47 results

Adherence of private health system hospitals to dissemination of outcomes according to the Global Reporting Initiative (GRI) model

Celso Machado Junior, Robson Danúbio da Silva César, Maria Tereza Saraiva de Souza

DOI: 10.1590/S1679-45082017GS3989

ABSTRACT Objective To verify if there is an analogy between the indicators of the Global Reporting Initiative adopted by hospitals in the private healthcare system. Methods Documentary research supported by reports that are electronically available on the website of the companies surveyed. Results The organizations surveyed had a significant adherence of their economic, social and environmental indicators of the model proposed by the Global Reporting Initiative, showing an analogous field of common indicators between them. Conclusion There is similarity between […]

Analysis of the Internal Bed Regulation Committees from hospitals of a Southern Brazilian city

Vinícius Sabedot Soares

DOI: 10.1590/S1679-45082017GS3878

ABSTRACT Objective To evaluate the composition of the Internal Regulation Committees created in hospitals of a capital city. Methods A cross-sectional descriptive study assessing the structure, processes and results of each Committee. Results The main reasons for implementing the committees were legal issues and overcrowding in the emergency department. The most monitored indicators were the occupancy rate and the mean length of stay, and the most observed results were reductions in the latter. Institutional protocols were developed in 70% of […]

Cost effectiveness of chemohormonal therapy in patients with metastatic hormone-sensitive and non-metastatic high-risk prostate cancer

Pedro Nazareth Aguiar Jr., Carmélia Maria Noia Barreto, Bárbara de Souza Gutierres, Hakaru Tadokoro, Gilberto de Lima Lopes Jr

DOI: 10.1590/S1679-45082017GS4017

ABSTRACT Objective To assess the cost-effectiveness of chemohormonal therapy in patients with metastatic hormone-sensitive and non-metastatic high-risk prostate cancer. Methods An analytical decision model was developed to determine the cost-effectiveness of chemohormonal therapy versus androgen deprivation therapy alone in patients with metastatic hormone-sensitive prostate cancer and patients with non-metastatic high-risk prostate cancer. The cost-effectiveness in metastatic patients with a high-volume disease was assessed separately. The model used data from randomized clinical trials and drug acquisition costs in Brazil. In addition, […]

Implementing apportionment strategy to identify costs in a multidisciplinary clinic

Renato Ribeiro Nogueira Ferraz, Anna Sofia Costa Neri, Estela Capelas Barbosa, Marcus Vinícius Cesso da Silva

DOI: 10.1590/S1679-45082017GS3759

ABSTRACT Objective To present the implementation of an apportionment strategy proportional to the productive areas of a multidisciplinary clinic, defining the minimum values to be passed monthly to health professionals who work there. Methods A study of the clinic structure was carried out, in which the area of occupation of each service was defined. Later the cost was prorated, allocating a value to each room, proportional to the space occupied. Results The apportionment implementation allowed the clinic managers to visualize […]

Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods

Sheila Elke Araujo Nunes, Ruth Minamisava, Maria Aparecida da Silva Vieira, Alexander Itria, Vicente Porfirio Pessoa Junior, Ana Lúcia Sampaio Sgambatti de Andrade, [...]

DOI: 10.1590/S1679-45082017GS3855

ABSTRACT Objective To determine and compare hospitalization costs of bacterial community-acquired pneumonia cases via different costing methods under the Brazilian Public Unified Health System perspective. Methods Cost-of-illness study based on primary data collected from a sample of 59 children aged between 28 days and 35 months and hospitalized due to bacterial pneumonia. Direct medical and non-medical costs were considered and three costing methods employed: micro-costing based on medical record review, micro-costing based on therapeutic guidelines and gross-costing based on the […]

Assessment of operative times of multiple surgical specialties in a public university hospital

Altair da Silva Costa Jr

DOI: 10.1590/S1679-45082017GS3902

ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and […]

Economic analysis of costs with enteral and parenteral nutritional therapy according to disease and outcome

Adriano Hyeda, Élide Sbardellotto Mariano da Costa

DOI: 10.1590/S1679-45082017GS4002

ABSTRACT Objective To conduct an economic analysis of enteral and parenteral diet costs according to the type of disease and outcome (survivors versus deaths). Methods It is a cross-sectional, observational, retrospective study with a qualitative and quantitative design, based on analysis of hospital accounts from a healthcare insurance provider in the Southern region of Brazil. Results We analyzed 301 hospital accounts of individuals who used enteral and parenteral diets. The total cost of the diet was 35.4% of hospital account […]

Judicial demand of medications through the Federal Justice of the State of Paraná

Renato Mitsunori Nisihara, Ana Carolina Possebom, Luiza de Martino Cruvinel Borges, Ana Claudia Athanasio Shwetz, Fernanda Francis Benevides Bettes

DOI: 10.1590/S1679-45082017GS3792

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A […]

Quality Program: what influences the opinion of nursing team

Fernanda Mazzoni da Costa, Irene Duarte Souza, Maria Inês Monteiro, Maria Helena Baena de Moraes Lopes, Rosangela Maria Greco

DOI: 10.1590/s1679-45082016gs3615

ABSTRACTObjectiveTo analyze the major impact variables in the opinion of nursing staff about the Quality Program of a teaching hospital.Methods An exploratory-descriptive study was performed with 72 nursing staff. Data were collected through self-administered questionnaire containing 24 statements about the Quality Program; and the degree of agreement of the participants was expressed in a Likert scale. The collected data were analyzed by factor analysis and Pearson’s correlation coefficient.Results The analysis grouped the statements in six factors. The Pearson’s correlation coefficient […]

The good pharmacy practice on Einstein Program at Paraisópolis Community

Lara Tânia de Assumpção Domingues Gonçalves de Oliveira, Camila Pontes da Silva, Maria das Vitorias Guedes, Ana Célia de Oliveira Sousa, Flávio Sarno

DOI: 10.1590/S1679-45082016GS3751

ABSTRACTOBJECTIVES:To describe indicators and processes developed and implemented for pharmaceutical assistance at the Einstein Program at Paraisópolis Community pharmacy.Methods:This was a descriptive study of retrospective data from January 2012 to December 2015. Data were obtained from spreadsheets developed for monitoring the productivity and care quality provided at the pharmacy. The evaluated variables were pharmaceutical assistance to prescription, pharmaceutical intervention, orientation (standard and pharmaceutical) and pharmaceutical orientation rate.Results:The pharmacy assisted, on average, 2,308 prescriptions monthly, dispensing 4,871 items, including medications, materials […]

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