Abstract:
OBJECTIVE:To analyze the direct medical costs of HIV/AIDS in Portugal from the perspective of the National Health Service. METHODS:A retrospective analysis of medical records was conducted for 150 patients from five specialized centers in Portugal in 2008. Data on utilization of medical resources during 12 months and patients' characteristics were collected. A unit cost was applied to each care component using official sources and accounting data from National Health Service hospitals. RESULTS:The average cost of treatment was 14,277 €/patient/year. The main cost-driver was antiretroviral treatment (€ 9,598), followed by hospitalization costs (€ 1,323). Treatment costs increased with the severity of disease from € 11,901 (> 500 CD4 cells/µl) to € 23,351 (CD4 count ≤ 50 cells/ µl). Cost progression was mainly due to the increase in hospitalization costs, while antiretroviral treatment costs remained stable over disease stages. CONCLUSIONS:The high burden related to antiretroviral treatment is counterbalanced by relatively low hospitalization costs, which, however, increase with severity of disease. The relatively modest progression of total costs highlights that alternative public health strategies that do not affect transmission of disease may only have a limited impact on expenditure, since treatment costs are largely dominated by constant antiretroviral treatment costs.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Perelman J,Alves J,Miranda AC,Mateus C,Mansinho K,Antunes F,Oliveira J,Poças J,Doroana M,Marques R,Teófilo E,Pereira Jdoi
10.1590/s0034-8910.2013047004598subject
Has Abstractpub_date
2013-10-01 00:00:00pages
865-72issue
5eissn
0034-8910issn
1518-8787pii
S0034-89102013000500865journal_volume
47pub_type
杂志文章abstract:OBJECTIVE:To identify determinants of protein-energy malnutrition resulting in weight and linear growth deficits in children. METHODS:A cross-sectional study was carried out among 1,041 children (under two years of age) from 10 municipalities in Bahia, Northeastern Brazil, during 1999-2000. Both logistic regression an...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000600018
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To analyze the spatial distribution of mortality due to motorcycle accidents in the state of Pernambuco, Northeastern Brazil. METHODS:A population-based ecological study using data on mortality in motorcycle accidents from 01/01/2000 to 31/12/2005. The analysis units were the municipalities. For the spatial ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000010
更新日期:2011-04-01 00:00:00
abstract::The paper discusses the difficulties in judging the quality of scientific manuscripts and describes some common pitfalls that should be avoided when preparing a paper for submission to a peer-reviewed journal. Peer review is an imperfect system, with less than optimal reliability and uncertain validity. However, as it...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006000400005
更新日期:2006-08-01 00:00:00
abstract::From January 2001 to October 2002 captures were made in domicile and peridomiciliary areas of 13 cities of region of Cariri, south of the State of Ceará. As results, the occurrence of P. lutzi in this area was noticed, for the first time, in three cities: the presence of one adult in chicken house in Altaneira, one ad...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000400015
更新日期:2004-08-01 00:00:00
abstract::The relationship between diastolic blood pressure and the variables "total cumulative working time" and "age" was examined by regression analysis. The study was carried out among 839 bus drivers and conductors, users of an occupational health center in Campinas, S. Paulo State, Brazil. The main results were a positive...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101993000500007
更新日期:1993-10-01 00:00:00
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
更新日期:1996-04-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:Psychiatric hospitalization though burdensome remains a very important therapeutic option for severely-ill psychiatric patients. Hospitalization in general hospital psychiatry units (GHPU) are often regarded as the best option. A study was carried out with the purpose of assessing socioeconomic and medical v...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000500013
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To describe situations of alcohol and other drug use involving tourists, and their implications regarding vulnerability to HIV. METHODS:This was an exploratory qualitative study conducted in communities that host tourism in the Vale do Ribeira, State of São Paulo, from October 2002 to February 2003. In the f...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000900013
更新日期:2007-12-01 00:00:00
abstract::Further to a research project into the accuracy of death given on the causes of death given on the death certificates of women of fertile age (10-49), resident in the City of S. Paulo, SP, Brazil, in 1986, the main causes of death for the population according to age, with remarks on the mortality from cardiovascular d...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101991000100008
更新日期:1991-02-01 00:00:00
abstract:OBJECTIVE:To analyze the influence of family income and food prices on the participation of fruits and vegetables in the food purchases of Brazilian households. METHODS:Data analyzed refers to the Household Budget Survey conducted by the Instituto Brasileiro de Geografia e Estatística on a probabilistic sample of 48,4...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000600005
更新日期:2010-12-01 00:00:00
abstract::The complexity of the epidemiological object has provoked discussion of the elements that have constituted it over time sometimes assuming the form of antinomies. By using as substract fundamental texts, the formulation and the proposal for a solution of the antinomies between the social-biological and the collective-...
