Gastos públicos com internações hospitalares para tratamento da covid-19 no Brasil em 2020

Abstract

OBJECTIVE: To describe the expenses resulting from hospitalizations for clinical treatment of users diagnosed with Covid-19 in the Unified Health System (SUS) between February and December 2020. METHODS: Descriptive study, prepared from data from the Information System Hospitals on government spending on hospital admissions for treatment of users diagnosed with Covid-19 and the causes included in the ICD-10 chapters. The number of hospitalizations, average length of stay, lethality rate and expenses were obtained. totals considering hospital services, professional services and average expenditure per hospitalization. RESULTS: During the period evaluated, there were 462,149 hospital admissions in the SUS, 4.9% of them for the treatment of users with coronavirus. The total expenditure was more than BRL 2.2 billion, 85% of which were allocated to hospital services and 15% to professional services. Expenses for the treatment of covid-19 were distributed differently among the regions of the country. parents. The Southeast region had the highest number of hospitalizations, highest total amount spent, highest average length of stay in days and a higher lethality rate, while the South region recorded the highest percentage of spending on non-profit hospitals (58%) and business hospitals (15%). CONCLUSIONS: Hospitalizations for clinical treatment of coronavirus infection were more costly compared to hospitalizations for treatment of respiratory failure infections and pneumonia or influenza. The results demonstrated the disparities in relation to the hospitalization costs for similar procedures between regions of the country, evidencing the vulnerability and the need for strategies to reduce differences in access, use and distribution of SUS resources, ensuring equanimity, and considering the unfair inequalities between regions of the country. DESCRIPTORS: Coronavirus infections. Hospitalization. Hospital Costs. Public Health Expenditure. Health Unic System.