o custo que envolve a retirada de múltiplos órgãos cost that involves the retriet of multiple organs
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ID: 197479
2002
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Abstract
O processo que envolve a doação e retirada de órgãos é complexo e tem um custo elevado para os hospitais que o realizam. Neste artigo é estimado o custo médio total envolvido nesse processo, comparando-o com a remuneração paga pelo Sistema Único de Saúde. OBJETIVO: Levantar os gastos com captação, manutenção do doador e retirada de órgãos para transplante. MÉTODOS: É um estudo retrospectivo, baseado no levantamento dos prontuários de 32 doadores admitidos na Organização de Procura de Órgãos do Instituto Dante Pazzanese de Cardiologia, São Paulo, no período de janeiro a dezembro de 1999. Os gastos levantados foram em relação aos seguinte itens: recursos humanos, material de consumo, utilidade pública, exames complementares, depreciação de equipamentos, material permanente e transporte. RESULTADOS: O estudo realizado encontrou o custo médio de R$ 2.883,34 para o processo de doação, captação e retirada de órgãos, desde a avaliação até a entrega do corpo a família. O valor pago pelo SUS é de R$ 1. 853,71. Este custo cobre 65% do custo médio real. CONCLUSÃO: O artigo demonstra a importância da realização de estudos de custos, de procedimentos, com o objetivo de orientar a definição/atualização das tabelas de remuneração de serviços.
The process of organ donation and retreat is complex and involves a high cost for hospitals that do it.PURPOSE: to survey the expenses with the process of donation and retreat of organs.METHODS: retrospective study based on medical records of 32 donors, admitted in the Search Organs Organisation do Instituto Dante Pazzanese de Cardiologia, during the period from January to December of 1999.RESULTS: the process is complex and involves a special structure as well as 24 hours of activities, making it costly. Expenses were related with the following items: human resources, permanent material, public utilities, complementary examinations, depreciation of equipment and transportation. A comparison with the values reimbursed by the Single Health System (SUS) followed.CONCLUSION: the total cost was high than the reimbursement provided by SUS, showing the necessity of research about cost of procedures and the reinvestment margin.
The process of organ donation and retreat is complex and involves a high cost for hospitals that do it.PURPOSE: to survey the expenses with the process of donation and retreat of organs.METHODS: retrospective study based on medical records of 32 donors, admitted in the Search Organs Organisation do Instituto Dante Pazzanese de Cardiologia, during the period from January to December of 1999.RESULTS: the process is complex and involves a special structure as well as 24 hours of activities, making it costly. Expenses were related with the following items: human resources, permanent material, public utilities, complementary examinations, depreciation of equipment and transportation. A comparison with the values reimbursed by the Single Health System (SUS) followed.CONCLUSION: the total cost was high than the reimbursement provided by SUS, showing the necessity of research about cost of procedures and the reinvestment margin.
| Reference Key |
guerra2002revistao
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| Authors | ;CÍCERA IZABEL C. DE OLIVEIRA GUERRA;OLÍMPIO J. NOGUEIRA V. BITTAR;MOACIR R. DE SIQUEIRA JÚNIOR;FUMIO ARAKI |
| Journal | acta crystallographica section e |
| Year | 2002 |
| DOI |
10.1590/S0104-42302002000200036
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| URL | |
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