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- Title
Brazilian Public Health System: history and profile of heart failure care and the impacts of COVID-19.
- Authors
Westarb Cruz, June Alisson; Buso, Gustavo Martini; Zytynski Moura, Lidia Ana; de Moraes, Thyago Proença; Viegas Cortez da Cunha, Maria Alexandra; Zequinão, Tiago; Gasparetto, Juliano; Tuon, Felipe Francisco; Marques, Sandro
- Abstract
Objective: The objective of this study is to describe the general and specific context of hospitalizations for Heart Failure (HF) in the Unified Health System and its main care indicators and economic aspects in the period before and during COVID-19. Methods: The economic indicators were evaluated between January 2011 and June 2022, comparing these indicators before and during the COVID-19 pandemic, using data from the DataSUS Health Information of the Ministry of Health of Brazil. The number of hospitalizations, length of stay, lethality and hospitalization costs were evaluated. The ARIMA method and the general regression model were used to analyze monthly results before and during COVID-19. Results: Hospitalization for HF has decreased in the last 11 years, with the most significant drop in the COVID-19 pandemic. After the pandemic, there was an increase in lethality in patients hospitalized for HF and also an increase in length of stay, despite the decrease in hospitalizations. When analyzing the economic aspects, more than US$ 725 million were spent. The average ticket showed a clear drop in per capita investment, with a real devaluation of 30.46% in the period from 2011 to 2022, which can be related to two main hypotheses: increased effectiveness and effectiveness of the analysis of service costs and/ or chronic underfunding of the Brazilian Public Health System. Conclusion: HF has its lethality worsened over time, especially in the COVID-19 period, also associated with a significant expense with the SUS and a tendency to decrease the allocation of resources.
- Subjects
HISTORY of public health; COVID-19 pandemic; HEART failure; HEART failure patients; COVID-19; HOSPITAL patients; DEVALUATION of currency; ECONOMIC indicators; RESOURCE allocation
- Publication
JBES: Brazilian Journal of Health Economics / Jornal Brasileiro de Economia da Saúde, 2022, Vol 14, Issue 2, p140
- ISSN
2175-2095
- Publication type
Article
- DOI
10.21115/JBES.v14.n2.p140-148