0288/2017 - Análise de custos da atenção hospitalar ao parto vaginal e à cesariana eletiva para gestantes de risco habitual no Sistema Único de Saúde. Análise de custos da atenção hospitalar ao parto vaginal e à cesariana eletiva para gestantes de risco habitual no Sistema Único de Saúde.
Esse estudo estimou os custos do parto vaginal e da cesariana eletiva, sem indicação clínica, para gestantes de risco habitual na perspectiva do Sistema Único de Saúde provedor. A coleta de dados envolveu três maternidades públicas situadas na região Sudeste. Foram realizadas visitas nas maternidades e entrevistas com os profissionais. Os itens de custos incluídos foram recursos humanos, insumos hospitalares, custo de capital e administrativos que foram identificados, quantificados e valorados pelo método de microcusteio. Foram identificados custos com o parto vaginal, cesariana eletiva e diária em alojamento conjunto para as três maternidades. A média do custo do procedimento parto vaginal foi de R$808,16 e variou R$585,74 a R$916,14 entre as maternidades. O custo médio da cesariana eletiva foi de R$1.113,70 com variação R$652,69 a R$1.516,02. O principal item de custo foi os recursos humanos, que correspondeu a 89% no parto vaginal e 81% na cesariana. Incluindo o período de permanência em alojamento conjunto, o custo médio do parto vaginal foi de R$1.397,91e da cesariana R$1.843,87, 32% superior que o parto vaginal. As análises de custo na atenção perinatal contribuem para a gestão dos serviços de saúde, além de serem essenciais para análises de custo-efetividade nessa área.
Palavras-chave:
Custos e Análise de custo. Gestão em Saúde. Cesárea. Parto normal.
Abstract:
This study estimated the costs of vaginal delivery and elective caesarean section without medical indication, for habitual risk pregnant womenthe perspective of the Brazilian Unified National Health System. Data collection involved three public hospitals located in the southeast region of Brazil. Data was collected in the settings and interviews were performed with professionals. The items costs were human resources, hospital supplies, capital and overhead. It were identified, quantified and valued by micro-costing method. The costs were identified with vaginal delivery, elective cesarean section and daily in rooming for the three maternity hospitals. The average cost of vaginal delivery procedure was R$808.16 and varied R$585.74 to R$916.14 between hospitals. The average cost of elective cesarean section was R$1,113.70 with variation R$652.69 to R$ 1,516.02. The main cost drive was human resources, corresponding 89% in vaginal delivery and 81% in cesarean section. When the staying in rooming was included, the average cost of vaginal delivery was R$ 1,397.91 and R$ 1,843.87 caesarean. The study showed cost 32% more for the caesarean section. Cost analyses of perinatal care contributes to the management of health services, and are essential for cost-effectiveness analysis.
Keywords:
Health Expenditures. Health Management. CesareanSection. Natural Childbirth.
Análise de custos da atenção hospitalar ao parto vaginal e à cesariana eletiva para gestantes de risco habitual no Sistema Único de Saúde.
Resumo (abstract):
This study estimated the costs of vaginal delivery and elective caesarean section without medical indication, for habitual risk pregnant womenthe perspective of the Brazilian Unified National Health System. Data collection involved three public hospitals located in the southeast region of Brazil. Data was collected in the settings and interviews were performed with professionals. The items costs were human resources, hospital supplies, capital and overhead. It were identified, quantified and valued by micro-costing method. The costs were identified with vaginal delivery, elective cesarean section and daily in rooming for the three maternity hospitals. The average cost of vaginal delivery procedure was R$808.16 and varied R$585.74 to R$916.14 between hospitals. The average cost of elective cesarean section was R$1,113.70 with variation R$652.69 to R$ 1,516.02. The main cost drive was human resources, corresponding 89% in vaginal delivery and 81% in cesarean section. When the staying in rooming was included, the average cost of vaginal delivery was R$ 1,397.91 and R$ 1,843.87 caesarean. The study showed cost 32% more for the caesarean section. Cost analyses of perinatal care contributes to the management of health services, and are essential for cost-effectiveness analysis.
Palavras-chave (keywords):
Health Expenditures. Health Management. CesareanSection. Natural Childbirth.
Entringer, AP, Pinto, MT, Gomes, M.A.S.M. Análise de custos da atenção hospitalar ao parto vaginal e à cesariana eletiva para gestantes de risco habitual no Sistema Único de Saúde.. Cien Saude Colet [periódico na internet] (2017/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-de-custos-da-atencao-hospitalar-ao-parto-vaginal-e-a-cesariana-eletiva-para-gestantes-de-risco-habitual-no-sistema-unico-de-saude/16340?id=16340
