Os Custos da obesidade para a saúde pública para o município de Dourados - MS de 2008 a 2015

Abstract

Obesity is already considered a worldwide epidemic and is also a risk factor for several other diseases. It is known that financial resources are limited for health and no matter how new technologies and research in the field of health reach the population, it is necessary to study and analyze existing data that may help on decision makings and on directing such resources to the best way. This study aims to analyze the costs that Brazilian Unified Health System (SUS) paid for the treatment of obesity and its main comorbidities registered in the municipality of Dourados - MS from 2008 to 2015. The path for achieving this objective was a literary research carried out to find a methodology of analysis cost of the disease that best fits with the data available in the DATA / SUS, based on data of direct costs (hospitalization, surgeries, medicines, diagnosis) provided by the Information System Outpatient and Hospital Information System, based trhough a top-down approach. The costs attributed directly to obesity were added to the costs of their investigated comorbidities through a methodology in which the RAP (Population Attributable Risk) was calculated using the RR (Relative Risk) found in literature and the rate of prevalence of the disease was 28.1, which, in this case, was directed to the municipality of Dourados - MS. As a result, the value of R$3.203.058,75 was directed to costs for treatment of obesity and its comorbidities. From this total, R$3.061.691,66 were paid to the associated diseases alone and R$141.367,09 were exclusively for obesity.