Batista Freire E, Maia Peixoto H, Almeida Ayupe KM, Nunes da Silva E, Luiz Carregaro R, Martins de Toledo A. DIRECT HEALTHCARE COSTS for PEOPLE with CEREBRAL PALSY in the BRAZILIAN UNIFIED HEALTH SYSTEM BETWEEN 2015 and 2019.
Expert Rev Pharmacoecon Outcomes Res 2024. [PMID:
39115979 DOI:
10.1080/14737167.2024.2390043]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 06/28/2024] [Accepted: 07/29/2024] [Indexed: 08/10/2024]
Abstract
BACKGROUND
Estimate the costs of inpatient and outpatient care for people with Cerebral Palsy (CP) in Brazil.
RESEARCH DESIGN AND METHODS
Health records of people with CP in the Hospital and Outpatient Information's Systems of Brazil between 2015 to 2019 were analyzed. Variables analyzed were gender, age, ICD, Intensive Care Unit (ICU) use, total cost, and ICU cost. Costs were adjusted for inflation and converted to dollars. Linear regression analysis was performed to investigate the association between social and clinical variables and direct costs.
RESULTS
A total direct cost of approximately $166 million to the National Health System was identified, with $7.08 million/year and $26.1 million/year of inpatient and outpatient costs, respectively. The healthcare was primarily for children up to 14 years of age. The ICD 'spastic quadriplegic CP' received the most attendance. Rehabilitation was responsible for 75% of the outpatient care, with physiotherapy standing out. Increased age, use of ICU and the types of CP are related to increased cost.
CONCLUSIONS
Healthcare for people with CP produced expressive costs for the Brazilian public health system, mainly with outpatient procedures and rehabilitation, with children being the most attended. Estimating these costs assists in better resource allocation for more effective healthcare provision.
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