%0 Journal Article
%T Costos directos del ingreso en el hogar en Cuba
%A Garc¨ªa Fari£¿as
%A Ana¨ª
%A Barroso Utr¨¢
%A Isabel
%A Rodr¨ªguez Salv¨¢
%A Armando
%A Pol De
%A Vos
%A Van der Stuyft
%A Patrick
%A Bonet Gorbea
%A Mariano
%J Revista Cubana de Salud P¨²blica
%D 2008
%I Centro Nacional de Informaci¨®n de Ciencias M¨¦dicas
%R 10.1590/S0864-34662008000100014
%X introduction home-based care is a primary health care option mainly aimed at improving the patient care and at using available economic resources more effectively. there have been few studies on this care modality that included different geographical settings in cuba. objectives to estimate and to characterize the direct cost of home care in the various geographical areas of the island. methods a partial cost study was conducted from 2001 to 2002 in four cuban geographical areas. those costs afforded by the national healthcare system and part of those paid by the families were analyzed. the considered items were human resources, waste materials, diagnostic means and drug therapy. cost per patient and per cause of home care was estimated. the total number of patients cared at home was 837. results the cost per patient ranged from nearly 10,00 to 20,00 pesos. the rural setting showed the highest cost in this regard. items that contributed the most were salary and drug therapy. the difference between cost per patient in a rural area and in the other areas was determined by the kind of treatment. home-based care accounted for an average family cost, in terms of purchase of drugs, from 7,00 to 18,00 pesos per patient. conclusions home care generated comparable average costs in both rural and urban areas. respiratory diseases were the most costly and the contribution by the various items was similar regardless of the geographical area and of the cause of home care. as the condition of the patients became more critical, differences in terms of costs between urban and rural areas were observed, and cost increases mainly occurred at the expense of the item "treatment."
%K costs
%K home-based care
%K primary healthcare.
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S0864-34662008000100014&lng=en&nrm=iso&tlng=en