母亲近乎失踪的医院费用:微成本分析
Moara Maria Silva Cardozo1, Suely Arruda Vidal1, Arthur Lima Xavier de Azevedo2
1Postgraduate Program in Integral Health, Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brazil.
Einstein (Sao Paulo, Brazil)
|August 20, 2025
概括
每个病例的平均费用超过1400美元, 大多数事件是可以预防的, 这突显了医疗保健系统的严重缺陷.
科学领域:
- 医疗经济学
- 公共卫生
- 产科和妇科
背景情况:
- 母亲近乎失踪 (MNM) 的住院对医疗保健系统构成重大财务负担.
- 巴西的一项微成本研究显示MNM的每次入院费用高,超过了补偿价值.
- 可以预防的MNM原因表明产妇医疗保健的系统性问题.
研究的目的:
- 估计与母亲近乎失踪 (MNM) 病例相关的医院费用.
- 从机构和巴西公共卫生系统 (SUS) 的角度分析成本.
- 为旨在提高产妇保健质量的政策干预提供数据.
主要方法:
- 一项使用重症监护室128名MNM患者初级数据的疾病成本研究.
- 通过医疗记录审查和SUS报销数据的分析进行了微成本计算.
- 成本以巴西雷亚尔 (R$) 计算,并使用2019年的价值转换为美元 (US$).
主要成果:
- 平均MNM入院费用为1,427.70美元 (医疗记录审查) 和973.00美元 (SUS补偿).
- 基于补偿的成本估计明显低于医疗记录审查的估计 (p<0.0001).
- 预计2019年巴西的MNM国家经济负担超过8600万美元.
结论:
- 微型成本显示巴西公共卫生系统中MNM入院的医院费用很高.
- 实际成本和补偿率之间存在很大的差异.
- 可以预防的MNM病例的高发病率强调了需要提高护理质量和政策改革的必要性.
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