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Estimating and planning hospital costs of public hospitals in Brazil
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  • João Flávio Almeida,
  • Samuel Vieira Conceição,
  • Virginia Silva Magalhães,
  • Márcia Mascarenhas Alemão
João Flávio Almeida
Aalto-yliopisto Systeemianalyysin laboratorio

Corresponding Author:[email protected]

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Samuel Vieira Conceição
Universidade Federal de Minas Gerais
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Virginia Silva Magalhães
Universidade Federal de Minas Gerais Faculdade de Medicina
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Márcia Mascarenhas Alemão
Universidade Federal de Minas Gerais
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While the estimate of hospital costs concerns the past, its planning focus on the future. However, many public hospitals in low and middle-income countries don’t have robust accounting health systems to evaluate and project their expenses. In Brazil, public hospitals are funded based on government estimates of available hospital infrastructure, historical expenditures and population needs. However, these pieces of information are not always readily available for all hospitals. To solve this challenge, we propose a flexible simulation-based optimisation algorithm that integrates this dual task: estimating and planning hospital costs. The method was applied to a network of 17 public hospitals in Brazil to produce the estimates. Setting the model parameters for population needs and future hospital infrastructure can be used as a cost-projection tool for divestment, maintenance, or investment. Results show that the method can aid health managers in hospitals’ global budgeting and policymakers in improving fairness in hospitals’ financing.
23 Mar 2023Submitted to International Journal of Health Planning and Management
23 Mar 2023Assigned to Editor
23 Mar 2023Submission Checks Completed
23 Mar 2023Review(s) Completed, Editorial Evaluation Pending
14 Apr 2023Reviewer(s) Assigned
05 Apr 2024Reviewer(s) Assigned