Banca de DEFESA: HEULER SOUZA ANDRADE
Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.STUDENT : HEULER SOUZA ANDRADE
DATE: 19/12/2022
TIME: 14:00
LOCAL: https://teams.microsoft.com/l/meetup-join/19%3aWk5Wr2HMrkYIYBRfEGkgP-0ZrpeDz3k0ft5BBtRroTc1%40thread
TITLE:
APPLICATION OF A HEALTH ECONOMIC MODEL TO ESTIMATE THE COST OF MAINTENANCE OF THE COLD CHAIN FOR THE CONSERVATION OF IMMUNOBIOLOGICALS IN BRAZIL
KEY WORDS:
Vaccines; Refrigeration; Costs and Cost Analysis; Health Care Costs; Economics and Health Organizations; Health assessment.
PAGES: 98
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:
Immunobiologicals are thermolabile substances, which means that they need to be
kept at an ideal temperature in order to preserve their characteristics and properties.
In Brazil, the Ministry of Health, through the National Immunization Program, has a
logistical structure that involves storage, conservation, manipulation, transport and
distribution, to guarantee the conservation of these substances from the producing
laboratory to the user, called Cold Chain . Like every service provided by any
organization, maintaining the quality of the Cold Chain has a financial cost that needs
to be measured and evaluated in order to achieve an efficient allocation of resources.
This study aimed to analyze the costs of the Cold Chain for conservation of
immunobiologicals at the municipal level. This is an economic evaluation research
focused on cost analysis, carried out between the years 2020 and 2022. The study
was divided into two stages: In the first stage, a checklist of activities was developed
and validated using the Delphi technique. cost generators of the Cold Chain municipal
instance, in order to have a more accurate description of the resources consumed in
the process of conservation of immunobiologicals. After the validation process, the
checklist consisted of 27 activities, 7 of them in the Transport and Receiving
component, 18 in the Storage and Handling component and 2 in the Supervision and
Permanent Education component. Considering all components, the checklist's total
content validation index was 92.3%. Total internal consistency obtained a Cronbach's
Alpha coefficient value of 0.9534. In the second stage, a study was carried out on the
costing of the Cold Chain. The unit of analysis was the Municipal Instance. The
perspective of the Unified Health System as a funder was considered, and the year
2021 as the time frame. A period of one year was considered as the time horizon of
the analysis. Direct medical, non-medical, and indirect costs were included. ActivityBased Costing was used as a method to determine the cost and a sensitivity analysis
was performed to identify the influence of the main categories on the final cost. In the
period studied, the total cost of the Cold Chain was R$ 1,003,729.48, with non-medical
direct costs being the most representative (61.24%). Human resources were the most
influential items, both in direct medical and non-medical costs, representing 76.43% of
the total cost. The study allowed the construction of a checklist of activities that
generate reliable costs and valid content, becoming an important tool for assessing
costs in the cold chain. It also allowed the determination of the total cost of the
municipal Cold Chain as well as the main categories that influence this cost. Thus, the
results are useful for planning the allocation of financial resources, as they provide
valuable information for decision making, as well as for controlling variables that can
influence final costs.
BANKING MEMBERS:
Presidente - 1039964 - ANDRE DE OLIVEIRA BALDONI
Externa ao Programa - 1615288 - ELIETE ALBANO DE AZEVEDO GUIMARAES
Externo ao Programa - 1716637 - TARCISIO LAERTE GONTIJO
Externa ao Programa - 1615380 - VALERIA CONCEICAO DE OLIVEIRA
Externo à Instituição - ALEXANDER ITRIA - UFSCAR
Externo à Instituição - MAURILIO DE SOUZA CAZARIM - UFJF