{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T05:36:58Z","timestamp":1700458618328},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:p>OBJETIVO: Avaliar custos e conseq\u00fc\u00eancias da assist\u00eancia pr\u00e9-natal na morbimortalidade perinatal. M\u00c9TODOS: Estudo avaliativo com dois tipos de an\u00e1lise - de implanta\u00e7\u00e3o e de efici\u00eancia, realizado em 11 Unidades de Sa\u00fade da Fam\u00edlia do Recife, PE, em 2006. Os custos foram apurados pela t\u00e9cnica activity-based costing e a raz\u00e3o de custo-efetividade foi calculada para cada conseq\u00fc\u00eancia. As fontes de dados foram sistemas de informa\u00e7\u00e3o do Minist\u00e9rio da Sa\u00fade e planilhas de custos da Secretaria de Sa\u00fade do Recife e do Instituto de Medicina Integral Prof. Fernando Figueira. As unidades de sa\u00fade com pr\u00e9-natal implantado ou parcial foram comparadas quanto ao seu custo-efetividade e resultados perinatais. RESULTADOS: Em 64% das unidades, o pr\u00e9-natal estava implantado com custo m\u00e9dio total de R$ 39.226,88 e varia\u00e7\u00e3o de R$ 3.841,87 a R$ 8.765,02 por Unidade de Sa\u00fade. Nas unidades parcialmente implantadas (36%), o custo m\u00e9dio total foi de R$ 30.092,61 (R$ 4.272,12 a R$ 11.774,68). O custo m\u00e9dio por gestante foi de R$ 196,13 com pr\u00e9-natal implantado e R$ 150,46 no parcial. Encontrou-se maior propor\u00e7\u00e3o de baixo peso ao nascer, s\u00edfilis cong\u00eanita, \u00f3bitos perinatais e fetais no grupo parcialmente implantado. CONCLUS\u00d5ES: Pr\u00e9-natal \u00e9 custo-efetivo para v\u00e1rias conseq\u00fc\u00eancias estudadas. Os efeitos adversos medidos pelos indicadores de sa\u00fade foram menores nas unidades com pr\u00e9-natal implantado. O custo m\u00e9dio no grupo parcialmente implantado foi mais elevado, sugerindo poss\u00edvel desperd\u00edcio de recursos, uma vez que a produtividade das equipes \u00e9 insuficiente para a capacidade instalada.<\/jats:p>","DOI":"10.1590\/s0034-89102011005000014","type":"journal-article","created":{"date-parts":[[2011,3,30]],"date-time":"2011-03-30T18:06:50Z","timestamp":1301508410000},"page":"467-474","source":"Crossref","is-referenced-by-count":5,"title":["Estudo explorat\u00f3rio de custos e conseq\u00fc\u00eancias do pr\u00e9-natal no Programa Sa\u00fade da Fam\u00edlia"],"prefix":"10.1590","volume":"45","author":[{"given":"Suely Arruda","family":"Vidal","sequence":"first","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira, Brasil"}]},{"given":"Isabella Chagas","family":"Samico","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira, Brasil"}]},{"given":"Paulo Germano 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