{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T18:34:12Z","timestamp":1773167652566,"version":"3.50.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Einstein (S\u00e3o Paulo)"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>ABSTRACT  Objective  To determine and compare hospitalization costs of bacterial community-acquired pneumonia cases via different costing methods under the Brazilian Public Unified Health System perspective.  Methods  Cost-of-illness study based on primary data collected from a sample of 59 children aged between 28 days and 35 months and hospitalized due to bacterial pneumonia. Direct medical and non-medical costs were considered and three costing methods employed: micro-costing based on medical record review, micro-costing based on therapeutic guidelines and gross-costing based on the Brazilian Public Unified Health System reimbursement rates. Costs estimates obtained via different methods were compared using the Friedman test.  Results  Cost estimates of inpatient cases of severe pneumonia amounted to R$ 780,70\/$Int. 858.7 (medical record review), R$ 641,90\/$Int. 706.90 (therapeutic guidelines) and R$ 594,80\/$Int. 654.28 (Brazilian Public Unified Health System reimbursement rates). Costs estimated via micro-costing (medical record review or therapeutic guidelines) did not differ significantly (p=0.405), while estimates based on reimbursement rates were significantly lower compared to estimates based on therapeutic guidelines (p&lt;0.001) or record review (p=0.006).  Conclusion  Brazilian Public Unified Health System costs estimated via different costing methods differ significantly, with gross-costing yielding lower cost estimates. Given costs estimated by different micro-costing methods are similar and costing methods based on therapeutic guidelines are easier to apply and less expensive, this method may be a valuable alternative for estimation of hospitalization costs of bacterial community-acquired pneumonia in children.<\/jats:p>","DOI":"10.1590\/s1679-45082017gs3855","type":"journal-article","created":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T15:40:16Z","timestamp":1501515616000},"page":"212-219","source":"Crossref","is-referenced-by-count":8,"title":["Hospitalization costs of severe bacterial pneumonia in children: comparative analysis considering different costing methods"],"prefix":"10.1590","volume":"15","author":[{"given":"Sheila Elke Araujo","family":"Nunes","sequence":"first","affiliation":[{"name":"Universidade Estadual da Regi\u00e3o Tocantina do Maranh\u00e3o,  Brazil; Universidade Federal de Goi\u00e1s,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Minamisava","sequence":"additional","affiliation":[{"name":"Universidade Federal de Goi\u00e1s,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Aparecida da Silva","family":"Vieira","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica de Goi\u00e1s,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Itria","sequence":"additional","affiliation":[{"name":"Universidade Federal de Goi\u00e1s,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente Porfirio","family":"Pessoa Junior","sequence":"additional","affiliation":[{"name":"Hospital da Crian\u00e7a,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana L\u00facia Sampaio Sgambatti de","family":"Andrade","sequence":"additional","affiliation":[{"name":"Universidade Federal de Goi\u00e1s,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristiana Maria","family":"Toscano","sequence":"additional","affiliation":[{"name":"Universidade Federal de Goi\u00e1s,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","article-title":"Epidemiology and etiology of childhood pneumonia in 2010: estimates of incidence, severe morbidity, mortality, underlying risk factors and causative pathogens for 192 countries","volume":"3","author":"Rudan I","year":"2013","journal-title":"J Glob Health"},{"key":"ref2","series-title":"The Burden of Pneumococcal Disease and Cost-Effectiveness of a Pneumococcal Vaccine in Latin America and the Caribbean: a Review of the Evidence and a Preliminary Economic Analysis","author":"Constenla D","year":"2007"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"C2","DOI":"10.1016\/j.vaccine.2011.06.096","article-title":"Pneumococcal disease manifestation in children 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