Intra-hospital organ and tissue donation coordination project: cost-effectiveness and social benefits.

Abstract:

:OBJECTIVE To evaluate the viability of a professional specialist in intra-hospital committees of organ and tissue donation for transplantation.METHODS Epidemiological, retrospective and cross-sectional study (2003-2011 and 2008-2012), which was performed using organ donation for transplants data in the state of Sao Paulo, Southeastern Brazil. Nine hospitals were evaluated (hospitals 1 to 9). Logistic regression was used to evaluate the differences in the number of brain death referrals and actual donors (dependent variables) after the professional specialist started work (independent variable) at the intra-hospital committee of organ and tissue donation for transplantation. To evaluate the hospital invoicing, the hourly wage of the doctor and registered nurse, according to the legislation of the Consolidation of Labor Laws, were calculated, as were the investment return and the time elapsed to do so.RESULTS Following the nursing specialist commencement on the committee, brain death referrals and the number of actual donors increased at hospital 2 (4.17 and 1.52, respectively). At hospital 7, the number of actual donors also increased from 0.005 to 1.54. In addition, after the nurse started working, hospital revenues increased by 190.0% (ranging 40.0% to 1.955%). The monthly cost for the nurse working 20 hours was US$397.97 while the doctor would cost US$3,526.67. The return on investment was 275% over the short term (0.36 years).CONCLUSIONS This paper showed that including a professional specialist in intra-hospital committees for organ and tissue donation for transplantation proved to be cost-effective. Further economic research in the area could contribute to the efficient public policy implementation of this organ and tissue harvesting model.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Silva VS,Moura LC,Leite RF,Oliveira PC,Schirmer J,Roza BD

doi

10.1590/S0034-8910.2015049005770

subject

Has Abstract

pub_date

2015-01-01 00:00:00

eissn

0034-8910

issn

1518-8787

pii

S0034-89102015000100260

journal_volume

49

pub_type

杂志文章
  • [Psychoactive drug advertising: analysis of scientific information].

    abstract:OBJECTIVE:According to the World Health Organization, medicinal drug promotion should be reliable, accurate, truthful, informative, balanced, up-to-date and capable of substantiation. The objective of the present study was to review psychoactive drug advertisements to physicians as for information consistency with the ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102008005000023

    authors: Mastroianni PC,Noto AR,Galduróz JC

    更新日期:2008-06-01 00:00:00

  • Decision-making on childhood vaccination by highly educated parents.

    abstract::OBJECTIVE To analyze the sociocultural aspects involved in the decision-making process of vaccination in upper-class and highly educated families. METHODS A qualitative approach based on in-depth interviews with 15 couples from the city of Sao Paulo, Southeastern Brazil, falling into three categories: vaccinators, lat...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2015049005149

    authors: Barbieri CL,Couto MT

    更新日期:2015-01-01 00:00:00

  • [Drug use during in-hospital birth delivery stay].

    abstract:OBJECTIVE:Drug use in birth delivery has not been enough explored in the literature. It is a significant issue to be discussed on the theme of rational drug use. The objective was to study drug use during birth delivery stay in maternity hospitals. METHODS:A cross-sectional study was carried out using medical records ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102005000300005

    authors: Perini E,Magalhães SM,Noronha V

    更新日期:2005-06-01 00:00:00

  • [Collective health: a "new public health" or field open to new paradigms?].

    abstract::The present essay is an exploratory study of the historical and institutional background of the so-called "crisis in public health", aimed at identifying the new trends and perspectives for the paradigmatic transformation of the health field in the context of the current international panorama of economic and cultural...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101998000400001

    authors: Paim JS,de Almeida Filho N

    更新日期:1998-08-01 00:00:00

  • [Prevalence of HIV-1 subtypes in patients of an urban center in Southern Brazil].

    abstract:OBJECTIVE:To estimate the prevalence of HIV-1 subtypes and analyze factors associated. METHODS:A cross-sectional study was performed with a convenience sample of 80 adult HIV-positive patients, users of an AIDS/STD specialized service, in the city of Canoas, Southern Brazil, between July 2008 and January 2009. Determi...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102010005000039

    authors: Simon D,Béria JU,Tietzmann DC,Carli Rd,Stein AT,Lunge VR

    更新日期:2010-12-01 00:00:00

  • Susceptibility of Aedes aegypti larvae to temephos and Bacillus thuringiensis var israelensis in integrated control.

