{"id":"https://openalex.org/W7204694776","doi":"https://doi.org/10.21115/jbes.v18.p97-107","title":"Microcusteio do sequenciamento do exoma e de Sanger na cardiomiopatia hipertr\u00f3fica no Sistema \u00danico de Sa\u00fade","display_name":"Microcusteio do sequenciamento do exoma e de Sanger na cardiomiopatia hipertr\u00f3fica no Sistema \u00danico de Sa\u00fade","publication_year":2026,"publication_date":"2026-08-30","ids":{"openalex":"https://openalex.org/W7204694776","doi":"https://doi.org/10.21115/jbes.v18.p97-107"},"language":"pt","primary_location":{"id":"doi:10.21115/jbes.v18.p97-107","doi":"https://doi.org/10.21115/jbes.v18.p97-107","is_oa":true,"landing_page_url":"https://doi.org/10.21115/jbes.v18.p97-107","pdf_url":"https://www.jbes.com.br/index.php/jbes/article/download/536/474","source":{"id":"https://openalex.org/S4210220290","display_name":"Jornal Brasileiro de Economia da Sa\u00fade","issn_l":"2175-2095","issn":["2175-2095","2359-1641"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Jornal Brasileiro de Economia da Sa\u00fade","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7204694776"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jbes.com.br/index.php/jbes/article/download/536/474","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076369181","display_name":"Andressa Ara\u00fajo Braga","orcid":"https://orcid.org/0000-0002-3848-6216","observed_orcids":["https://orcid.org/0000-0002-3848-6216"]},"institutions":[{"id":"https://openalex.org/I4210106620","display_name":"Instituto Nacional de Cardiologia","ror":"https://ror.org/01fjcgc06","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106620"]},{"id":"https://openalex.org/I4210157394","display_name":"Instituto Nacional de Cardiolog\u00eda","ror":"https://ror.org/046e90j34","country_code":"MX","type":"facility","lineage":["https://openalex.org/I4210157394"]}],"countries":["BR","MX"],"is_corresponding":false,"raw_author_name":"Andressa Braga","raw_affiliation_strings":["Instituto Nacional de Cardiologia"],"raw_orcid":"https://orcid.org/0000-0002-3848-6216","affiliations":[{"raw_affiliation_string":"Instituto Nacional de Cardiologia","institution_ids":["https://openalex.org/I4210106620","https://openalex.org/I4210157394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070231679","display_name":"Marisa Santos","orcid":"https://orcid.org/0000-0002-2174-6800","observed_orcids":["https://orcid.org/0000-0002-2174-6800"]},"institutions":[{"id":"https://openalex.org/I4210106620","display_name":"Instituto Nacional de Cardiologia","ror":"https://ror.org/01fjcgc06","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106620"]},{"id":"https://openalex.org/I4210157394","display_name":"Instituto Nacional de Cardiolog\u00eda","ror":"https://ror.org/046e90j34","country_code":"MX","type":"facility","lineage":["https://openalex.org/I4210157394"]}],"countries":["BR","MX"],"is_corresponding":false,"raw_author_name":"Marisa Santos","raw_affiliation_strings":["Instituto Nacional de Cardiologia"],"raw_orcid":"https://orcid.org/0000-0002-2174-6800","affiliations":[{"raw_affiliation_string":"Instituto Nacional de Cardiologia","institution_ids":["https://openalex.org/I4210106620","https://openalex.org/I4210157394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148665799","display_name":"Marcia Pinto","orcid":"https://orcid.org/0000-0001-7568-5014","observed_orcids":["https://orcid.org/0000-0001-7568-5014"]},"institutions":[{"id":"https://openalex.org/I52325","display_name":"Funda\u00e7\u00e3o Oswaldo Cruz","ror":"https://ror.org/04jhswv08","country_code":"BR","type":"facility","lineage":["https://openalex.org/I52325"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"M\u00e1rcia Pinto","raw_affiliation_strings":["Funda\u00e7\u00e3o Oswaldo Cruz"],"raw_orcid":"https://orcid.org/0000-0001-7568-5014","affiliations":[{"raw_affiliation_string":"Funda\u00e7\u00e3o Oswaldo Cruz","institution_ids":["https://openalex.org/I52325"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140451873","display_name":"Marcelo Correia","orcid":"https://orcid.org/0000-0002-3446-5741","observed_orcids":["https://orcid.org/0000-0002-3446-5741"]},"institutions":[{"id":"https://openalex.org/I4210106620","display_name":"Instituto Nacional de Cardiologia","ror":"https://ror.org/01fjcgc06","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106620"]},{"id":"https://openalex.org/I4210157394","display_name":"Instituto Nacional de Cardiolog\u00eda","ror":"https://ror.org/046e90j34","country_code":"MX","type":"facility","lineage":["https://openalex.org/I4210157394"]}],"countries":["BR","MX"],"is_corresponding":false,"raw_author_name":"Marcelo Correia","raw_affiliation_strings":["Instituto Nacional de Cardiologia"],"raw_orcid":"https://orcid.org/0000-0002-3446-5741","affiliations":[{"raw_affiliation_string":"Instituto Nacional de Cardiologia","institution_ids":["https://openalex.org/I4210106620","https://openalex.org/I4210157394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076007934","display_name":"Luiza M. Neves","orcid":"https://orcid.org/0000-0002-2305-2853","observed_orcids":["https://orcid.org/0000-0002-2305-2853"]},"institutions":[{"id":"https://openalex.org/I40034438","display_name":"Universidade do Estado do Rio de Janeiro","ror":"https://ror.org/0198v2949","country_code":"BR","type":"education","lineage":["https://openalex.org/I40034438"]},{"id":"https://openalex.org/I52325","display_name":"Funda\u00e7\u00e3o Oswaldo Cruz","ror":"https://ror.org/04jhswv08","country_code":"BR","type":"facility","lineage":["https://openalex.org/I52325"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Luiza Neves","raw_affiliation_strings":["Funda\u00e7\u00e3o Oswaldo Cruz; Universidade do Estado do Rio de Janeiro"],"raw_orcid":"https://orcid.org/0000-0002-2305-2853","affiliations":[{"raw_affiliation_string":"Funda\u00e7\u00e3o Oswaldo