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[Hospitalizations at Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, USP, 1996-2003]
Lucieli Dias Pedreschi Chaves1, Ana Maria Laus, Maria Luiza Anselmi
1Departamento de Enfermagem Geral e Especializada da Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil. dpchaves@eerp.usp.br
Insights
Hospitalizations decreased by 8.5% from 1996-2003, but costs rose 78.4%. Surgical clinic admissions increased, while obstetrics showed minimal change, reflecting shifts in healthcare delivery and technology.
Area of Science:
- Healthcare Management
- Hospital Administration
- Health Economics
Context:
- Hospitalizations are a significant component of healthcare expenditure.
- This study examines a school hospital in São Paulo, Brazil.
- The analysis spans the period from 1996 to 2003.
Purpose:
- To identify and describe the physical and financial production of hospitalizations.
- To analyze trends in surgical clinic, medical clinic, pediatrics, and obstetrics.
- To understand variations in healthcare resource utilization.
Summary:
- A global 8.5% reduction in hospitalization frequency was observed.
- A significant 78.4% increase in financial resources allocated to hospitalizations occurred.
- Surgical clinic admissions rose, while obstetrics exhibited the lowest variation in production.
Impact:
- Findings suggest technology adoption, regional user demands, and system migration (supplementary to SUS) influence hospitalization trends.
- Highlights the economic impact of changing healthcare demands and technological integration.
- Provides insights into resource allocation and service utilization within a Brazilian school hospital.
Abstract:
Hospitalizations represent an important share of healthcare, due to both the complexity of actions and the financial volume applied. This descriptive-exploratory investigation had the purpose to identify and describing the physical and financial production of hospitalizations performed in a school hospital in the state of São Paulo, from 1996 to 2003, focusing the specialties of surgical clinic, medical clinic, pediatrics and obstetrics. Data collection was performed by searching the official databanks of the studied institution. In that period, a global 8.5% reduction in the frequency of admittances and a 78.4% increase in the financial resources were observed. Surgical clinic, with more expensive procedures, increased its admittances; the production in obstetrics showed the lowest variation. The increasing incorporation of technology, the demands from regional users and the migration of users from the supplementary system to the SUS may justify the variation of production in the different specialties.
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