To analyze the costs of implementing and maintaining dental care in the hospital, a partial economic analysis was conducted to calculate the average costs for implementing and maintaining a dentist in the hospital. The average cost of implementation, the average monthly maintenance cost of the professional in the hospital setting, monthly maintenance of permanent equipment and instruments, and monthly cost of consumable materials were calculated. Sensitivity analysis varied the values by 20%. The average cost of implementing dental care in a hospital setting is R$32,327.97 (R$25,862.38 - R$38,793.56) considering the use of a dental chair, and R$28,762.53 (R$23,010.02 - R$34,515.04) considering the use of portable equipment. The monthly maintenance of the dentist in the hospital had an average value of R$10,528.11 (R$8,422.49 - R$12,633.73). The costs for maintaining dental care in a hospital setting are approximately one-third of the implementation cost. It would be necessary to treat 32 patients to ensure the service’s maintenance.
References
[1]
Anschau, F., Webster, J., Roessler, N., Fernandes, E. D. O., Klafke, V., Da Silva, C. P. et al. (2017). Avaliação de intervenções de Gestão da Clínica na qualificação do cuidado e na oferta de leitos em um hospital público de grande porte. Scientia Medica, 27, Article ID: 26575. https://doi.org/10.15448/1980-6108.2017.2.26575
[2]
Araújo, E. C. F., da Silva, R. O., Raymundo, M. L. B., Vieira, T. I., de Sousa, S. A., Santiago, B. M. et al. (2022). Does the Presence of Oral Health Teams Influence the Incidence of Ventilator‐associated Pneumonia and Mortality of Patients in Intensive Care Units? Systematic Review. Special Care in Dentistry, 43, 452-463. https://doi.org/10.1111/scd.12785
[3]
Bellissimo-Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., Nicolini, E. A., Auxiliadora-Martins, M., Basile-Filho, A. et al. (2014). Effectiveness of a Dental Care Intervention in the Prevention of Lower Respiratory Tract Nosocomial Infections among Intensive Care Patients: A Randomized Clinical Trial. Infection Control & Hospital Epidemiology, 35, 1342-1348. https://doi.org/10.1086/678427
[4]
Bellissimo-Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., de Souza, H. C. C., Auxiliadora-Martins, M., Basile-Filho, A. et al. (2018). Is It Necessary to Have a Dentist within an Intensive Care Unit Team? Report of a Randomised Clinical Trial. International Dental Journal, 68, 420-427. https://doi.org/10.1111/idj.12397
[5]
Blum, D. F. C., Silva, J. A. S., Baeder, F. M., & Bona, A. D. (2018). A atuação da Odontologia em unidades de terapia intensiva no Brasil. Revista Brasileira de TerapiaIntensiva, 30, 327-332.
[6]
Brasil Congresso Nacional (2019). Veto nº 16/2019 Prestação de assistênciaodontológicaobrigatória. https://www.congressonacional.leg.br/materias/vetos/-/veto/detalhe/12346
[7]
Brasil Ministério da Saúde (2010). Portaria Nº 1.032. IncluiprocedimentoodontológiconaTabela de Procedimentos, Medicamentos, Órteses e Próteses e MateriaisEspeciais do Sistema Único de Saúde—SUS, para atendimentoàspessoas com necessidadesespeciais. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2010/prt1032_05_05_2010.html#:~:text=Inclui%20procedimento%20odontol%C3%B3gico%20na%20Tabela,%C3%A0s%20pessoas%20com%20necessidades%20especiais
[8]
Brasil Ministério da Saúde (2014a). DiretrizesMetodológicas: Diretriz de AvaliaçãoEconômica (2ª ed). https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_diretriz_avaliacao_economica.pdf
[9]
Brasil Ministério da Saúde (2014b). Nota Técnica MS/SAS/DAB/CSB nº 1 de 2014-Permite que todososprocedimentosodontológicosrealizadosemAmbienteHospitalarsejamregistrados e informados no Sistema de InformaçãoHospitalar (SIH), independente do motivo que gerouainternação. http://189.28.128.100/dab/docs/portaldab/notas_tecnicas/nt_procedimentos_odontologicos_aih.pdf
[10]
Claussen, M. S. A. (2022). Atençãoemsaúdebucal no âmbitohospitalar: Uma revisão de literatura. Rio de Janeiro. Ph.D. Thesis, Universidade do Estado do Rio de Janeiro. http://www.bdtd.uerj.br/handle/1/18146
[11]
Collins, T., Plowright, C., Gibson, V., Stayt, L., Clarke, S., Caisley, J. et al. (2021). British Association of Critical Care Nurses: Evidence‐Based Consensus Paper for Oral Care within Adult Critical Care Units. Nursing in Critical Care, 26, 224-233. https://doi.org/10.1111/nicc.12570
[12]
Conselho Federal de Odontologia (2004). Conferência Nacional de SaúdeBucal. https://bvsms.saude.gov.br/bvs/publicacoes/3_conferencia_nacional_saude_bucal_relatorio_final.pdf
[13]
Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the Economic Evaluation of Health Care Programmes (4th ed.). Oxford University Press.
