Average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds

Ruiz, Paula Buck de Oliveira; Lima, Antônio Fernandes Costa

doi:10.1590/1980-220X-REEUSP-2022-0295en

Acessibilidade / Reportar erro

Brasil

Revista da Escola de Enfermagem da USP

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 56 • 2022 • https://doi.org/10.1590/1980-220X-REEUSP-2022-0295en copy

Average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds^* * Extracted from the bachelor thesis: “Custos da assistência ambulatorial, hospitalar e domiciliar de pacientes com feridas crônicas”, Universidade de São Paulo, Escola de Enfermagem, 2021.

Costos directos promedios de la atención ambulatoria, hospitalaria y domiciliaria prestada a pacientes con heridas crónicas

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds.

Method:

Quantitative, exploratory-descriptive case study, carried out in a Comprehensive Wound Care Unit. Costs were obtained by multiplying the time spent by professionals by the unit cost of labor in the respective category, adding to the costs of materials and topical therapies.

Results:

Outpatient care costs corresponded to US$4.25 (SD ± 7.60), hospital care to US$3.87 (SD ± 17.27), and home care to US$3.47 (SD ± 5.73). In these three modalities, direct costs with dressings and medical consultations were the most representative: US$7.76 (SD ± 9.46) and US$6.61 (SD ± 6.54); US$7.06 (SD ± 24.16) and US$15.60 (SD ± 0.00); US$4.09 (SD ± 5.28) and US$15.60 (SD ± 0.00), respectively.

Conclusion:

Considering comprehensive care for patients with chronic wounds, the mean total direct cost was US$10.28 (SD ± 17.21), with the outpatient modality being the most representative in its composition. There was a statistically significant difference (p value = 0.000) between the costs of home and outpatient, home and hospital, and outpatient and hospital care.

DESCRIPTORS
Wounds and Injuries; Nursing; Costs and Cost Analysis; Cost Control; Health Care Costs; Direct Service Costs

Variable	Mean	SD±	Median	min–max
Nurse’s DL – US$	0.33	0.18	0.30	0.12–0.0.93
ADC with personnel – US$	0.33	0.18	0.30	0.12–0.0.93
ADC with materials/solutions (kits) – US$	1.45	0.41	1.18	1.12–2.16
ADC with Topical Therapy – US$	5.98	9.15	1.48	0.17–25.51
Total ADC of the dressing (n = 77) – US$	7.76	9.46	2.99	1.47–28.59
Total ADC – SAE Documentation (Nurse’s DL) (n = 77) – US$	0.09	0.06	0.09	0.03–0.36
Total ADC – Medical Consultation (Physician’s DL) (n = 21) – US$	6.61	6.54	2.08	1.04–15.6
Total ADC of comprehensive outpatient care – US$	4.25	7.60	1.59	0.03–28.59

Variable	Mean	SD±	Median	min–max
Nurse’s DL – US$	0.31	0.18	0.30	0.09–0.99
ADC with personnel – US$	0.31	0.18	0.30	0.09–0.99
ADC with materials/solutions (kits) – US$	1.40	0.33	1.18	1.12–2.16
ADC with Topical Therapy – US$	5.35	24.07	1.23	0.04–197.41
Total ADC of the dressing (n = 67) – US$	7.06	24.16	2.89	1.29–199.58
Total ADC – SAE Documentation (Nurse’s DL) (n = 67) – US$	0.15	0.07	0.12	0.06–0.54
Total ADC – Medical Consultation (Physician’s DL) (n = 3) – US$	15.60	0.00	15.60	15.60–15.60
Total CDM of comprehensive hospital care – US$	3.87	17.27	1.45	0.06–199.58

Variable	Mean	SD±	Median	min–max
Nurse’s DL – US$	0.27	0.12	0.21	0.12–0.84
Nursing technician’s DL – US$	0.22	0.13	0.21	0.09–0.48
ADC with personnel – US$	0.23	0.12	0.21	0.09–0.84
ADC with materials/solutions (kits) – US$	1.24	0.22	1.12	1.12–2.16
ADC with Topical Therapy – US$	2.61	5.11	0.49	0.03–25.51
Total ADC of the dressing (n = 84) – US$	4.09	5.28	1.95	1.39–28.39
Total ADC – SAE Documentation (Nurse’s DL) (n = 82) – US$	0.11	0.18	0.06	0.03–1.36
Total ADC – Medical Consultation (Physician’s DL) (n = 19) – US$	15.60	0.00	15.60	15.60–15.60
Total ADC of comprehensive home care – US$	3.47	5.73	1.59	0.03–28.38

Variable	Mean	SD±	Median	min–max	p value
Total ADC of the dressing (n = 77) – US$	7.76	9.46	2.99	1.47–28.59	pdxa = 0.306 pdxh = 0.424 paxh = 0.328
Total ADC of the dressing (n = 67) – US$	7.06	24.16	2.89	1.29–199.58
Total ADC of home dressing (n = 84) – US$	4.09	5.28	1.95	1.39–28.39
Total ADC Outpatient SAE Documentation (n = 77) – US$	0.09	0.06	0.09	0.03–0.36	pdxa = 0.454 pdxh = 0.000 paxd = 0.000
Total ADC Hospital SAE Documentation (n = 67) – US$	0.15	0.07	0.12	0.06–0.54
Total ADC Household SAE Documentation (n = 82) – US$	0.11	0.18	0.06	0.03–1.36
Total ADC – Outpatient Medical Consultation (n = 21) – US$	6.61	6.54	2.08	1.04–15.6	pdxa = 0.001 pdxh = 1.000 paxh = 0.083
Total ADC – Hospital Medical Consultation (n = 3) – US$	15.60	0.00	15.60	15.60–15.60
Total ADC – Home medical consultation (n = 19) – US$	15.60	0.00	15.60	15.60–15.60
Total ADC of comprehensive outpatient care – US$	4.25	7.60	1.59	0.03–28.59	pdxa = 0.000 pdxh = 0.000 paxh = 0.000
Total ADC of hospital care – US$	3.87	17.27	1.45	0.06–199.58
Total ADC of comprehensive home care – US$	3.47	17.27	1.45	0.06–199.58

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Paula Buck de Oliveira Ruiz Rua Cardeal Arcoverde, nº 201, Pinheiros 05407-000 – São Paulo, SP, Brazil paulabuckruiz@gmail.com

Brasil

Brasil

Average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds* * Extracted from the bachelor thesis: “Custos da assistência ambulatorial, hospitalar e domiciliar de pacientes com feridas crônicas”, Universidade de São Paulo, Escola de Enfermagem, 2021.

Costos directos promedios de la atención ambulatoria, hospitalaria y domiciliaria prestada a pacientes con heridas crónicas

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Average direct costs of outpatient, hospital, and home care provided to patients with chronic wounds^* * Extracted from the bachelor thesis: “Custos da assistência ambulatorial, hospitalar e domiciliar de pacientes com feridas crônicas”, Universidade de São Paulo, Escola de Enfermagem, 2021.