Revista de Administração em Saúde
Estudo descritivo sobre o financiamento da assistência à saúde frente ao tratamento cirúrgico de fratura do tornozelo e retirada de placas/parafuso em Belo Horizonte, Minas Gerais, Brasil, 2014–2019
Resumo
Objetivo: descrever as internações e os custos hospitalares por tratamento cirúrgico de fratura do tornozelo unimaleolar; por tratamento cirúrgico de fratura do tornozelo bimaleolar, trimaleolar, da fratura luxação do tornozelo; e por retirada de placa e/ou parafusos, no período de 2014 a 2019, no município de Belo Horizonte, Minas Gerais. Métodos: estudo retrospectivo descritivo realizado entre 2014 a 2019 com dados epidemiológicos obtidos no banco de dados do Departamento de Informática do Sistema Único de Saúde, oriundos do cadastro da Autorização de Internação Hospitalar e dos valores, total e por serviços hospitalares, despendidos com o tratamento cirúrgico de fratura do tornozelo unimaleolar; o tratamento cirúrgico de fratura do tornozelo bimaleolar, trimaleolar, da fratura de luxação do tornozelo; e o procedimento de retirada de placa e/ou parafusos. Resultados: entre 2014 e 2019 foram registrados 13.721 procedimentos cirúrgicos em região de tornozelo, sendo gastos R$ 7.889.737,75 com as intervenções invasivas. Conclusão: sugere-se a partir dos resultados desta pesquisa a necessidade de reforçar políticas públicas voltadas para a implementação de ações concretas, para à busca de melhor eficácia no processo de seleção de materiais, revisão de protocolos clínicos e cirúrgicos.
Palavra-chave: fraturas do tornozelo; fixação interna de fraturas; traumatismos do tornozelo; financiamento da assistência à saúde; ortopedia.
Descriptive study on health care financing for surgical treatment of ankle fractures and removal of plates / screws in Belo Horizonte, Minas Gerais, Brazil, 2014-2019
ABSTRACT
Objective: to describe hospitalizations and hospital costs for surgical treatment of unimaleolar ankle fractures; by surgical treatment of bimaleolar, trimaleolar ankle fracture, ankle dislocation fracture; and by removing the plate and / or screws, from 2014 to 2019, in the city of Belo Horizonte, Minas Gerais. Methods: retrospective descriptive study carried out between 2014 and 2019 with epidemiological data obtained in the database of the Department of Informatics of the Unified Health System, from the Hospitalization Authorization record and the values, total and for hospital services, spent on treatment surgical fracture of the unimaleolar ankle; surgical treatment of bimaleolar, trimaleolar ankle fracture, ankle dislocation fracture; and the procedure for removing the plate and / or screws. Results: between 2014 and 2019, 13,721 surgical procedures were recorded in the ankle region, with R$ 7,889,737.75 being spent on invasive interventions. Conclusion: it is suggested from the results of this research the need to reinforce public policies aimed at implementing concrete actions, in order to seek better efficiency in the process of selecting materials, reviewing clinical and surgical protocols.
Keywords: ankle fractures; internal fracture fixation; ankle injuries; health care financing; orthopedics.Referências
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DOI: http://dx.doi.org/10.23973/ras.82.284
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Revista de Administração em Saúde
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