    abstract::The susceptibility of field collected Aedes aegypti larvae was evaluated in terms of median lethal time (LT50) and final mortality, when treated with temephos, Bacillus thuringiensis var israelensis as well as mixtures of these two agents. Third instar larvae were shown to be more susceptible than early and late fourt...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101991000300004

    authors: de Andrande CF,Modolo M

    更新日期:1991-06-01 00:00:00

  • Impact of socioeconomic status on Brazilian elderly health.

    abstract:OBJECTIVE:To investigate the impact of socioeconomic status on elderly health. METHODS:The study was based on cross-sectional data from Survey on Health, Well-Being, and Aging in Latin America and the Caribbean. The sample comprised 2,143 non-institutionalized elderly aged 60 years and older living in the urban area o...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102006005000042

    authors: Ramos M

    更新日期:2007-08-01 00:00:00

  • [Rabies in insectivorous (Mollossidae) bats of southeastern Brazil].

    abstract::Four rabid bats belonging to three species of Molossidae (one Molossus molossus, one Nyctinomops laticaudatus and two N. macrotis) were captured in the State of S. Paulo, southeastern Brazil. Three of these bats were found during the day in unusual, visible places and the other came flying through a window in the even...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101995000500009

    authors: Uieda W,Harmani NM,Silva MM

    更新日期:1995-10-01 00:00:00

  • Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study).

    abstract:OBJECTIVE:To describe the characteristics and associated factors of the smoking habit among older adults. METHODS:A population-based study was carried out comprising 1,606 (92.2%) older adults (> or =60 years old) living in the Bambuí town, Southeastern Brazil in 1997. Data was obtained by means of interview and socio...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102005000500008

    authors: Peixoto SV,Firmo JO,Lima-Costa MF

    更新日期:2005-10-01 00:00:00

  • [Dental caries prevention with semestral topical administration of acidulated phosphate fluoride].

    abstract::998 children aged 6, 8 and 10, from low income families living in the Federal District, Brazil and attending public, first grade, schools, received bi-annual topical APF Gel-Tray applications. The mass methodology proposed by the National Dental Caries Preventive Program of the Brazilian Ministry of Health, without pr...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101993000400008

    authors: Pinto IL

    更新日期:1993-08-01 00:00:00

  • [Risk factors associated with hospitalization for bronchiolitis in the post-neonatal period].

    abstract:OBJECTIVE:To investigate the relationship between socioeconomic factors, maternal characteristics, breastfeeding, and hospitalization for bronchiolitis in the post-neonatal period. METHODS:A nested case-control study with a cohort of 5,304 children born in the city of Pelotas, Brazil, was conducted. The cohort study c...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102003000400014

    authors: Albernaz EP,Menezes AM,César JA,Victora CG,Barros FC,Halpern R

    更新日期:2003-08-01 00:00:00

  • [Short version of the "job stress scale": a Portuguese-language adaptation].

    abstract:OBJECTIVE:To describe the adaptation to Portuguese of the short version of the "job stress scale", originally in English. METHODS:We evaluate six aspects of equivalence between the original scale and the Portuguese version: conceptual, semantic, operational, item, measurement, and functional equivalences. A reliabilit...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102004000200003

    authors: Alves MG,Chor D,Faerstein E,Lopes Cde S,Werneck GL

    更新日期:2004-04-01 00:00:00

  • [Frequency and determinants of breastfeeding in the State of São Paulo, Brazil].

    abstract:OBJECTIVE:To meet the information need of Brazilian municipalities concerning breastfeeding practices as part of health care planning, a study was carried out to describe breastfeeding and to identify weaning-related factors. METHODS:Of all municipalities in the State of São Paulo, Brazil, openly called to participate...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102002000300009

    authors: Venancio SI,Escuder MM,Kitoko P,Rea MF,Monteiro CA

    更新日期:2002-06-01 00:00:00

  • Social inequality and exposure to magnetic fields in the metropolitan region of São Paulo, Southeastern Brazil.

