{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:41:36Z","timestamp":1782168096344,"version":"3.54.5"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Bras. Enferm."],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>ABSTRACT Objective: to analyze the mean direct cost of conventional hemodialysis monitored by nursing professionals in three public teaching and research hospitals in the state of S\u00e3o Paulo, Brazil. Method: this was a quantitative, explorative and descriptive investigation, based on a multiple case study approach. The mean direct cost was calculated by multiplying (clocked) time spent per procedure by the unit cost of direct labor. Values were calculated in Brazilian real (BRL). Results: Hospital C presented the highest mean direct cost (BRL 184.52), 5.23 times greater than the value for Hospital A (BRL 35.29) and 3.91 times greater than Hospital B (BRL 47.22). Conclusion: the costing method used in this study can be reproduced at other dialysis centers to inform strategies aimed at efficient allocation of necessary human resources to successfully monitor conventional hemodialysis.<\/jats:p>","DOI":"10.1590\/0034-7167-2016-0447","type":"journal-article","created":{"date-parts":[[2017,4,10]],"date-time":"2017-04-10T13:13:12Z","timestamp":1491829992000},"page":"357-363","source":"Crossref","is-referenced-by-count":20,"title":["Direct cost of monitoring conventional hemodialysis conducted by nursing professionals"],"prefix":"10.1590","volume":"70","author":[{"given":"Ant\u00f4nio Fernandes Costa","family":"Lima","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"320","DOI":"10.5935\/0101-2800.20140046","article-title":"Implications of the use of vascular CDL in hemodialysis patients: analysis of echographic insertion sites","volume":"36","author":"Leite DS","year":"2014","journal-title":"J Bras Nefrol"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1111\/j.1600-6143.2010.03043.x","article-title":"Geographic variation in end-stage renal disease incidence and access to deceased donor kidney transplantation","volume":"10","author":"Mathur AK","year":"2010","journal-title":"Am J Transplant"},{"issue":"7","key":"ref3","doi-asserted-by":"crossref","first-page":"749","DOI":"10.3747\/pdi.2013.00305","article-title":"Financial implications to Medicare from changing the dialysis modality mix under the bundled prospective payment system","volume":"34","author":"Liu FX","year":"2014","journal-title":"Perit Dial Int"},{"key":"ref4","series-title":"Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States","year":"2013"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1038\/nrneph.2014.145","article-title":"Economic evaluation of dialysis therapies","volume":"10","author":"Klarenbach SW","year":"2014","journal-title":"Nat Rev Nephrol"},{"issue":"3","key":"ref6","first-page":"301","article-title":"Nuevos modelos de gesti\u00f3n de asistencia integral en nefrolog\u00eda","volume":"33","author":"Ramos R","year":"2013","journal-title":"Nefrolog\u00eda"},{"issue":"1","key":"ref7","first-page":"93","article-title":"Chronic kidney disease: importance of early diagnosis, immediate referral and structured interdisciplinary approach to improve outcomes in patients not yet on dialysis","volume":"33","author":"Bastos MG","year":"2011","journal-title":"J Bras Nefrol"},{"key":"ref8","series-title":"Dialysis treatment in USA: High costs, high death rates","author":"Rubin R","year":"2009"},{"issue":"3","key":"ref9","first-page":"320","article-title":"Implications of the use of vascular CDL in hemodialysis patients: analysis of echographic insertion sites","volume":"6","author":"Leite DS","year":"2014","journal-title":"J Bras Nefrol"},{"key":"ref10","series-title":"O SUS de A a Z: garantindo sa\u00fade nos munic\u00edpios. 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