Costs analysis of inpatient stay for AIDS patients??? admissions in a medium-complexity hospital in Porto Alegre, Brazil

Os hospitais e os demais operadores da sa??de est??o preocupados com o seu d??ficit econ??mico mensal ou anual e precisam reverter essa situa????o. Entretanto, a quest??o n??o ?? simples de ser equacionada, e a solu????o passa pela busca de saber o quanto custa o servi??o. O presente estudo teve por objetivo avaliar o custo m??dio da interna????o de pacientes portadores de HIV/AIDS, em um hospital de m??dia complexidade no munic??pio de Porto Alegre ??? RS e a sua rela????o com a tabela de remunera????o do Sistema ??nico de Sa??de (SUS) para estas interna????es. Foi realizado um estudo observacional descritivo com os pacientes internados na Unidade 2 (Unidade de interna????o exclusiva de pacientes portadores do v??rus HIV/AIDS, com 40 leitos) da Associa????o Hospitalar Vila Nova (AHVN). A AHVN ?? um hospital geral que possui 296 leitos e no per??odo da pesquisa (setembro a novembro de 2008) registrou 300 pacientes internados na Unidade em estudo (2.585 di??rias). Foram obtidos os custos diretos e indiretos no per??odo de tr??s meses visando o c??Hospitals and other health institutions have been worried with theirs monthly or annual economic deficit and need to revert this situation. However, this is not a simple matter to solve and the starting point to do so is to know how much the service costs. The objective of this study is to evaluate the average cost of the inpatient stay for patients with HIV/AIDS in a medium-complexity hospital in Porto Alegre ??? RS and its relationship with the remuneration schedule of SUS (Single Health System) for these inpatient stays. We developed a descriptive observational study with the patients from the Unity 2 (unity with 40 hospital beds exclusive for patients with HIV/AIDS) of the Associa????o Hospitalar Vila Nova (AHVN). The AHVN is a general hospital with 296 hospital beds and during the time of the research (September to November, 2008) 300 patients were registered in the Unity (2585 inpatient stays). The direct and indirect costs were obtained during three months aiming the calculation of the total cost of the i