    abstract:OBJECTIVE:To estimate the prevalence of exposure to magnetic fields generated by transmission lines (TL) and characterize the exposed population. METHODS:Information about TL in the metropolitan region of São Paulo, Southeastern Brazil, was provided by the electricity companies and mapped out using geographic informat...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102010000400014

    authors: Habermann M,Marcílio I,Lopes M,Prado R,Souza M,Gouveia N

    更新日期:2010-08-01 00:00:00

  • Geographical stratification by socio-economic status: methodology from a household survey with elderly people in S. Paulo, Brazil.

    abstract::Considering that in most developing countries there are still no comprehensive lists of addresses for a given geographical area, there has always been a problem in drawing samples from the community, ensuring randomisation in the selection of the subjects. This article discusses the geographical stratification by soci...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101989000600006

    authors: Ramos LR,Goihman S

    更新日期:1989-12-01 00:00:00

  • [Functional capacity evaluation of nursing professionals].

    abstract:OBJECTIVE:To evaluate the functional capacity of nursing staff in a hospital complex and its association with individual and work characteristics. METHODS:A cross-sectional comprising 885 subjects was carried out. A standardized self-administered questionnaire was used to calculate a work capacity index based on infor...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102005000400023

    authors: Raffone AM,Hennington EA

    更新日期:2005-08-01 00:00:00

  • [Modifications in psychotropic drug use patterns in a Southern Brazilian city].

    abstract:OBJECTIVE:To assess the prevalence and patterns of psychotropic use by population and to compare the results with a study carried out in 1994. METHODS:This is a population-based cross-sectional study carried out in 2003 with 3,542 participants aged 15 or older who lived in an urban area in Southern Brazil. Two-week re...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102006000100017

    authors: Rodrigues MA,Facchini LA,Lima MS

    更新日期:2006-02-01 00:00:00

  • Pictorial health warnings on cigarette packs and the impact on women.

    abstract:OBJECTIVE:To analyze the association between the pictorial graphic health warnings on cigarette packs and their impact on intention to quit smoking among women. METHODS:Population-based cross-sectional study among 265 women daily smokers in the State of Paraná in 2010. The sample size was calculated using cluster samp...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2013047004782

    authors: Bittencourt L,Person SD,Cruz RC,Scarinci IC

    更新日期:2013-12-01 00:00:00

  • Hospitalizations for cancer in international migrants versus local population in Chile.

    abstract:OBJECTIVE:To compare cancer hospital morbidity among the local population and the immigrant population in Chile. METHODS:This is a prevalence study based on the analysis of hospital discharges of all the health centers of Chile. Cancer hospital discharges were characterized in 2012 according to the migratory status. T...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.11606/S1518-8787.2018052000222

    authors: Oyarte M,Delgado I,Pedrero V,Agar L,Cabieses B

    更新日期:2018-04-09 00:00:00

  • Working hours and health in nurses of public hospitals according to gender.

    abstract:OBJECTIVE:To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS:A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/S1518-8787.2017051006808

    authors: Fernandes JDC,Portela LF,Griep RH,Rotenberg L

    更新日期:2017-06-26 00:00:00

  • Does socioeconomic inequality occur in the multimorbidity among Brazilian adults?

    abstract:OBJECTIVE:To assess the prevalence of multimorbidity among Brazilian adults and its association with socioeconomic indicators. METHODS:Cross-sectional study that used data from the Pesquisa Nacional Sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Acce...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.11606/s1518-8787.2020054002569

    authors: Costa ÂK,Bertoldi AD,Fontanella AT,Ramos LR,Arrais PSD,Luiza VL,Mengue SS,Nunes BP

    更新日期:2020-12-14 00:00:00

  • [Immunologic behavior of meningococcal vaccines].

    abstract::Meningococcal disease continues to be a great health problem on all continents and the meningococcal vaccines have been proposed for their prevention and epidemic control. The polysaccharide A and C vaccines are relatively efficacious with distinct immunological behavior with regard to the different age groups, howeve...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,评审

    doi:10.1590/s0034-89101997000400010

    authors: Requejo HI

    更新日期:1997-08-01 00:00:00

  • [Phlebotomine sandflies and domestic animals interaction and Lutzomyia (Nyssomyia) intermedia (Lutz & Neiva, 1912) predominance in an area with a high level of anthropy, in southern Brazil].

