Evaluating cost of materials for wound care provided to patients at home

Authors

  • Sandra Marina Gonçalves Bezerrra Nurse, Assistant Professor I of the State University of Piauí,
  • Aline Costa de Oliveira Nurse, Master degree student in Post-Graduation Program of Federal University of Piauí - PPGEnf-UFPI
  • Lídya Tolstenko Nogueira Nurse, Associated Professor of PPGEnf -UFPI
  • Maria Clara Batista da Rocha Viana Graduated nurse at State University of Piauí.
  • Claudia Daniela Avelino Vasconcelos Benício Nurse, Assistant Professor I of the Federal University of Piauí, Stomatherapist nurse. PhD student in PPGEnf-UFPI.
  • Juliana Lima Nascimento Pharmacist and manager of the Pharmaceutical Assistance of Municipal Health Foundation of Teresina

DOI:

https://doi.org/10.3823/2234

Abstract

Purpose: To evaluate the costs of curative materials provided to patients under domiciliary assistance and relate them to the demographic profile, typology of the wound and associated co-morbidities.

Design: Cross-sectional study.

Subjects and setting: The sample had 334 records filed in the public health service that dispense materials and coverings for dressings at the home, for patients with wounds that are registered in the primary healthcare in the city of Teresina, Piauí-Brazil.

Methods: A semi-structured instrument was used for data collection, containing information about the socio-demographic profile, associated co-morbidities, amount and cost of provided materials. In the inferential analysis, Kruskal-Wallis Test and Mann-Whitney Test were used to compare the total cost for the treatments.

Results: There was a predominance of males (65.5%), elderly (49.1%), with prevalence of pressure injury (44.6%), having collagenase as the main coverage (53.9%) followed by essential fatty acids (41.1%). The maximum cost of treatment was US$ 5,883.05 with dispensing time up to 5 years. There was a significant association between socio-demographic and clinical characteristics, type of wound and treatment time with respect to the cost (p<0.001).

Conclusion: Cost of materials for dressing in the public service is high, with inadequate coverage and extended treatment time, with pressure injury being the most expensive.

 

Keywords: Health evaluation, Cost and cost analysis, Primary health care, Wound healing, Bandages.

Downloads

Published

2017-01-26

Issue

Vol. 9 (2016)

Section

Global Health & Health Policy

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).

 

 

Most read articles by the same author(s)