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- The cost per patient in a long-life unit and maintenancePublication . Fonseca, Susana; Duarte, FilipeWith the increase in average life expectancy, care for the chronically ill has become an important area in the context of health services. Cost accounting in the health care area is proving to be fundamental as an information tool for decision making, in a sector where managers are increasingly encouraged to provide more and better care at lower prices. With the creation of the National Network of Integrated Continuous Care (RNCCI), it is the Long Term Care and Maintenance Units (ULDM) that receive more dependent patients, in need of comfort care and palliative actions. There are studies that ensure that the implementation of a palliative model reduces costs and makes the management and use of human and material resources more efficient. It is a quantitative and descriptive study, of retrospective character, whose general objectives were: to develop a comparative study between the practices in use in the Institution; to standardize monitoring strategies; to propose a health management model that takes into consideration the reduction of suffering and the efficiency of resources. The last 30 days of users' lives were analyzed, in terms of resources used. We calculated a daily co-participation value per user higher than the co-participated value. We concluded that the financing due to ULDM does not take into account the real needs of users, requiring institutions to allocate human resources and materials higher than the co-funded.
- The Cost Per Patient in a Long-Life Unit and Maintenance.Publication . Fonseca, Susana; Duarte, FilipeWith the increase in average life expectancy, care for the chronically ill has become an important area in the context of health services. Cost accounting in the health care area is proved to be fundamental as an information tool for decision making, in a sector where managers are increasingly encouraged to provide more and better care at lower prices. With the creation of the National Network of Integrated Continuous Care (NNICC), it is the Long Term Care and Maintenance Units (LTCMUs) that receive more dependent patients, in need of comfort care and palliative actions. There are studies that ensure that the implementation of a palliative model reduces costs and makes the management and use of human and material resources more efficient. It is a quantitative and descriptive study, of retrospective character, whose general objectives were: to develop a comparative study between the practices in use in the Institution; to standardize monitoring strategies; to propose a health management model that takes into consideration the reduction of suffering and the efficiency of resources. The last 30 days of users’ lives were analyzed, in terms of resources used. We calculated a daily co-participation value per user higher than the co-participated value. We concluded that the financing due to LTCMU does not take into account the real needs of users, requiring institutions to allocate human resources and materials higher than the co-funded.