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Metodologia para Estimativa de Custos de Cuidados com Saúde: Análise dos Fatores de Gravidade e Recomendações para Redução dos Custos

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Author Info
Ieda Maria de Oliveira Lima
Júlia Greve
Patrícia Alessandra Morita
Abstract

Este estudo objetiva avaliar os fatores contributivos para a gravidade dos acidentes de trânsito nas rodovias brasileiras, e estabelecer algumas correlações entre a gravidade do acidente e das lesões com dados da vítima, do acidente, do atendimento préhospitalar, hospitalar e pós-hospitalar, e da infra-estrutura viária, assim como verificar quais destes fatores foram contributivos para a gravidades das lesões das vítimas. As fonte de informações foram o banco de dados do projeto Impactos Sociais e Econômicos dos Acidentes de Trânsito nas Rodovias Brasileiras – proveniente de 565 entrevistas com pessoas envolvidas em acidentes – e o banco de dados de acidentes de trânsito da Polícia Rodoviária Federal (Datatran). A análise dos dados foi útil como estudo-piloto, mas não suficiente para estabelecer com segurança quais os fatores agravantes de um acidente e apontar com clareza as prioridades de políticas públicas na redução da morbimortalidade dos acidentes. Para isso, recomenda-se um estudo específico voltado às questões da gravidade das lesões e seus fatores associados, bem como uma pesquisa complementar com dados de necrópsias, para, entre outros, avaliar se algumas mortes poderiam ter sido evitadas com um atendimento préhospitalar adequado. The aim of this study was to evaluate the contributing factors to the severity of traffic accidents in Brazilian highways and to establish correlations between the severity of accidents and injuries with data regarding the victim, the accident, pre-hospital, hospital and post-hospital care, and road infrastructure, and to verify which of these factors contributed to the severity of injuries, by use of the database of 565 interviews with people involved in accidents built in the project Social and Economic Impacts of the Traffic Accidents in Brazilian Highways and the database of traffic accidents from the Federal Road Policy (Datatran). The analysis of the data was useful as pilot project, but not enough to establish with statistical confidence which factors are aggravating to an accident or to point out priorities for public policies to the reduction of the morbimortality of accidents. To this intent, a specific study was recommended, focusing on the severity of injuries and factors associated to it, as well as a complementary research with data from autopsies, in order to evaluate, among others, if some deaths could have been prevented by proper pre-hospital care.

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File URL: http://www.ipea.gov.br/sites/000/2/publicacoes/tds/td_1343.pdf
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Paper provided by Instituto de Pesquisa Econômica Aplicada - IPEA in its series Discussion Papers with number 1343.

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Length: 47 pages
Date of creation: Jul 2008
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Handle: RePEc:ipe:ipetds:1343

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