Economic Impact Of Hospital Paliative Care Units: A Systematic Review          /          Impacto Econômico das Unidades de Cuidados Paliativos Hospitalares: Revisão Sistemática

Thiago Catão de Vasconcelos

doi:10.9789/2175-5361.2019.v11i5.1389-1396

Authors

Thiago Catão de Vasconcelos Universidade Federal da Paraíba-UFPB http://orcid.org/0000-0001-9747-009X

DOI:

https://doi.org/10.9789/2175-5361.2019.v11i5.1389-1396

Keywords:

Cuidados Paliativos, Custos de Cuidados de Saúde, Assistência Terminal

Abstract

Objetivo: Determinar se a prática de cuidados paliativos (CP) em unidades específicas reduz os custos hospitalares para pacientes com doenças terminais. Métodos: Realizou-se uma revisão sistemática da literatura. Pesquisaram-se estudos primários nas bases da LILACS, SCOPUS, SciELO, MEDLINE e Biblioteca Cochrane publicados entre janeiro de 2014 e janeiro de 2019, envolvendo pacientes adultos com doença terminal hospitalizados. Resultados: Selecionaram-se 15 estudos publicados em inglês e conduzidos em nove países, todos de renda alta e média-alta. Encontraram-se evidências observacionais de que pacientes em Unidades de Cuidados Paliativos (UCP) apresentaram comparativamente menores custos. Conclusão: Os estudos compararam a minimização de custos, porém muitos não relataram análise econômica relevante para UCP. Os resultados desta revisão apontam para a necessidade de pesquisas com análise econômica em saúde, a fim de obter subsídios mais amplos das interrelações entre cuidado e custos.

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Author Biography

Thiago Catão de Vasconcelos, Universidade Federal da Paraíba-UFPB

Médico. Especialista em Cuidados Paliativos pela Universidade Federal da Paraíba – UFPB. Médico Intensivista da Unidade de Terapia Intensiva e Membro da Comissão de Cuidados Paliativos do Hospital Universitário Lauro Wanderley – HULW, João Pessoa, Paraíba, Brasil.

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