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Custo direto da Diabetes Mellitus no Hospital de Portimão: análise transversal do financiamento e metas contratualizadas
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| 1.41 MB | Adobe PDF |
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Abstract(s)
Este estudo pretende apresentar o quadro da Diabetes Mellitus e verificar a influência de diversos fatores ao nível da duração média do internamento; perceber se a atual forma de financiamento para a prestação de cuidados é favorável para a instituição de saúde em estudo, e ainda; verificar a influência que a Diabetes Mellitus tem no cumprimento das metas contratualizadas, nos anos 2015 e 2016.
Para isso, adotou-se uma estratégia de investigação quantitativa, tratando-se de um estudo descritivo, retrospetivo e transversal. Considerou-se como população todos os episódios de internamento com diagnóstico principal Diabetes Mellitus, no Hospital de Portimão, em 2015 e 2016.
Os resultados permitiram verificar que a maioria dos episódios de internamento são associados ao sexo masculino (58,92%), ao tipo 2 (62,79%), à presença de complicações (89,15%) e ao nível de severidade 2 (58,14%). O tempo de internamento é superior nos doentes diabéticos do sexo feminino (16,19 dias), do tipo 2 (16,79 dias), com presença de complicações (14,22 dias) e com nível de severidade 3 (21,44 dias). O custo direto dos episódios de internamento é de 228.169,71€. O Contrato-Programa demonstra a atribuição de um financiamento que permite maior encaixe financeiro à instituição de saúde, comparativamente à Tabela Nacional de GDH. A Diabetes Mellitus contribui para o incumprimento das metas negociadas e, por conseguinte, para a não atribuição de incentivos financeiros.
Isto demonstra que a maior parte da despesa causada pelos internamentos por Diabetes Mellitus pode ser maioritariamente evitada, concluindo que existe uma necessidade urgente de atuação política e de gestão.
This study intends to present the Diabetes Mellitus framework and to verify the influence of several factors on the average duration of hospitalization; to understand if the current form of financing for the provision of care is favorable for the health institution under study, and still; to verify the influence that Diabetes Mellitus has in meeting the contracted goals, in the years 2015 and 2016. For this, a quantitative research strategy was adopted, being a descriptive, retrospective and cross-sectional study. All hospitalization episodes with a diagnosis of Diabetes Mellitus in the Hospital of Portimão in 2015 and 2016 were considered as population. The results showed that most hospitalization episodes were associated with males (58.92%), type 2 (62.79%), complications (89.15%) and 2nd degree of severity (58.14%). The length of hospital stay was higher in female diabetic patients (16.19 days), type 2 (16.79 days), presence of complications (14.22 days) and 3rd degree of severity (21.44 days). The direct cost of hospitalization episodes is 228,169.71€. The Contract Program demonstrates the allocation of funding that allows greater financial provision to the health institution, comparatively to the National GDH Table. Diabetes Mellitus contributes to non-compliance with the negotiated targets and, therefore, to the non-allocation of financial incentives. This demonstrates that most of the costs caused by hospitalizations for Diabetes Mellitus can be largely avoided, concluding that there is an urgent need for political and management action.
This study intends to present the Diabetes Mellitus framework and to verify the influence of several factors on the average duration of hospitalization; to understand if the current form of financing for the provision of care is favorable for the health institution under study, and still; to verify the influence that Diabetes Mellitus has in meeting the contracted goals, in the years 2015 and 2016. For this, a quantitative research strategy was adopted, being a descriptive, retrospective and cross-sectional study. All hospitalization episodes with a diagnosis of Diabetes Mellitus in the Hospital of Portimão in 2015 and 2016 were considered as population. The results showed that most hospitalization episodes were associated with males (58.92%), type 2 (62.79%), complications (89.15%) and 2nd degree of severity (58.14%). The length of hospital stay was higher in female diabetic patients (16.19 days), type 2 (16.79 days), presence of complications (14.22 days) and 3rd degree of severity (21.44 days). The direct cost of hospitalization episodes is 228,169.71€. The Contract Program demonstrates the allocation of funding that allows greater financial provision to the health institution, comparatively to the National GDH Table. Diabetes Mellitus contributes to non-compliance with the negotiated targets and, therefore, to the non-allocation of financial incentives. This demonstrates that most of the costs caused by hospitalizations for Diabetes Mellitus can be largely avoided, concluding that there is an urgent need for political and management action.
Description
Keywords
Diabetes Mellitus Custo direto Financiamento Internamento