Revista de Saúde Pública ()

Care cost for pregnant and parturient women with diabetes and mild hyperglycemia

  • Ana Claudia Molina Cavassini,
  • Silvana Andrea Molina Lima,
  • Iracema Mattos Paranhos Calderon,
  • Marilza Vieira Cunha Rudge

Journal volume & issue
Vol. 46, no. 2
pp. 334 – 343

Abstract

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OBJECTIVE: To compare inpatient and outpatient care costs for pregnant/parturient women with diabetes and mild hyperglycemia. METHODS: A prospective observational quantitative study was conducted in the Perinatal Diabetes Center in the city of Botucatu, Southeastern Brazil, between 2007 and 2008. Direct and indirect costs and disease-specific costs (medications and tests) were estimated. Thirty diet-treated pregnant women with diabetes were followed up on an outpatient basis, and 20 who required insulin therapy were hospitalized. RESULTS: The cost of diabetes disease (prenatal and delivery care) was US$ 3,311.84 for inpatients and US$ 1,366.04 for outpatients. CONCLUSIONS: Direct and indirect costs as well as total prenatal care cost were higher for diabetic inpatients while delivery care costs and delivery-postpartum hospitalization were similar. Prenatal and delivery-postpartum care costs were higher for these patients compared to those paid by Brazilian National Health System.

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