    abstract::Information on phlebotomine collections in an area with a high level of human interference, in S. Jorge do Ivaí county, Paraná State, Southern Brazil, is reported. Lutzomyia (Nyssomyia) intermedia (Lutz & Neiva, 1912) was the dominant species. The number of sandflies in domiciles decreased sharply in the second period...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101997000600011

    authors: Teodoro U,Kühl JB

    更新日期:1997-10-01 00:00:00

  • [Prenatal care, low birth weight and prematurity in São Paulo State, Brazil, 2000].

    abstract:OBJECTIVE:The historical evolution of infant mortality rate and neonatal mortality according to birth weight and term of delivery in the state of S o Paulo are presented to assess the role of the number of prenatal visits and others factors for determining mortality. METHODS:Based on data available from the Seade Inst...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89102003000300007

    authors: Kilsztajn S,Rossbach A,do Carmo MS,Sugahara GT

    更新日期:2003-06-01 00:00:00

  • Description of Lutzomyia (Pifanomyia) robusta n. sp. (Diptera, Psychodidae, Phlebotominae) from Peruvian Equadorean interandean areas.

    abstract::Description of Lutzomyia robusta, n. sp. (Diptera, Psychodidae, Phlebotominae) from interandean areas of Peru and Equador. Lutzomyia robusta, n. sp., probable vector of human bartonellosis and cutaneous leishmaniasis, is described and illustrated. This species presents strong affinity with L. serrana (Damasceno & Arou...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101995000200002

    authors: Galati EA,Cáceres AG,Le Pont F

    更新日期:1995-04-01 00:00:00

  • Audiometric profile of civilian pilots according to noise exposure.

    abstract:OBJECTIVE:To evaluate the audiometric profile of civilian pilots according to the noise exposure level. METHODS:This observational cross-sectional study evaluated 3,130 male civilian pilots aged between 17 and 59 years. These pilots were subjected to audiometric examinations for obtaining or revalidating the functiona...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-8910.2014048005256

    authors: Falcão TP,Luiz RR,Schütz GE,Mello MG,Câmara Vde M

    更新日期:2014-10-01 00:00:00

  • [Identification of food sources of Anopheles aquasalis (Diptera: Culicidae) by precipitin test in the State of Rio de Janeiro, Brazil].

    abstract::Anopheles aquasalis has shown local variations in blood-host preference in Brazil: it seems to be anthropophilic in the northeast and zoophilic or opportunistic in the Amazon and other regions. A study was carried out in Guapimirim county, State of Rio de Janeiro, from May to November 1992, for the purpose of identify...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101996000200003

    authors: Flores-Mendoza C,Cunha RA,Rocha DS,Lourenço-de-Oliveira R

    更新日期:1996-04-01 00:00:00

  • Studies on mosquitoes (Diptera:Culicidae) and anthropic environment. 12-host-seeking behaviour of Anopheles albitarsis s.l. in south-eastern Brazil.

    abstract::Results obtained with Anopheles albitarsis s.l. catches mainly performed through human bait at the Ribeira Valley region, SP (Brazil), are reported. Two species of the complex were recognized, namely An. albitarsis s.s. and species B. This latter predominated both in the rice fields and in the dwelling environments. T...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.1590/s0034-89101996000400002

    authors: Forattini OP,Kakitani I,Massad E,Marucci D

    更新日期:1996-08-01 00:00:00

  • [Financing the public health services. 1967].

    abstract::Federal statistic figures show that the Brazilian States altogether have, in their respective territories, a collection of taxes which is higher than the Union one. The highest collection of the Central Government which is shown at the official statistics is due to the excess of collection of the federal taxes over th...

    journal_title:Revista de saude publica

    pub_type: 传,古典文章,历史文章,杂志文章

    doi:10.1590/s0034-89102006000500001

    authors: Mascarenhas Rdos S

    更新日期:2006-08-01 00:00:00

  • Major depressive episode among university students in Southern Brazil.

    abstract:INTRODUCTION:Depression is the leading cause of disability around the world, and it has been increasingly affecting young people. This study evaluates the prevalence and factors associated with major depression in university students, with emphasis on the influence of the academic field, chosen study area and the envir...

    journal_title:Revista de saude publica

    pub_type: 杂志文章

    doi:10.11606/s1518-8787.2020054001540

    authors: Flesch BD,Houvèssou GM,Munhoz TN,Fassa AG

    更新日期:2020-01-31 00:00:00