Care cost for pregnant and parturient women with diabetes and mild hyperglycemia

Revista de Saúde Pública

Ana Claudia Molina Cavassini¹  Silvana Andrea Molina Lima²  Iracema Mattos Paranhos Calderon²  Marilza Vieira Cunha Rudge² 

[1] ,Universidade Estadual Paulista Júlio de Mesquita FilhoBotucatu SP ,Brazil

关键词: Pregnant Women;    Hyperglycemia;    Diabetes;    Diabetes;    Health Care Costs;    Perinatal Care;    Postpartum Period;    Gestantes;    Hiperglicemia;    Diabetes Gestacional;    Custos de Cuidados de Saúde;    Assistência Perinatal;    Período Pós-Parto;    Gestantes;    Hiperglicemia;    Diabetes Gestacional;    Costos de la Atención en Salud;    Atención Perinatal;    Periodo de Posparto;   

DOI  :  10.1590/S0034-89102012005000009

来源: SciELO

【 摘 要 】

OBJECTIVE: To compare inpatient and outpatient care costs for pregnant/parturient women with diabetes and mild hyperglycemia. METHODS: A prospective observational quantitative study was conducted in the Perinatal Diabetes Center in the city of Botucatu, Southeastern Brazil, between 2007 and 2008. Direct and indirect costs and disease-specific costs (medications and tests) were estimated. Thirty diet-treated pregnant women with diabetes were followed up on an outpatient basis, and 20 who required insulin therapy were hospitalized. RESULTS: The cost of diabetes disease (prenatal and delivery care) was US$ 3,311.84 for inpatients and US$ 1,366.04 for outpatients. CONCLUSIONS: Direct and indirect costs as well as total prenatal care cost were higher for diabetic inpatients while delivery care costs and delivery-postpartum hospitalization were similar. Prenatal and delivery-postpartum care costs were higher for these patients compared to those paid by Brazilian National Health System.

【 授权许可】

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