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Diagnosis of Stable Coronary Disease by Computed Tomography Angiography as a first-line test:Cost Analysis in an Integrated Responsibility Center
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Advisor(s)
Abstract(s)
A melhoria da eficiência no setor da saúde é essencial para reduzir falhas nos serviços e assegurar cuidados de qualidade aos utentes do Serviço Nacional de Saúde (SNS), otimizando os recursos limitados. Em Portugal, a incidência de enfarte agudo do miocárdio (EAM) tem aumentado devido à prevalência de fatores de risco cardiovascular, muitos dos quais poderiam ser prevenidos com uma gestão adequada, adoção de hábitos saudáveis e um diagnóstico precoce por imagem. A angiografia por tomografia computorizada cardíaca (Angio TC) tem-se revelado uma ferramenta eficaz no diagnóstico da doença coronária (DC), permitindo calcular o score de cálcio das artérias coronárias e identificar outras patologias importantes. Este exame não invasivo pode substituir métodos convencionais, avaliando o fluxo arterial em tempo real. Este projeto avalia a viabilidade económica de implementar a Angio TC como exame de primeira linha para diagnóstico de DC estável na Unidade Local de Saúde do Alentejo Central (ULSAC), com uma poupança anual estimada de 344 991,16 €/ano.
Improving efficiency in the health sector is essential to reduce service failures and ensure quality care for users of the National Health Service (SNS), optimizing limited resources. In Portugal, the incidence of acute myocardial infarction (AMI) has increased due to the prevalence of cardiovascular risk factors, many of which could be prevented through proper management, adoption of healthy habits and early diagnosis by imaging. Cardiac computed tomography angiography (CT angiography) has proven to be an effective tool in the diagnosis of coronary heart disease (CHD), allowing the calculation of the calcium score of the coronary arteries and the identification of other important pathologies. This non-invasive exam can replace conventional methods by assessing arterial flow in real time. The project evaluates the economic viability of implementing CT Angiography as a first-line exam for diagnosing stable CAD in the Alentejo Central Local Health Unit (ULSAC), with an estimated annual saving of 344 991,16€/year.
Improving efficiency in the health sector is essential to reduce service failures and ensure quality care for users of the National Health Service (SNS), optimizing limited resources. In Portugal, the incidence of acute myocardial infarction (AMI) has increased due to the prevalence of cardiovascular risk factors, many of which could be prevented through proper management, adoption of healthy habits and early diagnosis by imaging. Cardiac computed tomography angiography (CT angiography) has proven to be an effective tool in the diagnosis of coronary heart disease (CHD), allowing the calculation of the calcium score of the coronary arteries and the identification of other important pathologies. This non-invasive exam can replace conventional methods by assessing arterial flow in real time. The project evaluates the economic viability of implementing CT Angiography as a first-line exam for diagnosing stable CAD in the Alentejo Central Local Health Unit (ULSAC), with an estimated annual saving of 344 991,16€/year.
Description
Trabalho de Projeto Aplicado, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025
Keywords
Angio TC cardíaca Doença coronária estável MCDT Poupança Cardiac CT angiography Stable coronary disease
Citation
Russo, C. (2025). Diagnosis of stable coronary disease by computed tomography angiography as a first-line test : cost analysis in an Integrated responsibility center (Mestrado). Escola Superior de Gestão e Tecnologia, Santarém. Disponível na WWW em: <http://hdl.handle.net/10400.15/5794>