Direct costs of integrated procedures of conventional hemodialysis performed by nursing professionals

Authors

  • Antônio Fernandes Costa Lima Universidade de São Paulo; Escola de Enfermagem

DOI:

https://doi.org/10.1590/1518-8345.1812.2944

Keywords:

Hemodialysis Units, Hospital, Nephrology Nursing, Costs and Cost Analysis, Cost Control

Abstract

Objective: to analyze the mean direct cost of the constituent procedures of conventional hemodialysis, performed in three public teaching and research hospitals. Method: quantitative, exploratory-descriptive study, of the multiple case study type. The mean direct cost was calculated by multiplying the time (timed) spent by nursing professionals, on the execution of procedures, by the unit cost of direct labor, added to the cost of materials and solutions/medications. Results: the total mean direct cost, in patients with an arteriovenous fistula corresponded to US$25.10 in hospital A, US$37.34 in hospital B and US$25.01 in hospital C, and in patients with a dual lumen catheter, US$32.07 in hospital A, US$40.58 in hospital B and US$30.35 in hospital C. The weighted mean values obtained were US$26.59 for hospital A, US$38.96 for hospital B and US$27.68 for hospital C. It was noted that the “installation and removal of hemodialysis fistula access” caused a significantly lower economic impact compared to “installation and removal of hemodialysis catheter access”. Conclusion: with the knowledge developed it will be possible to support hospital managers, technical managers and nursing professionals in the decision making process, with a view to the rational allocation of the necessary inputs for the performance of conventional hemodialysis.

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Published

2018-01-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Direct costs of integrated procedures of conventional hemodialysis performed by nursing professionals. (2018). Revista Latino-Americana De Enfermagem, 26, e2944. https://doi.org/10.1590/1518-8345.1812.2944