Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015
Summary: Background: In Brazil, the increase in non-fatal events presents a new, unprecedented challenge for the free and universally accessible public healthcare system (SUS), the size and nature of which has yet to be reliably quantified. We examined the change in all-cause and cause-specific SUS...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-05-01
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| Series: | The Innovation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666675820300138 |
| _version_ | 1818388073447161856 |
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| author | Qi Zhao Micheline S.Z.S. Coelho Shanshan Li Paulo H.N. Saldiva Michael J. Abramson Rachel R. Huxley Yuming Guo |
| author_facet | Qi Zhao Micheline S.Z.S. Coelho Shanshan Li Paulo H.N. Saldiva Michael J. Abramson Rachel R. Huxley Yuming Guo |
| author_sort | Qi Zhao |
| collection | DOAJ |
| description | Summary: Background: In Brazil, the increase in non-fatal events presents a new, unprecedented challenge for the free and universally accessible public healthcare system (SUS), the size and nature of which has yet to be reliably quantified. We examined the change in all-cause and cause-specific SUS hospital admissions during 2000 to 2015. Materials and Methods: Data on hospital admissions across 1,816 cities were collected from the Brazilian Unified Health System. The age-standardized rates of hospital admissions, the associated healthcare costs, and length of hospital stay were quantified. Stratum analyses were performed by age, sex, region, and cause-specific categories. Results: Hospital admission rates decreased by 10.2‰ per decade to 54.2‰ in 2015. For admissions in 2015, healthcare costs per patient equaled US$353 (an increase of $23.5/year since 2000) with an average length of hospital stay of 5 days (a decline of 0.04 days/year since 2000). Circulatory diseases incurred the greatest financial costs. Children and the elderly were most susceptible, especially for pneumonia. Injury and poisoning were the primary reason for admission in adult males, whereas maternal and other female-specific conditions were the highest burden in females. The burden of hospital admission was highest in the south and lowest in the north and northeast. Discussion: Although hospital admission rates and length of stay have decreased in Brazil since 2000, the decline has been offset by an increase in direct healthcare costs. Age-, sex-, and region-specific features of the disease burden should be factored into future plans for healthcare expenditure in Brazil. |
| first_indexed | 2024-12-14T04:20:02Z |
| format | Article |
| id | doaj.art-a6adfb825c414125ac2bc75fbeefce40 |
| institution | Directory Open Access Journal |
| issn | 2666-6758 |
| language | English |
| last_indexed | 2024-12-14T04:20:02Z |
| publishDate | 2020-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Innovation |
| spelling | doaj.art-a6adfb825c414125ac2bc75fbeefce402022-12-21T23:17:24ZengElsevierThe Innovation2666-67582020-05-0111100013Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015Qi Zhao0Micheline S.Z.S. Coelho1Shanshan Li2Paulo H.N. Saldiva3Michael J. Abramson4Rachel R. Huxley5Yuming Guo6Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St. Kilda Road, Melbourne, VIC 3004, AustraliaInstitute of Advanced Studies, the University of São Paulo, São Paulo, State of São Paulo 05508-970, BrazilDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St. Kilda Road, Melbourne, VIC 3004, AustraliaInstitute of Advanced Studies, the University of São Paulo, São Paulo, State of São Paulo 05508-970, BrazilDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St. Kilda Road, Melbourne, VIC 3004, AustraliaFaculty of Health, Deakin University, Melbourne, VIC, 3125, AustraliaDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St. Kilda Road, Melbourne, VIC 3004, Australia; Corresponding author Yuming Guo, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University. Level 2, 553 St Kilda Road, Melbourne, VIC 3004, AustraliaSummary: Background: In Brazil, the increase in non-fatal events presents a new, unprecedented challenge for the free and universally accessible public healthcare system (SUS), the size and nature of which has yet to be reliably quantified. We examined the change in all-cause and cause-specific SUS hospital admissions during 2000 to 2015. Materials and Methods: Data on hospital admissions across 1,816 cities were collected from the Brazilian Unified Health System. The age-standardized rates of hospital admissions, the associated healthcare costs, and length of hospital stay were quantified. Stratum analyses were performed by age, sex, region, and cause-specific categories. Results: Hospital admission rates decreased by 10.2‰ per decade to 54.2‰ in 2015. For admissions in 2015, healthcare costs per patient equaled US$353 (an increase of $23.5/year since 2000) with an average length of hospital stay of 5 days (a decline of 0.04 days/year since 2000). Circulatory diseases incurred the greatest financial costs. Children and the elderly were most susceptible, especially for pneumonia. Injury and poisoning were the primary reason for admission in adult males, whereas maternal and other female-specific conditions were the highest burden in females. The burden of hospital admission was highest in the south and lowest in the north and northeast. Discussion: Although hospital admission rates and length of stay have decreased in Brazil since 2000, the decline has been offset by an increase in direct healthcare costs. Age-, sex-, and region-specific features of the disease burden should be factored into future plans for healthcare expenditure in Brazil.http://www.sciencedirect.com/science/article/pii/S2666675820300138Brazilhospital admissiondisease burdencirculatory diseasediabetescancer |
| spellingShingle | Qi Zhao Micheline S.Z.S. Coelho Shanshan Li Paulo H.N. Saldiva Michael J. Abramson Rachel R. Huxley Yuming Guo Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015 The Innovation Brazil hospital admission disease burden circulatory disease diabetes cancer |
| title | Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015 |
| title_full | Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015 |
| title_fullStr | Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015 |
| title_full_unstemmed | Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015 |
| title_short | Trends in Hospital Admission Rates and Associated Direct Healthcare Costs in Brazil: A Nationwide Retrospective Study between 2000 and 2015 |
| title_sort | trends in hospital admission rates and associated direct healthcare costs in brazil a nationwide retrospective study between 2000 and 2015 |
| topic | Brazil hospital admission disease burden circulatory disease diabetes cancer |
| url | http://www.sciencedirect.com/science/article/pii/S2666675820300138 |
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