Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases
ABSTRACT Objectives: to identify whether implementing a supplementary Primary Health Care (PHC) system makes it possible to reduce care costs for older adults with heart diseases. Methods: a retrospective cohort of 223 patients with heart disease aged ≥ 60 years. Data were obtained from medical re...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Enfermagem
2023-07-01
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| Series: | Revista Brasileira de Enfermagem |
| Subjects: | |
| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000700203&lng=en&tlng=en |
| _version_ | 1797783396548608000 |
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| author | Geórgia Silva Marques Alessandra Maciel Almeida Isabel Cristina Gomes Michele Renata Barbosa da Silva Bruno Almeida Rezende |
| author_facet | Geórgia Silva Marques Alessandra Maciel Almeida Isabel Cristina Gomes Michele Renata Barbosa da Silva Bruno Almeida Rezende |
| author_sort | Geórgia Silva Marques |
| collection | DOAJ |
| description | ABSTRACT Objectives: to identify whether implementing a supplementary Primary Health Care (PHC) system makes it possible to reduce care costs for older adults with heart diseases. Methods: a retrospective cohort of 223 patients with heart disease aged ≥ 60 years. Data were obtained from medical records and cost databases, assessed for a period of one year before and after PHC implementation. The results were expressed as mean absolute frequencies for number of hospitalizations and as average annual expenses expressed in dollars (US$) in relation to cost data. Results: there was a reduction in hospitalization expenses after implementing supplementary PHC (p=0.01) and a decrease in the frequency of hospitalizations for the entire sample (p=0.006). There was a reduction in the frequency of consultations at the Emergency Room among frail older adults (p=0.011). Conclusions: there was a reduction in hospitalization costs and frequency of visits to the Emergency Room after supplementary PHC. |
| first_indexed | 2024-03-13T00:25:26Z |
| format | Article |
| id | doaj.art-abf9a2109a574663942794bc180781c4 |
| institution | Directory Open Access Journal |
| issn | 1984-0446 |
| language | English |
| last_indexed | 2024-03-13T00:25:26Z |
| publishDate | 2023-07-01 |
| publisher | Associação Brasileira de Enfermagem |
| record_format | Article |
| series | Revista Brasileira de Enfermagem |
| spelling | doaj.art-abf9a2109a574663942794bc180781c42023-07-11T07:36:48ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462023-07-0176310.1590/0034-7167-2022-0486Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseasesGeórgia Silva Marqueshttps://orcid.org/0000-0003-4766-5854Alessandra Maciel Almeidahttps://orcid.org/0000-0003-0138-9401Isabel Cristina Gomeshttps://orcid.org/0000-0002-5549-3426Michele Renata Barbosa da Silvahttps://orcid.org/0000-0003-2026-8234Bruno Almeida Rezendehttps://orcid.org/0000-0002-4460-0572ABSTRACT Objectives: to identify whether implementing a supplementary Primary Health Care (PHC) system makes it possible to reduce care costs for older adults with heart diseases. Methods: a retrospective cohort of 223 patients with heart disease aged ≥ 60 years. Data were obtained from medical records and cost databases, assessed for a period of one year before and after PHC implementation. The results were expressed as mean absolute frequencies for number of hospitalizations and as average annual expenses expressed in dollars (US$) in relation to cost data. Results: there was a reduction in hospitalization expenses after implementing supplementary PHC (p=0.01) and a decrease in the frequency of hospitalizations for the entire sample (p=0.006). There was a reduction in the frequency of consultations at the Emergency Room among frail older adults (p=0.011). Conclusions: there was a reduction in hospitalization costs and frequency of visits to the Emergency Room after supplementary PHC.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000700203&lng=en&tlng=enAgedCardiovascular DiseasesCosts and Cost AnalysisPrimary Health CareLearning Health System |
| spellingShingle | Geórgia Silva Marques Alessandra Maciel Almeida Isabel Cristina Gomes Michele Renata Barbosa da Silva Bruno Almeida Rezende Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases Revista Brasileira de Enfermagem Aged Cardiovascular Diseases Costs and Cost Analysis Primary Health Care Learning Health System |
| title | Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases |
| title_full | Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases |
| title_fullStr | Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases |
| title_full_unstemmed | Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases |
| title_short | Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases |
| title_sort | primary care in supplementary health assessment of costs in the care of older adult patients with heart diseases |
| topic | Aged Cardiovascular Diseases Costs and Cost Analysis Primary Health Care Learning Health System |
| url | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000700203&lng=en&tlng=en |
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