O impacto nos gastos com internações da população idosa, nas capitais brasileiras, em razão da migração da população idosa

• Ano de defesa: 2018
• Autor(a) principal: Vanzella, Elídio
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Ciências Exatas e da Saúde; Programa de Pós-Graduação em Modelos de Decisão e Saúde; UFPB
• Palavras-chave em Português: Envelhecimento; Migração; Hospitalizações; Gastos; Aging; Migration; Hospitalizations; Spending; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/13033

The aging process of the Brazilian population is a phenomenon evidenced by several studies and is occurring quickly and intensely. Associated with this fact, the migratory dynamics can provoke the evolution of the population structure, intensifying or softening the aging process. The impact of this new demographic structure is significant, especially when we observe the problems associated with health care for the population and especially the elderly population, since they use the hospital services in a more intensive way than the other age groups, involving higher expenses with treatments prolonged and slower and more complicated recovery times. In this argument, the objective of this study is to analyze the impact on hospital expenses, agreed to the SUS, due to the migration of the elderly population in the Brazilian capitals selected for the study. It is in this panorama that the role of the health and the exact areas assumes special significance, so as to be structured a decision model that can be used in planning in the health area. The exploratory / descriptive and inferential study, developed from a quantitative approach, was carried out in selected Brazilian capitals for the study, according to inclusion criteria defined for capitals and for the main causes of hospital admissions of the elderly population. Statistical tools were also used for population projections, migrations, hospital admissions and hospitalization expenses. The results showed an epidemiological picture that portrays, for Brazilian health policy, the challenge of coping with old evils and not neglecting the problem of chronic diseases. In this context, cardiovascular diseases, neoplasias and chronic respiratory diseases play a decisive role in the expenditures of the Unified Health System. In this sense, the analysis of authorizations for hospital admissions (AIHs) has shown a tendency to increase in cases of hospitalizations and expenditures for the treatment of the elderly population according to the diseases identified with greater incidence in the records of the Unified Health System (SUS). When analyzing the migration of the elderly population in the capitals, which was part of this study, this was shown in a small proportion, so that the result of the statistical test confirmed that there is no significant change in the elderly population of each capital due to migration. That is, although migration is a confirmed phenomenon, it does not present enough values to impact the health care expenditures of the elderly population. However, it should be noted that the aging of the population is a relevant factor in SUS expenditures, since projections of population aging, number of visits and average values of AIHs show a generalized growth trend.