da Silva Pereira
DATE: 06/12/2023
TIME: 14:00
LOCAL: Núcleo de Medicina Tropical
TITLE:

HOSPITALIZATION COSTS FOR SEVERE ACUTE RESPIRATORY INFECTION DUE TO COVID-19 IN A PUBLIC UNIVERSITY HOSPITAL IN THE FEDERAL DISTRICT (2020-2021)

KEY WORDS:

COVID-19, hospitalizations, SARI,  cost of illness

PAGES: 111
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

Introduction: The COVID-19 pandemic has deeply impacted various aspects of society, including public health and the global economy. In this context, studies on the cost of illness could help to understand the economic impact of the pandemic in Brazil. The aim of this study was to estimate the hospitalization costs of adult patients with Severe Acute Respiratory Infection (SARI) due to COVID-19 in a Public University Hospital Method: These are a cost of illness conducted on a cohort of patients hospitalized for SARI due to COVID-19 in a Public University Hospital during 2020 and 2021. Three studies were proposed: i) The first study employed a macrocosting approach, considering costs per patient identified in Hospital Admission Authorizations (AIH). Hospital, professional, and total costs were analyzed at two levels of aggregation identified in the AIH, by group (higher aggregation) and by procedure (lower aggregation); ii) The second study uses a microcosting method and is carried out from a societal perspective, taking into account the duration of hospitalization and the time before admission. To identify patient-incurred costs, direct interviews with the patient and/or their family were used. Interviews with healthcare professionals were conducted, and the Time-Driven Activity-Based Costing (TDABC) method will be used to estimate costs related to healthcare professionals involved in patient care. To identify costs incurred by the Unified Health System (SUS), costs of diagnostic procedures, medical services, and other SUS services performed during hospitalization will be estimated; iii) The third study will be conducted to compare the results identified in the previous studies. Results: From the macrocosting study, 1,015 AIHs from 622 patients were identified. The total cost of hospitalizations was R$ 2,875,867.18 for the years 2020 and 2021. Of this total, 86.41% pertained to hospital services and 13.59% to professional services. The median cost per patient for May 2020 was the highest identified (R$ 19,677.81 IQR [3,334.81 – 33,041.43]), while the lowest was in January 2021 (R$ 1,698.50 IQR [1,602.70 – 2,224.11]). The individual cost of hospitalization per patient ranged from R$ 129,228.14 to R$ 215.33. The microcosting study is still in progress. Up to this point, interviews with patients/families were conducted to collect patient costs, interviews with professionals were conducted, and information from the electronic medical records of procedures and tests performed during hospitalization was collected. The comparative study has not yet begun. Conclusion:The macrocosting-based results highlight the substantial cost of patient hospitalizations. The ongoing microcosting studies and the planned comparison have the potential to offer a more comprehensive and detailed view of disease-associated costs, which, in turn, can enrich our understanding of hospitalization costs, informing future guidelines for more informed and effective resource and healthcare management.

COMMITTEE MEMBERS:
Presidente - 3011946 - HENRY MAIA PEIXOTO
Interna - 2487183 - ELZA FERREIRA NORONHA
Externo ao Programa - 1681340 - EVERTON NUNES DA SILVA - UnBExterna à Instituição - ERIKA SANTOS DE ARAGÃO - UFBA
Externa à Instituição - FLÁVIA TAVARES SILVA ELIAS