[14]
Gomes, R. F. T., & Castelo, E. F. (2019). Hospital Dentistry and the Occurrence of Pneumonia. RGO—RevistaGaúcha de Odontologia, 67, e20190016. https://doi.org/10.1590/1981-86372019000163617
[15]
Guan, X., Li, D., Zou, D., Yu, X., Pan, S., Yang, Z. et al. (2024). Investigation on the Knowledge, Attitude and Practice of Oral Health among Medical College and University Undergraduate. Health, 16, 602-614. https://doi.org/10.4236/health.2024.167042
[16]
Holzer, J., Canavan, M., Cherlin, E., & Bradley, E. (2014). Health Hot Spots: Mapping Hospital Costs and Social Determinants of Health. Open Journal of Preventive Medicine, 4, 717-722. https://doi.org/10.4236/ojpm.2014.49081
[17]
Husereau, D., Drummond, M., Petrou, S., Carswell, C., Moher, D. et al. (2013). Consolidated Health Economic Evaluation Reporting Standards (CHEERS)—Explanation and Elaboration: A Report of the ISPOR Health Economic Evaluation Publication Guidelines Good Reporting Practices Task Force. Value Health, 16, 231-250.
[18]
Ishikawa, S., Yamamori, I., Takamori, S., Kitabatake, K., Edamatsu, K., Sugano, A. et al. (2021). Evaluation of Effects of Perioperative Oral Care Intervention on Hospitalization Stay and Postoperative Infection in Patients Undergoing Lung Cancer Intervention. Supportive Care in Cancer, 29, 135-143. https://doi.org/10.1007/s00520-020-05450-9
[19]
Jun, M., Ku, J., Kim, I., Park, S., Hong, J., Kim, J. et al. (2021). Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review. Journal of Clinical Medicine, 10, Article 3681. https://doi.org/10.3390/jcm10163681
[20]
Kollef, M. H., Hamilton, C. W., & Ernst, F. R. (2012). Economic Impact of Ventilator-Associated Pneumonia in a Large Matched Cohort. Infection Control & Hospital Epidemiology, 33, 250-256. https://doi.org/10.1086/664049
[21]
Malhan, N., Usman, M., Trehan, N., Sinha, A., Settecase, V. A., Fried, A. D. et al. (2019). Oral Care and Ventilator-Associated Pneumonia. American Journal of Therapeutics, 26, e604-e607. https://doi.org/10.1097/mjt.0000000000000878
[22]
Schreiber, M. P., & Shorr, A. F. (2017). Challenges and Opportunities in the Treatment of Ventilator-Associated Pneumonia. Expert Review of Anti-infective Therapy, 15, 23-32. https://doi.org/10.1080/14787210.2017.1250625
[23]
Silva, I. O., Amaral, F. R., da-Cruz, P. M., & Sales, T. O. (2017). A importância do cirurgião-dentista em ambiente hospitalar. RevistaMédica de Minas Gerais, 27, e1888.
[24]
Sousa, L. V. S., Pereira, A. F. V., & Silva, N. B. S. (2014). A atuação do cirurgião-dentista no atendimento hospitalar. RevistaCiênciasemSaúde, 16, 39-45.
[25]
Warren, C., Medei, M. K., Wood, B., & Schutte, D. (2019). A Nurse-Driven Oral Care Protocol to Reduce Hospital-Acquired Pneumonia. AJN: American Journal of Nursing, 119, 44-51. https://doi.org/10.1097/01.naj.0000553204.21342.01