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Publication
Impacto económico do doente com DPOC no serviço de urgência do Hospital do Espírito Santo de Évora:a telereabilitação pulmonar no caminho da sustentabilidade económica da instituição
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Advisor(s)
Abstract(s)
A Doença Pulmonar Obstrutiva Crónica (DPOC) é um problema de saúde pública a nível mundial que representa um elevado custo para os sistemas de saúde e cujo tratamento não farmacológico mais adequado é a reabilitação pulmonar. No sentido de eliminar barreiras de acessibilidade à reabilitação presencial têm surgido programas de telereabilitação que demonstraram benefícios semelhantes à reabilitação convencional
sendo ainda necessário estudar a custo-efetividade desta tipologia de programas. Este estudo tem como grandes objetivos apurar o consumo económico dos episódios de urgência dos doentes com DPOC no Hospital de Espírito Santo de Évora (HESE) e demonstrar o potencial de redução do consumo económico associado aos episódios de urgência e internamento por DPOC agudizada através da implementação de um
programa de telereabilitação pulmonar. Numa primeira fase, foi analisada uma amostra de 501 pessoas que recorreram 905 vezes ao Serviço de Urgência (SU) por sintomatologia compatível com DPOC Agudizada nos sete anos em estudo. Desses episódios de urgência, 60% terminaram em alta hospitalar e 40% em internamento o que correspondeu a um consumo económico médio total de 862.364,42€. Posteriormente, ao simular a criação de um programa de telereabilitação verificou-se que o investimento inicial com os recursos materiais necessários é de 4.304,80€ e que o custo total anual com recursos humanos e materiais rondará os 31.077,45€. Ao analisar os resultados, foi possível concluir que um programa de telereabilitação pulmonar no Hospital do Espírito Santo de Évora permitiria obter ganhos em saúde para o doente e ganhos económicos para a instituição.
Chronic Obstructive Pulmonary Disease (COPD) is a global public health problem that represents a high cost for health systems and whose most appropriate nonpharmacological treatment is pulmonary rehabilitation. In order to eliminate accessibility barriers to in-person rehabilitation, telerehabilitation programs have emerged that have demonstrated benefits similar to conventional rehabilitation, and it is still necessary to study the cost-effectiveness of this type of program. This study's main objectives are to determine the economic consumption of emergency episodes of patients with COPD at the Hospital de Espírito Santo de Évora (HESE) and to demonstrate the potential for reducing economic consumption associated with emergency episodes and hospitalization for exacerbated COPD through the implementation of a pulmonary telerehabilitation program. In the first phase, a sample of 501 people who went to the emergency department (ED) 905 times due to symptoms compatible with Acute COPD in the seven years under study was analyzed. Of these emergency episodes, 60% ended in hospital discharge and 40% in hospitalization, which corresponded to a total average economic consumption of €862,364.42. Subsequently, when simulating the creation of a telerehabilitation program, it was found that the initial investment with the necessary material resources is €4,304.80 and that the total annual cost with human and material resources will be around €31,077.45. When analyzing the results, it was possible to conclude that a pulmonary telerehabilitation program at the Hospital do Espírito Santo de Évora would allow health gains for the patient and economic gains for the institution.
Chronic Obstructive Pulmonary Disease (COPD) is a global public health problem that represents a high cost for health systems and whose most appropriate nonpharmacological treatment is pulmonary rehabilitation. In order to eliminate accessibility barriers to in-person rehabilitation, telerehabilitation programs have emerged that have demonstrated benefits similar to conventional rehabilitation, and it is still necessary to study the cost-effectiveness of this type of program. This study's main objectives are to determine the economic consumption of emergency episodes of patients with COPD at the Hospital de Espírito Santo de Évora (HESE) and to demonstrate the potential for reducing economic consumption associated with emergency episodes and hospitalization for exacerbated COPD through the implementation of a pulmonary telerehabilitation program. In the first phase, a sample of 501 people who went to the emergency department (ED) 905 times due to symptoms compatible with Acute COPD in the seven years under study was analyzed. Of these emergency episodes, 60% ended in hospital discharge and 40% in hospitalization, which corresponded to a total average economic consumption of €862,364.42. Subsequently, when simulating the creation of a telerehabilitation program, it was found that the initial investment with the necessary material resources is €4,304.80 and that the total annual cost with human and material resources will be around €31,077.45. When analyzing the results, it was possible to conclude that a pulmonary telerehabilitation program at the Hospital do Espírito Santo de Évora would allow health gains for the patient and economic gains for the institution.
Description
Dissertação, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2024
Keywords
DPOC Telereabilitação pulmonar Custos dos cuidados de saúde COPD Pulmonary telerehabilitation Healthcare costs
Citation
Santos, A. (2024). Impacto económico do doente com DPOC no serviço de urgência do Hospital do Espírito Santo de Évora : a telereabilitação pulmonar no caminho da sustentabilidade económica da instituição (Mestrado). Escola Superior de Gestão e Tecnologia, Santarém. Disponível na WWW em: <http://hdl.handle.net/10400.15/4980>