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Revista Brasileira de Epidemiologia

Print version ISSN 1415-790X

Abstract

MORAES, Luci Fabiane Scheffer; SILVA, Everton Nunes da; SILVA, Diego Augusto Santos  and  PAULA, Ana Patrícia de. Expenditures on the treatment of osteoporosis in the elderly in Brazil (2008 - 2010): analysis of associated factors. Rev. bras. epidemiol. [online]. 2014, vol.17, n.3, pp.719-734. ISSN 1415-790X.  http://dx.doi.org/10.1590/1809-4503201400030012.

Objective:

To analyze the expenditure of the Ministry of Health with osteoporosis treatment in the Brazilian Public Health System (SUS) in 2008-2010 triennium and estimate the influence of demographic, regional and disease related variables on average expenditure per procedures performed.

Methods:

A cross-sectional, descriptive and analytical study based on secondary data from DATASUS related to procedures for the elderly with a diagnosis of osteoporosis and related fractures. For the statistical analysis and multivariate model, Stata 11.0 was used.

Results:

According to the findings, 3,252,756 procedures related to the osteoporosis treatment among the elderly were carried out in Brazil during the 2008 - 2010 period, totalizing R$ 288,986,335.15. The age group that most had procedures was 60 - 69 years (46.3%); the population of 80 years or older showed the highest spending per procedure, around R$ 106 million in three years. The women were majority in terms of quantity (95.6%) and expense (76%) of procedures. The average cost per procedure showed a large gap between men and women, nearly 7 times (R$ 480.14 versus R$ 70.85, respectively). The ambulatory care procedures predominated in quantity (96.4%) and the hospital procedures predominated in resources (70.4%). It was found that there is no single standard for groups of procedures when these are analyzed separately.

Conclusion:

A disaggregated analysis of expenditure by procedures groups extracted from the SUS Management System of the Table of Procedures, Medicines, Orthotics, Prosthetics and Special Materials allowed a detailed overview of federal spending on the osteoporosis treatment in the elderly from Brazil.

Keywords : Osteoporosis; Aged; Therapeutics; Fees and charges; Unified Health System; Expenditures.

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