journal_title:Revista de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0034-89101996000400012
更新日期:1996-08-01 00:00:00
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
更新日期:1993-08-01 00:00:00
abstract:OBJECTIVE:Data from three household surveys undertaken in the city of S. Paulo, Brazil, from mid-80s to mid-90s allow to characterize and analyse secular trends in malnutrition and obesity among infants and children. METHODS:The three surveys included random population samples aged from zero to 59 months (1,008 childr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of physical activity practice in adults and its association with sociodemographic and environmental factors. METHODS:Data from the Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL--Telephone-based Surveillance of Risk and ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102009000900009
更新日期:2009-11-01 00:00:00
abstract::The possible correlations between infant mortality statistics and those statistics related to the real value of the legal minimum salary and those on the extent of the public water supply system for the city of Sao Paulo, Brazil over the last 3 decades were studied with a view to determining the relationship between t...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101982000100002
更新日期:1982-02-01 00:00:00
abstract:OBJECTIVE:To analyze whether two simplified indices, "DMF in 6 Teeth"(DMF6T) and "DMF in two quadrants" (DMF2Q), could be indicated for epidemiological surveys of oral health according to dental caries distribution. METHODS:The sample came from epidemiological data in 29 municipalities. A total of 2,378 examinations w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102005000200021
更新日期:2005-04-01 00:00:00
abstract::Consumption of trans fat has been proven to be harmful to human health. This lipid is found mainly in partially hydrogenated vegetable fat, which is widely used in processed foods. The aim of this study was to analyze official publications on maximum limits for consumption of trans fat and the regulations for its mand...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012000500020
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifiable Diseases database on HIV-positive pregnant women and AIDS in children, repor...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000041
更新日期:2011-08-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102006005000040
更新日期:2007-08-01 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000679
更新日期:2019-01-31 00:00:00
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journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2018052000161
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:The goal of this paper is to investigate mortality related to tuberculosis in the state of S o Paulo, southeastern Brazil, according to multiple causes of death and their interrelation with other underlying causes. METHODS:The study investigated deaths related to tuberculosis that occurred in the state of S...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000600005
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To analyze knowledge, attitudes and practices of university adolescents about syphilis. METHODS:Cross-sectional, analytical, census-type study, developed with the universe of adolescents aged 18 and 19 years (n = 598), enrolled in three institutions of higher education in a municipality of Piauí (n = 598), w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002381
更新日期:2020-12-04 00:00:00
abstract:OBJECTIVE:A comparison of the sensitivity of the agar diffusion method with that of extraction using cell-lines RC-IAL (fibroblastic of rabbit kidney) and HeLa (epithelial carcinoma cells from the cervix uteri of the human uterus), in the in vitro evaluation of materials of medical and hospital. MATERIALS AND METHODS:...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101998000200008
更新日期:1998-04-01 00:00:00
abstract::Sixty small farms of Botucatu County, S. Paulo, Brazil, given over to cattle breeding were studied. These farms account for 15% of the total of 402 farms that exist in the county. The sample was drawn by simple probabilistic technique. There were found to be one hundred and thirteen drinking places located on the farm...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000500004
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:To understand the meanings attributed to self-assessment of health by the elderly. METHODS:Qualitative study performed with 17 elderly individuals (> 70 years of age) of both sexes, living in the city of Bambuí, Southeastern Brazil, in 2008. An anthropological approach based on the model of signs, meanings a...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010000100017
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:Estimate the prevalence of cervical HPV infection among women assisted by the Family Health Strategy and identify the factors related to the infection. METHODS:A cross-sectional study involving 2,076 women aged 20-59 years old residing in Juiz de Fora, State of Minas Gerais, who were asked to participate in ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051000065
更新日期:2017-10-05 00:00:00
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
更新日期:1995-10-01 00:00:00
abstract::On-shift napping can benefit night workers regarding sleep loss, synchronization of circadian rhythms, and alertness. However, few studies on napping can be found in the literature focused on possible health benefits. This cross-sectional study has investigated the role of on-shift napping on the association between n...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051007094
更新日期:2017-11-17 00:00:00