Budget impact analysis of the percutaneous septal occluder for treatment of ostium secundum atrial septal defects in the Brazilian Unified National Health System

Cadernos de Saúde Pública

Kátia Marie Simões E Senna¹  Flavia Mori Sarti¹  Márcia Gisele Santos Da Costa¹  Marcelo Eidi Nita¹  Marisa Da Silva Santos¹  Bernardo Rangel Tura¹  Marcelo Goulart Correia¹ 

关键词: Heart Septal Defects;    Septal Occluder Device;    Biomedical Technology;    Thoracic Surgery;    Health Evaluation;    Defeitos dos Septos Cardíacos;    Dispositivo para Oclusão Septal;    Tecnologia Biomédica;    Cirurgia Torácica;    Avaliação em Saúde;    Defectos de los Tabiques Cardíacos;    Dispositivo Oclusor Septal;    Tecnología Biomédica;    Cirurgía Torácica;    Evaluación en Salud;   

DOI  :  10.1590/0102-311X00039014

来源: SciELO

【 摘 要 】

The aim of this study was to perform a budget impact analysis on the adoption of percutaneous occlusion of ostium secundum atrial septal defects in the Brazilian Unified National Health System. Costs were collected using micro-costing technique from medical records for each treatment technique (conventional surgery versus percutaneous septal occluder) at a public federal hospital specialized in high-complexity cardiology. The analysis showed that expenditures associated with percutaneous occlusion were lower than with conventional surgery, and sensitivity analysis confirmed the cost reduction in several scenarios, showing a significant budget impact with a 30% adoption rate for the percutaneous occluder (savings of approximately 1.5 million dollars per year). The study indicates that the adoption of the percutaneous septal occluder would mean cost savings of approximately 3.5 million dollars for the Brazilian public health system.

【 授权许可】

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