Public health system expenditure on motor vehicle collisions in Brazil: an ecological study.

IF 1.3 Acta cirurgica brasileira Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI:10.1590/acb402525
Sofia Wagemaker Viana, Ayla Gerk, Sofia Schmitt Schlindwein, Enzzo Marrazzo, Brenda Feres, Lívia Ribeiro, Madeleine Carroll, David Patrick Mooney, Gabriel Schnitman, Cristina Pires Camargo
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Abstract

Purpose: To assess the cost of traffic accidents in Brazil and the impact of age/location.

Methods: All patients admitted to a Brazilian hospital due to traffic accidents from January 2012 to December 2022 and cost of hospital services were obtained from the Department of Information Technology of the Unified Health System. Demographic data were collected in the Brazilian Institute of Geography and Statistics database. Parametric and nonparametric data were analyzed. The Kruskal-Wallis' test and a post-hoc test were used for data comparison. The ARIMA linear regression method for trend estimation.

Results: In Brazil, 1.6 million individuals were involved in traffic accidents between 2012-2022, resulting in a cumulative hospital expenditure of US$ 38 million. The average hospital admission cost during this time was US$ 239.66, but no correlation was found between the cost per capita and driver population density increase. Hospitalization in the Midwest/South was higher.

Conclusion: The economic impact of traffic accidents on the Brazilian public health system is significant. With a high number of victims admitted annually and evident regional and age-related disparities, there is a clear need for comprehensive and cost-effective healthcare strategies.

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巴西公共卫生系统在机动车碰撞上的支出:一项生态学研究。
目的:评估巴西交通事故的成本和年龄/地点的影响。方法:从巴西统一卫生系统信息技术部获取2012年1月至2022年12月因交通事故住院的所有患者和医院服务费用。人口统计数据收集在巴西地理和统计研究所的数据库中。对参数和非参数数据进行分析。采用Kruskal-Wallis检验和事后检验进行数据比较。用ARIMA线性回归方法进行趋势估计。结果:在巴西,2012-2022年间有160万人发生交通事故,导致累计医院支出3800万美元。这段时间的平均住院费用为239.66美元,但人均住院费用与司机人口密度增加之间没有相关性。中西部和南部的住院率更高。结论:交通事故对巴西公共卫生系统的经济影响是显著的。由于每年收治的受害者人数众多,以及明显的区域和年龄差异,显然需要制定全面和具有成本效益的保健战略。
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