Abstract

HASSLOCHER-MORENO, Alejandro Marcel et al. Integrated health care and efficiency in the Chagas' Disease Clinic Research Laboratory, Evandro Chagas Clinical Research Institute/Fiocruz, 2009-2011. Epidemiol. Serv. Saúde [online]. 2013, vol.22, n.2, pp.295-306. ISSN 1679-4974.  http://dx.doi.org/10.5123/S1679-49742013000200011.

OBJECTIVE: to characterize the level of procedure diversification required by the Integral Health Care Model for Chagas' disease treatment and assess it with respect to efficient use of resources. METHODS: a microcosts survey, as well as Activity-Based Costing (ABC) and Data Envelopment Analysis (DEA) models, were used to calculate annual expenditure and actual unit costs of procedures for a case study assessing the performance of the Chagas' Disease Clinic Research Laboratory/Evandro Chagas Clinical Research Institute/Fiocruz health care model. RESULTS: diversification and pro-efficiency motivation were confirmed by the identification of 291 procedures types in 2009 and 19% efficiency gain in the period 2009-2011. CONCLUSION: efficiency Analysis reveals explanatory power over decision-making in multipurpose public health organizations and demonstrated the efficiency of the model in Chagas' disease treatment and its potential contribution to effective care actions in the Brazilian Unified Health System.

Keywords : Chagas Disease; Comprehensive Health Care; Costs and Cost Analysis; Cost Efficiency Analysis.

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