Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases.
Rev Bras Enferm
; 76(3): e20220486, 2023.
Article
en En, Pt
| MEDLINE
| ID: mdl-37436234
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.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cardiopatías
/
Hospitalización
Tipo de estudio:
Health_economic_evaluation
/
Observational_studies
Límite:
Aged
/
Humans
Idioma:
En
/
Pt
Revista:
Rev Bras Enferm
Año:
2023
Tipo del documento:
Article
País de afiliación:
Brasil