Investments and costs of oral health care for Family Health Care
Open Access
- 1 January 2016
- journal article
- Published by FapUNIFESP (SciELO) in Revista de Saúde Pública
Abstract
To estimate the investments to implement and operational costs of a type I Oral Health Care Team in the Family Health Care Strategy. This is an economic assessment study, for analyzing the investments and operational costs of an oral health care team in the city of Salvador, BA, Northeastern Brazil. The amount worth of investments for its implementation was obtained by summing up the investments in civil projects and shared facilities, in equipments, furniture, and instruments. Regarding the operational costs, the 2009-2012 time series was analyzed and the month of December 2012 was adopted for assessing the monetary values in effect. The costs were classified as direct variable costs (consumables) and direct fixed costs (salaries, maintenance, equipment depreciation, instruments, furniture, and facilities), besides the indirect fixed costs (cleaning, security, energy, and water). The Ministry of Health’s share in funding was also calculated, and the factors that influence cost behavior were described. The investment to implement a type I Oral Health Care Team was R$29,864.00 (US$15,236.76). The operational costs of a type I Oral Health Care Team were around R$95,434.00 (US$48,690.82) a year. The Ministry of Health’s financial incentives for investments accounted for 41.8% of the implementation investments, whereas the municipality contributed with a 59.2% share of the total. Regarding operational costs, the Ministry of Health contributed with 33.1% of the total, whereas the municipality, with 66.9%. Concerning the operational costs, the element of heaviest weight was salaries, which accounted for 84.7%. Problems with the regularity in the supply of inputs and maintenance of equipment greatly influence the composition of costs, besides reducing the supply of services to the target population, which results in the service probably being inefficient. States are suggested to partake in funding, especially to cover the team’s operational cost.Keywords
This publication has 19 references indexed in Scilit:
- Managing resources in NHS dentistry: using health economics to inform commissioning decisionsBMC Health Services Research, 2011
- Aspectos críticos para a implementação da política de saúde bucal no Município de Salvador, Bahia, BrasilCadernos de Saude Publica, 2011
- A Review of Effective Methods of Delivery of Care: Skill-Mix and Service Transfer to Primary Care SettingsPrimary Dental Care, 2010
- Commissioning NHS dentistry in England: Issues for decision-makers managing the new contract with finite resourcesHealth Policy, 2009
- Desafios e dificuldades do financiamento em saúde bucal: uma análise qualitativaRevista de Administração Pública, 2008
- Custos para implantação e operação de serviço de saúde bucal na perspectiva do serviço e da sociedadeCadernos de Saude Publica, 2008
- Managing to manage healthcare resources in the English NHS? What can health economics teach? What can health economics learn?Health Policy, 2007
- Pesquisa e produção científica em economia da saúde no BrasilRevista de Administração Pública, 2007
- Descentralização e federalismo: a política de saúde em novo contexto - lições do caso brasileiroCiencia & Saude Coletiva, 2002
- Gastos em saúde: os fatores que agem na demanda e na oferta dos serviços de saúdeSaúde e Sociedade, 2000