30/Jul/2025
Hospital costs of maternal near miss: a micro-costing analysis
DOI: 10.31744/einstein_journal/2025GS0933
Highlights ■ Micro-costing showed high per-admission costs (US$ 1,427.70) for maternal near miss. ■ Reimbursement values (US$ 973) underestimate true hospital costs. ■ Brazil’s economic burden estimated at US$ 86 million (2019). ■ Most maternal near miss events stem from preventable causes. ABSTRACT Objective: This study aimed to estimate the hospital costs of maternal near miss cases from both the institutional and Brazilian Public Health System perspectives in a reference maternitiy hospital. Methods: This cost-of-illness study used primary data collected […]
Keywords: Cost of illness; Costs and cost analysis; Maternal health; Near miss, healthcare; Pregnancy complications
23/Jul/2025
Time-Driven Activity-Based Costing (TDABC) applied in a chemotherapy department of a public reference oncology hospital
DOI: 10.31744/einstein_journal/2025GS0679
Highlights ■ Using the Time-Driven Activity-Based Costing method in healthcare services enables resource maximization with better control of processes and financing. ■ The estimated cost of treating a patient per antineoplastic session is R$ 470,35. ■ Such analyses can help establish pricing strategies and identify necessary adjustments to the financing model in oncology. ABSTRACT Objective: To identify the costs pertaining to the preparation and administration process of each chemotherapy treatment session in a public oncology hospital belonging to the Brazilian […]
Keywords: Antineoplastic agents; Costs and cost analysis; Drug therapy; Health care costs; Health Services; Medical oncology; Micro-costing; Technology assessment, biomedical; Unified Health System
29/May/2025
Impact evaluation of technical notes issued by NATJUS on healthcare judicialization
DOI: 10.31744/einstein_journal/2025GS0766
ABSTRACT Introduction: Technical Support Centers of the Judiciary (NATJUST), provide health technology assessments to judges in health-related litigations against both public and private healthcare systems. These centers provide technical notes, that can assist Brazilian Courts in making provisional rulings and determining patient access to health services during legal proceedings. Objective: This study aimed to evaluate the impact of NATJUS technical notes on preliminary injunctions in lawsuits against the Brazilian Unified Health System. Specifically, we analyzed the alignment between judicial decisions […]
Keywords: Brazil; Costs and cost analysis; Health judicialization; Health systems; Impact evaluation; NATJUS; Preliminary injunction; Technical notes
06/Aug/2024
Clinical outcomes and direct cost analysis of rotator cuff repair surgery
DOI: 10.31744/einstein_journal/2024GS0473
Highlights Rotator cuff repair surgery improves clinical outcomes and quality of life. Surgical procedures were highly effective with low complication rates. Arthroscopic surgery was associated with higher costs than open surgery. ABSTRACT Objective The purpose of this study was to evaluate the clinical and functional outcomes in patients who underwent surgical treatment for rotator cuff tears using open and arthroscopic techniques, and to evaluate the direct costs involved. Methods Retrospective cohort study with analysis of the data of patients who […]
Keywords: Arthroscopy; Cost-effectiveness analysis; Costs and cost analysis; Health care costs; Orthopedic procedures; Rotator cuff; Shoulder pain; Treatment outcomes
10/Jul/2024
Cost and time of hospitalization for elderly people with bone fractures in a reference hospital
DOI: 10.31744/einstein_journal/2024GS0493
Highlights Bone fractures were more frequent in women. The mortality rate among patients was 9.6%. The main trauma mechanism was falling from standing height. The total hospitalization cost ranged from R$2,006.53 to R$106,912.74. The mean daily cost was R$4,478.64. The longer the hospital stay for treatment, the higher the total cost. ABSTRACT Objective: To describe and analyze the aspects regarding the cost and length of stay for elderly patients with bone fractures in a tertiary reference hospital. Methods: A cross-sectional […]
Keywords: Aged; Costs and cost analysis; Femoral neck fractures; Fractures, bone; Health care costs; Hip fractures; Hospitalization; Length of stay; Pandemics
25/Jul/2023
SWOT analysis to reduce surgical center idleness and increase revenue in a hospital
DOI: 10.31744/einstein_journal/2023GS0408
Highlights Reduction of idleness by 67.84% in the surgical center. Increase in the volume of surgical procedures. Increased revenues and profits. ABSTRACT Objective To reduce surgical center idleness by analyzing the competitive structure of the surgical center in a hospital, and thereby generate value in operations and increase hospital revenue. Methods The study used qualitative and quantitative methods and an action research approach involving the surgical center leadership of a small private specialized hospital in southeastern Brazil. We used […]
Keywords: Costs and cost analysis; Health management; Nursing; Organization and administration; Patient safety; Quality of Health Care; Surgicenters; Total quality management
25/Nov/2021
Epidemiology and costs of surgical treatment of developmental dysplasia of hip in the Brazilian Public Health System in a decade
einstein (São Paulo). 25/Nov/2021;19:eGS5625.
