13 results
23/Jul/2025
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
02/Jul/2025
DOI: 10.31744/einstein_journal/2025AO1329
Highlights ■ Matching methodologies may reduce bias in economic evaluations. ■ Liver transplantation within the Proadi-SUS context has an incremental cost-effectiveness ratio below the Health Technology Incorporation in the Brazilian Health System threshold. ■ The patients who received transplant had a median survival of 10.1 years after list enrollment. ■ The mean cost per transplanted patient was US$ PPP 162,821.96. ABSTRACT Objective: To estimate the incremental cost and survival of patients on the liver transplantation waiting list who were referred […]
Keywords: Brazil; Cost-benefit analysis; Hospital costs; Liver transplantation; Propensity score; Survival rate; Unified Health System; Waiting lists
28/Mar/2025
DOI: 10.31744/einstein_journal/2025AO1132
Highlights ■ Most outpatient consultations comprised diagnostic procedures. ■ In the past 12 years, medical care for benign breast diseases has cost >USD 65 million. ■ Women from North and Midwest Brazil had higher diagnosis and treatment displacement rates. ABSTRACT Objective: To quantitatively and geospatially analyze coverage and displacement for the diagnosis and treatment of benign breast diseases in the Brazilian Unified Health System between 2008 and 2019. Methods: Datasets from the Brazilian Ministry of Health were used to survey […]
Keywords: Brazil; Breast diseases; Breast neoplasms; Demography; Epidemiology; Health expenditures; Healthcare costs; Hospitalization; Incidence; Primary healthcare; Public health; Strategy planning; Unified Health System
29/Mar/2022
29/Mar/2022
DOI: 10.31744/einstein_journal/2022AO6453
ABSTRACT Objective To evaluate the therapeutic response (functionality) and its associated factors in patients on biological drugs on the Public Health System for treatment of rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. Methods An open prospective cohort was carried out from 2011 to 2019, in Belo Horizonte (MG). Functionality was assessed using the Health Assessment Questionnaire Disability-Index at baseline, and after 6 and 12 months of follow-up. Factors associated with poor functionality were identified through logistic regression. Results The median […]
Keywords: Arthritis, psoriatic; Arthritis, rheumatoid; Biological products; Effectiveness; Rheumatic diseases; Spondylitis, ankylosing; Unified Health System
25/Nov/2021
25/Nov/2021
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
11/Nov/2021
11/Nov/2021
DOI: 10.31744/einstein_journal/2021AO6584
ABSTRACT Objective: To determine the prevalence and types of violence suffered by women and to identify the gender attitudes related to the situation. Methods: This was a descritive, cross-sectional study incluiding 343 women who were assisted at the Brazilian Public Health System in countryside city in northeastern of Brazil. All participants were volunteers and they invited to participate during consultation at a Basic Health Unit. As participants, they filled out the World Health Organization Violence Against Women Questionnaire and responded […]
Keywords: Domestic Violence; Exposure to violence; Gender-based violence; Unified Health System; Violence Against Women
03/Nov/2021
DOI: 10.31744/einstein_journal/2021AO6451
ABSTRACT Objective: To characterize the situation of breastfeeding and the adequacy of prescription of infant formulas to infants assisted by a secondary care program of the Public Health System. Methods: This is a cross-sectional study with analysis of medical records of 350 infants from zero to 6 months, followed up between February to April 2019. Results: The possibility of breastfeeding was present in 97.0% of mothers and no infant presented an acceptable medical condition for proscription of breastfeeding. Despite this, […]
Keywords: Breast feeding; Infant formula; Prescriptions; Unified Health System
30/Oct/2020
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
24/Sep/2019
DOI: 10.31744/einstein_journal/2020GS4442
ABSTRACT Objective To analyze the legal demands of tiotropium bromide to treat chronic obstructive pulmonary disease. Methods We included secondary data from the pharmaceutical care management systems made available by the Paraná State Drug Center. Results Public interest civil action and ordinary procedures, among others, were the most common used by the patients to obtain the medicine. Two Health Centers in Paraná (Londrina and Umuarama) concentrated more than 50% of the actions. The most common specialty of physicians who prescribed […]
Keywords: Judicial decisions; Pharmaceutical services; Pulmonary disease, chronic obstructive; Tiotropium bromide; Unified Health System
28/Feb/2019
DOI: 10.31744/einstein_journal/2019GS4385
ABSTRACT Objective To evaluate the resolubility of ophthalmologic care in an integrated health center. Methods This was a cross-sectional study including 816 patients who were attended from November 2013 to November of 2015. Data were collected from a medical consultation database and patients’ medical records. Results The majority of participants were women, non-diabetic, and had high school education. The main cause of referral for ophthalmologic evaluation was the consultation with a specialist, the waiting time for consultation was shorter for […]
Keywords: Diabetes mellitus; Eye health; Secondary care; Unified Health System