Cost-Benefit of Hospitalization Compared with Outpatient Care for Pregnant Women with Pregestational and Gestational Diabetes or with Mild Hyperglycemia, in Brazil

Original article

Cost-benefit of hospitalization compared with outpatient care for pregnant women with pregestational and gestational diabetes or with mild hyperglycemia, in Brazil
Custo-benefício da hospitalização comparada ao atendimento ambulatorial em gestantes com diabetes pré-gestacional e gestacional ou com hiperglicemia leve, no Brasil
Ana Claudia Molina CavassiniI, Silvana Andréa Molina LimaII, Iracema Mattos Paranhos CalderonIII, Marilza Vieira Cunha RudgeIV
Hospital das Clínicas (HC), Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista (Unesp), Botucatu, São Paulo, Brazil

Nurse, Municipal Authority of Botucatu,
Botucatu, São Paulo, Brazil.
I

MD, PhD. Assistant Professor, Department of
Nursing, Hospital das Clínicas (HC), Faculdade de Medicina de Botucatu (FMB), Universidade
Estadual Paulista (Unesp), Botucatu, São Paulo,
Brazil.
II

MD, PhD. Adjunct Professor, Department of
Gynecology and Obstetrics, Hospital das Clínicas
(HC), Faculdade de Medicina de Botucatu
(FMB), Universidade Estadual Paulista (Unesp),
Botucatu, São Paulo, Brazil.
III

MD, PhD. Titular Professor, Department of
Gynecology and Obstetrics and Pro-Rector of
Postgraduate Programs, Universidade Estadual
Paulista (Unesp), Botucatu, São Paulo, Brazil.
IV

KEY WORDS:
Hospital costs.
Gestational diabetes.
Cost-benefit analysis.
Health care costs.
Costs and cost analysis.
PALAVRAS-CHAVE:
Custos hospitalares.
Diabetes gestacional.
Análise custo-benefício.
Custos de cuidados de saúde.
Custos e análise de custo.

abstract
CONTEXT AND OBJECTIVE: Pregnancies complicated by diabetes are associated with increased numbers of maternal and neonatal complications. Hospital costs increase according to the type of care provided.
This study aimed to estimate the cost-benefit relationship and social profitability ratio of hospitalization, compared with outpatient care, for pregnant women with diabetes or mild hyperglycemia.
STUDY

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