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Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study

BACKGROUND: Cost evaluation is a key tool in monitoring expenditure for budget management. It increases the efficiency of possible changes through identifying potential savings and estimating the resources required to make such changes. However, there is a lack of knowledge of the total cost of hosp...

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Autores principales: Barreto, Maynara Fernanda Carvalho, Dellaroza, Mara Solange Gomes, Fernandes, Karen Barros Parron, Pissinati, Paloma de Souza Cavalcante, Galdino, Maria José Quina, Haddad, Maria do Carmo Fernandez Lourenço
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754272/
https://www.ncbi.nlm.nih.gov/pubmed/32159635
http://dx.doi.org/10.1590/1516-3180.2018.055117092019
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author Barreto, Maynara Fernanda Carvalho
Dellaroza, Mara Solange Gomes
Fernandes, Karen Barros Parron
Pissinati, Paloma de Souza Cavalcante
Galdino, Maria José Quina
Haddad, Maria do Carmo Fernandez Lourenço
author_facet Barreto, Maynara Fernanda Carvalho
Dellaroza, Mara Solange Gomes
Fernandes, Karen Barros Parron
Pissinati, Paloma de Souza Cavalcante
Galdino, Maria José Quina
Haddad, Maria do Carmo Fernandez Lourenço
author_sort Barreto, Maynara Fernanda Carvalho
collection PubMed
description BACKGROUND: Cost evaluation is a key tool in monitoring expenditure for budget management. It increases the efficiency of possible changes through identifying potential savings and estimating the resources required to make such changes. However, there is a lack of knowledge of the total cost of hospitalization up to the clinical outcome, regarding patients admitted for kidney transplantation. Likewise, there is a lack of data on the factors that influence the amounts spent by hospital institutions and healthcare systems. OBJECTIVES: To describe the costs and determining factors relating to hospitalization of patients undergoing kidney transplantation. DESIGN AND SETTING: Cross-sectional descriptive study with a quantitative approach based on secondary data from 81 patients who were admitted for kidney transplantation at a leading transplantation center in southern Brazil. METHODS: The direct costs of healthcare for patients who underwent kidney transplantation were the dependent variable, and included personnel, expenses, third-party services, materials and medicines. The factors that interfered in the cost of the procedure were indirect variables. The items that made up these variables were gathered from the records of the internal transplantation committee and from the electronic medical records. The billing sector provided information on the direct costs per patient. RESULTS: The estimated total cost of patients’ hospitalization was R$ 1,257,639.11 (US$ 571,010.44). Out of this amount, R$ 1,237,338.31 (US$ 561,793.20) was paid by the Brazilian National Health System and R$ 20,300.80 (US$ 9,217.24) by the transplantation center’s own resources. The highest costs related to the length of hospital stay and clinical complications such as sepsis and pneumonia. CONCLUSIONS: The costs of hospitalization for kidney transplantation relate to the length of hospital stay and clinical complications.
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spelling pubmed-97542722022-12-16 Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study Barreto, Maynara Fernanda Carvalho Dellaroza, Mara Solange Gomes Fernandes, Karen Barros Parron Pissinati, Paloma de Souza Cavalcante Galdino, Maria José Quina Haddad, Maria do Carmo Fernandez Lourenço Sao Paulo Med J Original Article BACKGROUND: Cost evaluation is a key tool in monitoring expenditure for budget management. It increases the efficiency of possible changes through identifying potential savings and estimating the resources required to make such changes. However, there is a lack of knowledge of the total cost of hospitalization up to the clinical outcome, regarding patients admitted for kidney transplantation. Likewise, there is a lack of data on the factors that influence the amounts spent by hospital institutions and healthcare systems. OBJECTIVES: To describe the costs and determining factors relating to hospitalization of patients undergoing kidney transplantation. DESIGN AND SETTING: Cross-sectional descriptive study with a quantitative approach based on secondary data from 81 patients who were admitted for kidney transplantation at a leading transplantation center in southern Brazil. METHODS: The direct costs of healthcare for patients who underwent kidney transplantation were the dependent variable, and included personnel, expenses, third-party services, materials and medicines. The factors that interfered in the cost of the procedure were indirect variables. The items that made up these variables were gathered from the records of the internal transplantation committee and from the electronic medical records. The billing sector provided information on the direct costs per patient. RESULTS: The estimated total cost of patients’ hospitalization was R$ 1,257,639.11 (US$ 571,010.44). Out of this amount, R$ 1,237,338.31 (US$ 561,793.20) was paid by the Brazilian National Health System and R$ 20,300.80 (US$ 9,217.24) by the transplantation center’s own resources. The highest costs related to the length of hospital stay and clinical complications such as sepsis and pneumonia. CONCLUSIONS: The costs of hospitalization for kidney transplantation relate to the length of hospital stay and clinical complications. Associação Paulista de Medicina - APM 2020-03-06 /pmc/articles/PMC9754272/ /pubmed/32159635 http://dx.doi.org/10.1590/1516-3180.2018.055117092019 Text en © 2022 by Associação Paulista de Medicina https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license.
spellingShingle Original Article
Barreto, Maynara Fernanda Carvalho
Dellaroza, Mara Solange Gomes
Fernandes, Karen Barros Parron
Pissinati, Paloma de Souza Cavalcante
Galdino, Maria José Quina
Haddad, Maria do Carmo Fernandez Lourenço
Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
title Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
title_full Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
title_fullStr Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
title_full_unstemmed Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
title_short Hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
title_sort hospitalization costs and their determining factors among patients undergoing kidney transplantation: a cross-sectional descriptive study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9754272/
https://www.ncbi.nlm.nih.gov/pubmed/32159635
http://dx.doi.org/10.1590/1516-3180.2018.055117092019
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