Implementation in restorative treatments in public health

A 10-year analysis of resin composite procurement in Brazil

Bibliographic Data

ID5166350
AuthorsGabriela De Souza Balbinot (0000-0001-9076-2460, Universidade Federal do Rio Grande do Sul), Roger Keller Celeste (0000-0002-2468-6655, Universidade Federal do Rio Grande do Sul), Vicente Castelo Branco Leitune (0000-0002-5415-1731, Universidade Federal do Rio Grande do Sul), Fabrício Mezzomo Collares (0000-0002-1382-0150, Universidade Federal do Rio Grande do Sul)
Year2022
Volume38
Issue3
Pagese00118321-e00118321
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00118321
PMID35416893
OpenAlexW4225489896
SCIELO_PIDS0102-311X2022000305013
LanguageEN
References cited50

This study aims to assess the resin composite purchases in a public health system and understand the variables associated with its cost and with the decision-making process over a period of 10 years. Secondary data collection was performed using the Brazilian Healthcare Prices Database (BDHP) from 2010 to 2019. All conventional and bulk-fill composites were selected. Date of purchase, institution type and location, procurement modality, number of purchased items, manufacture, and unit prices were collected. A multiple linear regression model assessed the influence of price in the procurement variables, while a multinomial logistic regression compared purchase probabilities between the materials. In total, 18,138 observations were collected with 2,129,294 purchased units and a total cost of USD 43,504,260.00. Conventional composites appeared in 98.5% of the procurement process. Nanofilled conventional composites were the most purchased materials, with an increased probability of purchase over time, despite its higher prices. An increase in prices was predicted for bulk-fill materials when compared to conventional ones. The odds of purchasing this category increased by 3.14x for every price increase over the years. Sociodemographic and type of institution influences the prices and the probability of procurement in the healthcare system. Nanofilled and bulk-fill resin are increasingly included in clinical practice. These findings highlight possible modifications to the standard-of-care in restorative treatments and how the translation of knowledge may occur from the development of new materials to the clinical application considering the economic impact of these modifications

Business · Economic growth · Economics · Health care · Logistic regression · Odds · Procurement · Purchasing · Health, Nursing, Elderly Care · Healthcare Regulation · Marketing · Medicine · Public Health in Brazil

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Open DOIOpen Access