Effect of the Melhor em Casa program on hospital costs
ABSTRACT OBJECTIVE To verify if the Melhor em Casa program can actually reduce hospitalization costs. METHODS We use as an empirical strategy a Regression Discontinuity Design, which reduces endogeneity problems of our model. We also performed tests of heterogeneous responses and robustness. Dat...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2019-12-01
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| Series: | Revista de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100292&tlng=pt |
| _version_ | 1798026479874867200 |
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| author | Fábio Nishimura Aniela Fagundes Carrara Carlos Eduardo de Freitas |
| author_facet | Fábio Nishimura Aniela Fagundes Carrara Carlos Eduardo de Freitas |
| author_sort | Fábio Nishimura |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE To verify if the Melhor em Casa program can actually reduce hospitalization costs. METHODS We use as an empirical strategy a Regression Discontinuity Design, which reduces endogeneity problems of our model. We also performed tests of heterogeneous responses and robustness. Data on the dependent variable, namely hospitalization costs, were collected in the Department of Informatics of the Unified Health System (DATASUS), using the microdata set from the Hospital Admissions System of the Unified Health System (SUS) from 2010 to 2013, totaling 3,609,384 observations. The covariates or control variables used were age and costs with patients in the intensive care unit, also from DATASUS. RESULTS The results point out that the Melhor em Casa program effectively reduced hospitalization costs by approximately 4.7% in 2011, 5.8% in 2012 and 10.2% in 2013. CONCLUSIONS Based on the analyses, we observed that maintaining the program can effectively improve the management of public resources, since it reduced the hospitalization costs in the three years studied. The program reduced hospitalization costs of risk groups and also in situations that usually increase hospital costs such as lack of equipment and elective hospitalizations. Thus, it can be affirmed that the program can reduce hospitalization costs, especially in risk and more vulnerable groups, showing efficiency as a public policy. |
| first_indexed | 2024-04-11T18:36:07Z |
| format | Article |
| id | doaj.art-1d379f8e7d8c4d7d8adaa4dad1433497 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-04-11T18:36:07Z |
| publishDate | 2019-12-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-1d379f8e7d8c4d7d8adaa4dad14334972022-12-22T04:09:15ZengUniversidade de São PauloRevista de Saúde Pública1518-87872019-12-015310.11606/s1518-8787.2019053000859Effect of the Melhor em Casa program on hospital costsFábio Nishimurahttps://orcid.org/0000-0003-4370-0798Aniela Fagundes Carrarahttps://orcid.org/0000-0002-3131-2344Carlos Eduardo de Freitashttps://orcid.org/0000-0002-6347-011XABSTRACT OBJECTIVE To verify if the Melhor em Casa program can actually reduce hospitalization costs. METHODS We use as an empirical strategy a Regression Discontinuity Design, which reduces endogeneity problems of our model. We also performed tests of heterogeneous responses and robustness. Data on the dependent variable, namely hospitalization costs, were collected in the Department of Informatics of the Unified Health System (DATASUS), using the microdata set from the Hospital Admissions System of the Unified Health System (SUS) from 2010 to 2013, totaling 3,609,384 observations. The covariates or control variables used were age and costs with patients in the intensive care unit, also from DATASUS. RESULTS The results point out that the Melhor em Casa program effectively reduced hospitalization costs by approximately 4.7% in 2011, 5.8% in 2012 and 10.2% in 2013. CONCLUSIONS Based on the analyses, we observed that maintaining the program can effectively improve the management of public resources, since it reduced the hospitalization costs in the three years studied. The program reduced hospitalization costs of risk groups and also in situations that usually increase hospital costs such as lack of equipment and elective hospitalizations. Thus, it can be affirmed that the program can reduce hospitalization costs, especially in risk and more vulnerable groups, showing efficiency as a public policy.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100292&tlng=ptHome Care ServicesEconomicsHealth Care CostsProgram EvaluationUnified Health System |
| spellingShingle | Fábio Nishimura Aniela Fagundes Carrara Carlos Eduardo de Freitas Effect of the Melhor em Casa program on hospital costs Revista de Saúde Pública Home Care Services Economics Health Care Costs Program Evaluation Unified Health System |
| title | Effect of the Melhor em Casa program on hospital costs |
| title_full | Effect of the Melhor em Casa program on hospital costs |
| title_fullStr | Effect of the Melhor em Casa program on hospital costs |
| title_full_unstemmed | Effect of the Melhor em Casa program on hospital costs |
| title_short | Effect of the Melhor em Casa program on hospital costs |
| title_sort | effect of the melhor em casa program on hospital costs |
| topic | Home Care Services Economics Health Care Costs Program Evaluation Unified Health System |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100292&tlng=pt |
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