Health care costs in the last four years of life for private health plan beneficiaries in Brazil.
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| Title: | Health care costs in the last four years of life for private health plan beneficiaries in Brazil. |
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| Alternate Title: | Costos de la atención sanitaria en los últimos cuatro años de vida de beneficiarios de seguros privados de salud en Brasil. |
| Authors: | Ferraz, Marcos Bosi1 marcos.ferraz@fleury.com.br, Miranda, Isaura Cristina2, Padovan, Jorge2, de Soárez, Patricia Coelho2, Ciconelli, Rozana1 |
| Source: | Pan American Journal of Public Health / Revista Panamericana de Salud Pública. Aug2008, Vol. 24 Issue 2, p120-126. 7p. |
| Subjects: | HEALTH policy, MEDICAL care costs, MEDICAL care, BRAZILIANS, PUBLIC health |
| Geographic Terms: | BRAZIL |
| Abstract (English): | Objective. To examine health care use and expenditures by Brazilians covered by private health care plans in the last four years of life. Methods. Health plan provider enrollee files and death certificate data were used for 274 health plan beneficiaries who died in 1998, 1999, and 2000. Resources used for a beneficiary in the year of death and in the three years prior to death were identified. Descriptive statistical analyses were used for clinical and socio-demographic characteristics and to describe the costs. Results. Of the 274 deaths included in this analysis, 92 occurred in 1998, 82 in 1999, and 100 in 2000. Most of the deceased were males (61.4%). Distribution in terms of type of health plan coverage (full versus hospitalization-only coverage) was similar among beneficiaries (53% had hospitalization only and 47% had full coverage). The total health plan expenditure in the last four years of life for the 274 decedents was US$ 26 300 283 (US$ 12 287 723 for beneficiaries with hospitalization-only and US$ 14 012 560 for those with full coverage). Expenditures increased progressively in the four years preceding death. About 70% of medical expenses for decedents in the four years of this analysis were incurred in the last year of life. Conclusion. Relatively large amounts of health care resources are used by Brazilian private health plan participants in their last year of life, suggesting that specific strategies are needed to optimize the allocation of medical care resources for these patients. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Examinar la utilización de los servicios de salud y los gastos asociados durante los últimos cuatro años de vida de brasileños con seguro privado de salud. Métodos. Se emplearon los expedientes del seguro y los certificados de defunción de 274 beneficiarios de seguros de salud que murieron entre 1998 y 2000. Se identificaron los recursos utilizados para cada beneficiario durante el año que murió y los tres años anteriores. Mediante métodos estadísticos descriptivos se analizaron las características clínicas y sociodemográficas y se describieron los costos. Resultados. De los 274 fallecidos analizados, 92 murieron en 1998, 82 en 1999 y 100 en 2000; la mayoría de ellos (61,4%) eran hombres. La distribución según el tipo de seguro de salud fue similar (cobertura total: 47%; solo cobertura de hospitalización: 53%). El gasto total del seguro de salud en los últimos cuatro años de vida de los 274 fallecidos fue de US$ 26 300 283 (US$ 12 287 723 para los beneficiarios con cobertura de hospitalización solamente y US$ 14 012 560 para los que tenían cobertura total). Los gastos aumentaron progresivamente en los cuatro años previos a la muerte. Cerca de 70% de los gastos médicos de los fallecidos en los cuatro años analizados correspondieron al último año de vida. Conclusiones. Los brasileños con seguro médico privado utilizan una cantidad relativamente grande de recursos sanitarios en su último año de vida, por lo que se requieren estrategias específicas para optimizar la asignación de recursos de atención médica para estos pacientes. [ABSTRACT FROM AUTHOR] |
| Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Health care costs in the last four years of life for private health plan beneficiaries in Brazil. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Costos de la atención sanitaria en los últimos cuatro años de vida de beneficiarios de seguros privados de salud en Brasil. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ferraz%2C+Marcos+Bosi%22">Ferraz, Marcos Bosi</searchLink><relatesTo>1</relatesTo><i> marcos.ferraz@fleury.com.br</i><br /><searchLink fieldCode="AR" term="%22Miranda%2C+Isaura+Cristina%22">Miranda, Isaura Cristina</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Padovan%2C+Jorge%22">Padovan, Jorge</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Soárez%2C+Patricia+Coelho%22">de Soárez, Patricia Coelho</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ciconelli%2C+Rozana%22">Ciconelli, Rozana</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pan+American+Journal+of+Public+Health+%2F+Revista+Panamericana+de+Salud+Pública%22">Pan American Journal of Public Health / Revista Panamericana de Salud Pública</searchLink>. Aug2008, Vol. 24 Issue 2, p120-126. