[Profile of spending on the treatment of rheumatoid arthritis for patients of the Unified Health System in the state of Minas Gerais - 2008-2013].

Abstract:

:Rheumatoid arthritis (RA) is a chronic condition that affects about 1% of the adult population. In a historical cohort of Minas Gerais State, 11,573 RA patients registered in the Outpatient Information System (SIA) between 2008 and 2013 were identified. For this study we adopted the public funding body's perspective and the values were adjusted by the national inflation index (IPCA) of December 2015. Etanercept was the most expensive treatment. The mean cohort age was 52 years old and most of the patients were women. Multiple regression analysis indicated a negative association between higher expenditure and age, female sex, and diagnosis at entry in the cohort and positive association between high expenditure and the Human Development Index (HDI) of the municipality and use of tumor necrosis factor agents. This study identified the factors that have an impact on RA drug treatment expenditure. Also, we showed that methods that enable extracting demographic and expenditure data of administrative information systems may represent important tools in the construction of economic studies to subsidize economic health evaluations, especially from the standpoint of the managers.

journal_name

Cien Saude Colet

journal_title

Ciencia & saude coletiva

authors

Silva GDD,Andrade EIG,Cherchiglia ML,Almeida AM,Guerra Júnior AA,Acurcio FA

doi

10.1590/1413-81232018234.16352016

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

1241-1253

issue

4

eissn

1413-8123

issn

1678-4561

pii

S1413-81232018000401241

journal_volume

23

pub_type

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