Evaluating cost of materials for wound care provided to patients at home
Purpose: To evaluate the costs of curative materials provided to patients under domiciliary assistance and relate them to the demographic profile, typology of the wound and associated co-morbidities.
Design: Cross-sectional study.
Subjects and setting: The sample had 334 records filed in the public health service that dispense materials and coverings for dressings at the home, for patients with wounds that are registered in the primary healthcare in the city of Teresina, PiauÃ-Brazil.
Methods: A semi-structured instrument was used for data collection, containing information about the socio-demographic profile, associated co-morbidities, amount and cost of provided materials. In the inferential analysis, Kruskal-Wallis Test and Mann-Whitney Test were used to compare the total cost for the treatments.
Results: There was a predominance of males (65.5%), elderly (49.1%), with prevalence of pressure injury (44.6%), having collagenase as the main coverage (53.9%) followed by essential fatty acids (41.1%). The maximum cost of treatment was US$ 5,883.05 with dispensing time up to 5 years. There was a significant association between socio-demographic and clinical characteristics, type of wound and treatment time with respect to the cost (p<0.001).
Conclusion: Cost of materials for dressing in the public service is high, with inadequate coverage and extended treatment time, with pressure injury being the most expensive.
Keywords: Health evaluation, Cost and cost analysis, Primary health care, Wound healing, Bandages.
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