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HEALTH+policy%22">HEALTH policy</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care+costs%22">MEDICAL care costs</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br /><searchLink fieldCode="DE" term="%22BRAZILIANS%22">BRAZILIANS</searchLink><br /><searchLink fieldCode="DE" term="%22PUBLIC+health%22">PUBLIC health</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22BRAZIL%22">BRAZIL</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Objective. To examine health care use and expenditures by Brazilians covered by private health care plans in the last four years of life. Methods. Health plan provider enrollee files and death certificate data were used for 274 health plan beneficiaries who died in 1998, 1999, and 2000. Resources used for a beneficiary in the year of death and in the three years prior to death were identified. Descriptive statistical analyses were used for clinical and socio-demographic characteristics and to describe the costs. Results. Of the 274 deaths included in this analysis, 92 occurred in 1998, 82 in 1999, and 100 in 2000. Most of the deceased were males (61.4%). Distribution in terms of type of health plan coverage (full versus hospitalization-only coverage) was similar among beneficiaries (53% had hospitalization only and 47% had full coverage). The total health plan expenditure in the last four years of life for the 274 decedents was US$ 26 300 283 (US$ 12 287 723 for beneficiaries with hospitalization-only and US$ 14 012 560 for those with full coverage). Expenditures increased progressively in the four years preceding death. About 70% of medical expenses for decedents in the four years of this analysis were incurred in the last year of life. Conclusion. Relatively large amounts of health care resources are used by Brazilian private health plan participants in their last year of life, suggesting that specific strategies are needed to optimize the allocation of medical care resources for these patients. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Objetivo. Examinar la utilización de los servicios de salud y los gastos asociados durante los últimos cuatro años de vida de brasileños con seguro privado de salud. Métodos. Se emplearon los expedientes del seguro y los certificados de defunción de 274 beneficiarios de seguros de salud que murieron entre 1998 y 2000. Se identificaron los recursos utilizados para cada beneficiario durante el año que murió y los tres años anteriores. Mediante métodos estadísticos descriptivos se analizaron las características clínicas y sociodemográficas y se describieron los costos. Resultados. De los 274 fallecidos analizados, 92 murieron en 1998, 82 en 1999 y 100 en 2000; la mayoría de ellos (61,4%) eran hombres. La distribución según el tipo de seguro de salud fue similar (cobertura total: 47%; solo cobertura de hospitalización: 53%). El gasto total del seguro de salud en los últimos cuatro años de vida de los 274 fallecidos fue de US$ 26 300 283 (US$ 12 287 723 para los beneficiarios con cobertura de hospitalización solamente y US$ 14 012 560 para los que tenían cobertura total). Los gastos aumentaron progresivamente en los cuatro años previos a la muerte. Cerca de 70% de los gastos médicos de los fallecidos en los cuatro años analizados correspondieron al último año de vida. Conclusiones. Los brasileños con seguro médico privado utilizan una cantidad relativamente grande de recursos sanitarios en su último año de vida, por lo que se requieren estrategias específicas para optimizar la asignación de recursos de atención médica para estos pacientes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pan American Journal of Public Health / Revista Panamericana de Salud Pública is the property of Pan American Health Organization and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1590/S1020-49892008000800006 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 120 Subjects: – SubjectFull: HEALTH policy Type: general – SubjectFull: MEDICAL care costs Type: general – SubjectFull: MEDICAL care Type: general – SubjectFull: BRAZILIANS Type: general – SubjectFull: PUBLIC health Type: general – SubjectFull: BRAZIL Type: general Titles: – TitleFull: Health care costs in the last four years of life for private health plan beneficiaries in Brazil. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ferraz, Marcos Bosi – PersonEntity: Name: NameFull: Miranda, Isaura Cristina – PersonEntity: Name: NameFull: Padovan, Jorge – PersonEntity: Name: NameFull: de Soárez, Patricia Coelho – PersonEntity: Name: NameFull: Ciconelli, Rozana IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 10204989 Numbering: – Type: volume Value: 24 – Type: issue Value: 2 Titles: – TitleFull: Pan American Journal of Public Health / Revista Panamericana de Salud Pública Type: main |
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