View Article25/Nov/2021
Epidemiology and costs of surgical treatment of developmental dysplasia of hip in the Brazilian Public Health System in a decade
DOI: 10.31744/einstein_journal/2021GS5625
ABSTRACT Objective: To describe and analyze the epidemiology and costs of surgical treatment of hip dysplasia in the Brazilian Public Health System. Methods: An ecological analytical study that evaluated a time series and the geographic distribution of surgical treatment of hip dysplasia in Brazil. Frequencies of cases, number of cases and associated factors were analyzed. Correlations, frequency maps and flow maps are presented and discussed. Results: During the study, 14,584 patients with dysplasia were admitted to hospitals according to Information […]
Keywords: Brazil; Costs and cost analysis; Developmental dysplasia of the hip; Prevalence; Spatial Analysis; Time Series Studies; Unified Health System
30/Oct/2020
Penile cancer trends and economic burden in the Brazilian public health system
DOI: 10.31744/einstein_journal/2020AO5577
ABSTRACT Objective: To gather information on penile cancer epidemiologic trends and its economic impact on the Brazilian Public Health System across the last 25 years. Methods: The Brazilian Public Health System database was used as the primary source of data from January 1992 to December 2017. Mortality and incidence data from the Instituto Nacional de Câncer José Alencar Gomes da Silva was collected using the International Classification of Diseases ICD10 C60. Demographic data from the Brazilian population was obtained from […]
Keywords: Carcinoma, squamous cell; Costs and cost analysis; Development indicators; Penile neoplasms; Public health; Unified Health System
17/Jun/2020
Dedicated Education Unit is a cost-effective clinical education model for undergraduate nursing programs
einstein (São Paulo). 17/Jun/2020;18:eGS5328.
View Article17/Jun/2020
Dedicated Education Unit is a cost-effective clinical education model for undergraduate nursing programs
DOI: 10.31744/einstein_journal/2020GS5328
ABSTRACT Objective To evaluate the cost-effectiveness of clinical education models for undergraduate nursing programs. Methods A model-based cost-effectiveness analysis. Settings were universities with undergraduate nursing courses. Participants consisted of the decision tree that guided the structure of the model, filled in with effectiveness results from a hypothetical cohort of undergraduate nursing students. Interventions were Clinical Preceptor or Clinical Facilitator or Clinical Education Unit. Main outcome measure was effectiveness, defined as improvement of clinical education. The projected economic outcomes included incremental […]
Keywords: Costs and cost analysis; Economics; Education; Nursing education research
25/Jun/2019
Implementing technologies to prevent medication errors at a high-complexity hospital: analysis of cost and results
DOI: 10.31744/einstein_journal/2019GS4621
ABSTRACT Objective: To calculate the cost and assess the results on implementing technological resources that can prevent medication errors. Methods: A retrospective, descriptive-exploratory, quantitative study (2007-2015), in the model of case study at a hospital in the Brazilian Southeastern Region. The direct cost of each technology was calculated in the drug chain. Technological efficacy was observed from the reported series of the indicator incidence of medication errors. Results: Thirteen technologies were identified to prevent medication errors. The average cost of […]
Keywords: Accident prevention; Costs and cost analysis; Medication errors; Medication systems, hospital; Patient safety; Technology