Determinantes dos gastos com diálises no Sistema Único de Saúde, Brasil, 2000 a 2004

Cadernos de Saúde Pública

Mariangela Leal Cherchiglia²  Isabel Cristina Gomes¹  Juliana Alvares²  Augusto Guerra Júnior²  Francisco De Assis Acúrcio¹  Eli Iola Gurgel Andrade²  Alessandra Maciel Almeida²  Daniele Araújo Campo Szuster²  Mônica Viegas Andrade¹  Odilon Vanni De Queiroz² 

[1] ,Universidade Federal de Minas Gerais Faculdade de Medicina Belo Horizonte,Brasil

关键词: Renal Insufficiency;    Dialysis;    Health Expenditures;    Health Economics;    Insuficiência Renal;    Diálise;    Gastos em Saúde;    Economia da Saúde;   

DOI  :  10.1590/S0102-311X2010000800016

来源: SciELO

【 摘 要 】

The aim of this study was to compare total outpatient expenditures on hemodialysis and peritoneal dialysis from 2000 to 2004 in patients that began dialysis in 2000 under the Unified National Health System (SUS). A historical cohort was developed, consisting of patients that began dialysis in 2000, identified by probabilistic matching in the database of Authorizations for High-Complexity/High-Cost Procedures (APAC). A multiple linear regression model was used, including individual and clinical attributes and health services supply variables. The cohort included 10,899 patients, 88.5% of whom began hemodialysis and 11.5% peritoneal dialysis. The dialysis modality explains 12% of the variance in expenditures, and patients in peritoneal dialysis showed 20% higher mean annual expenditure. The differences in expenditures are explained according to the State of Brazil and health services supply level. Individual risk variables did not alter the model's explanatory power, while age and diabetes mellitus were significant. The study showed the importance of the National Health System's payment mechanism for explaining differences in expenditures on dialysis treatment in Brazil.

【 授权许可】

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