新冠肺炎疫情对巴西私立医院的影响。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI:10.31744/einstein_journal/2023AO0174
Andrizio Alexandrino de Morais, Ana Maria Malik, Gonzalo Vecina Neto
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引用次数: 0

摘要

新冠肺炎大流行对医院绩效产生了重大影响。为了评估其对医院指标的影响,我们研究了100多个设施的样本。这些设施是私立医院协会的成员,该协会被认为是拥有更高级别社会经济患者的优质机构,主要由私人保险公司提供资金。我们利用了2020年的公开数据,这一年是疫情影响最严重的一年。卫生限制措施对巴西一组选定的私立医院的常规绩效指标产生了强烈影响。由于不依赖外部限制,住院治疗和分娩继续占住院人数的重要比例。由于越来越多地使用更昂贵的个人防护设备(由于缺乏可用性或需求更高),医院费用增加。文章摘自提交给圣保罗Getulio Vargas基金会竞争力管理硕士项目的硕士论文,目的:分析国家补充卫生局和政府卫生部门为应对新冠肺炎大流行而实施的监管措施对隶属于国家私立医院协会的118家私立医院的运营和/或财务影响利用国家补充卫生局提供的二级数据进行的描述性、横断面和回顾性研究。结果:住院人数和住院率下降了-20.1%,息税折旧摊销前利润下降了-4.4个百分点。此外,平均住院时间增加了+0.5,而病假总费用和病假总净收入分别增加了+39.4%和+23.6%。根据2019年和2020年的ICD-10,比较不同国际疾病分类的参与情况,发现住院百分比存在以下差异。传染病(包括新冠肺炎)、肿瘤治疗和妊娠的住院人数分别增加了+2.1、+2.4和+1.2。然而,呼吸道疾病的住院人数减少了-4.1。结论:在大流行的最关键时期,需要重新安排活动,集中精力照顾新冠肺炎病例。这种情况突出了初级保健的非优先性,因为未受新冠肺炎影响的患者提出的许多问题必须在适当的时候转诊到急救服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impacts of the COVID-19 pandemic on private hospitals in Brazil.

Impacts of the COVID-19 pandemic on private hospitals in Brazil.

Impacts of the COVID-19 pandemic on private hospitals in Brazil.

Impacts of the COVID-19 pandemic on private hospitals in Brazil.

The COVID-19 pandemic has significantly impacted hospital performance. To assess its effects on hospital indicators, we studied a sample of over 100 facilities. These facilities are members of a private hospital association, considered quality institutions with higher-tier socioeconomic patients, and are mostly financed by private insurers. We utilized publicly available data for 2020, the year when the pandemic effect was most acute. Sanitary restriction measures had a strong impact on usual performance indicators from a selected group of private hospitals in Brazil. P۪۪regnancies and deliveries continued to constitute an important proportion of hospital admissions because they did not depend on external restrictions. H۪۪ospital costs increased due to increased utilization of more expensive Personal Protection Equipment (due to lack of availability or much higher demand). Article extracted from the master's dissertation presented to the Master´s Program in Management for Competitiveness at Fundação Getulio Vargas , São Paulo, SP, in 2022.

Objective: To analyze the operational and/or financial impacts of regulatory measures implemented by the National Agency for Supplementary Health and government health departments in response to the COVID-19 pandemic on a group of 118 private hospitals affiliated with the National Association of Private Hospitals.

Methods: This study used a quantitative methodological design of descriptive, cross-sectional, and retrospective studies, utilizing secondary data provided by the National Agency for Supplementary Health.

Results: There was a -20.1% reduction in hospital admissions and hospital occupancy rate and a decrease of -4.4 percentage points in earnings before interest, taxes, depreciation, and amortization margins. Additionally, the average length of hospital stay increased by +0.5, while total expenses for hospital leaves and total net revenue for hospital leaves increased by +39.4% and +23.6%, respectively. Comparing the participation of the different International Classification of Diseases, according to ICD-10 in 2019 and 2020, revealed the following variations in percentage points of hospitalizations. Hospitalizations for infectious diseases (including COVID-19), treatment of neoplasms, and pregnancy increased by +2.1, +2.4, and +1.2, respectively. However, hospitalizations for respiratory diseases decreased by -4.1.

Conclusion: The most critical period of the pandemic required the redirection of activities to concentrate efforts on caring for COVID-19 cases. This situation highlighted the non-prioritization of primary care, as many problems presented by patients not affected by COVID-19 had to be referred to emergency services when and if appropriate.

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Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
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2.00
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210
审稿时长
38 weeks
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