Cruz; Universidade do Estado do Rio de Janeiro","institution_ids":["https://openalex.org/I40034438","https://openalex.org/I52325"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148715280","display_name":"Adriana Carvalho","orcid":"https://orcid.org/0000-0002-7830-7868","observed_orcids":["https://orcid.org/0000-0002-7830-7868"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Adriana Carvalho","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro"],"raw_orcid":"https://orcid.org/0000-0002-7830-7868","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro","institution_ids":["https://openalex.org/I122140584"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091989543","display_name":"Dilza Campos","orcid":"https://orcid.org/0009-0005-0193-5224","observed_orcids":["https://orcid.org/0009-0005-0193-5224"]},"institutions":[{"id":"https://openalex.org/I122140584","display_name":"Universidade Federal do Rio de Janeiro","ror":"https://ror.org/03490as77","country_code":"BR","type":"education","lineage":["https://openalex.org/I122140584"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Dilza Campos","raw_affiliation_strings":["Universidade Federal do Rio de Janeiro"],"raw_orcid":"https://orcid.org/0009-0005-0193-5224","affiliations":[{"raw_affiliation_string":"Universidade Federal do Rio de Janeiro","institution_ids":["https://openalex.org/I122140584"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030900895","display_name":"Carlos Alberto da Silva Magliano","orcid":"https://orcid.org/0000-0003-0210-4877","observed_orcids":["https://orcid.org/0000-0003-0210-4877"]},"institutions":[{"id":"https://openalex.org/I4210106620","display_name":"Instituto Nacional de Cardiologia","ror":"https://ror.org/01fjcgc06","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106620"]},{"id":"https://openalex.org/I4210157394","display_name":"Instituto Nacional de Cardiolog\u00eda","ror":"https://ror.org/046e90j34","country_code":"MX","type":"facility","lineage":["https://openalex.org/I4210157394"]}],"countries":["BR","MX"],"is_corresponding":false,"raw_author_name":"Carlos Magliano","raw_affiliation_strings":["Instituto Nacional de Cardiologia"],"raw_orcid":"https://orcid.org/0000-0003-0210-4877","affiliations":[{"raw_affiliation_string":"Instituto Nacional de Cardiologia","institution_ids":["https://openalex.org/I4210106620","https://openalex.org/I4210157394"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":null,"first_page":"97","last_page":"107"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.45730000734329224,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.45730000734329224,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10882","display_name":"Cardiomyopathy and Myosin Studies","score":0.35910001397132874,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11642","display_name":"Genomics and Rare Diseases","score":0.10270000249147415,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypertrophic-cardiomyopathy","display_name":"hypertrophic cardiomyopathy","score":0.9909999966621399},{"id":"https://openalex.org/keywords/whole-exome-sequencing","display_name":"exome sequencing","score":0.878000020980835},{"id":"https://openalex.org/keywords/sanger-sequencing","display_name":"Sanger sequencing","score":0.9990000128746033},{"id":"https://openalex.org/keywords/direct-costs","display_name":"direct costs","score":0.5600000023841858},{"id":"https://openalex.org/keywords/microcosting","display_name":"micro-costing","score":0.8190000057220459},{"id":"https://openalex.org/keywords/genetic-testing","display_name":"genetic testing","score":0.38600000739097595},{"id":"https://openalex.org/keywords/first-degree-relatives","display_name":"first-degree relatives","score":0.6100000143051147},{"id":"https://openalex.org/keywords/genetic-diagnosis","display_name":"genetic diagnosis","score":0.46799999475479126},{"id":"https://openalex.org/keywords/health-insurance-reimbursement","display_name":"health insurance reimbursement","score":0.5370000004768372},{"id":"https://openalex.org/keywords/unified-health-system-sus","display_name":"Unified Health System (SUS)","score":0.8159999847412109},{"id":"https://openalex.org/keywords/public-health-policy","display_name":"public health policy","score":0.6259999871253967}],"concepts":[{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.4575999975204468},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.4406000077724457},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.2782000005245209},{"id":"https://openalex.org/C2983335822","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost analysis","level":2,"score":0.2013999968767166},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.19869999587535858},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.18970000743865967},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.15790000557899475},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.1551000028848648},{"id":"https://openalex.org/C91102366","wikidata":"https://www.wikidata.org/wiki/Q185565","display_name":"Hyperinflation","level":3,"score":0.1551000028848648},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.12219999730587006}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.21115/jbes.v18.p97-107","doi":"https://doi.org/10.21115/jbes.v18.p97-107","is_oa":true,"landing_page_url":"https://doi.org/10.21115/jbes.v18.p97-107","pdf_url":"https://www.jbes.com.br/index.php/jbes/article/download/536/474","source":{"id":"https://openalex.org/S4210220290","display_name":"Jornal Brasileiro de Economia da Sa\u00fade","issn_l":"2175-2095","issn":["2175-2095","2359-1641"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Jornal Brasileiro de Economia da Sa\u00fade","raw_type":"journal-article"},{"id":"pmh:oai:ojs2.revista.jbes.com.br:article/536","doi":null,"is_oa":true,"landing_page_url":"https://www.jbes.com.br/index.php/jbes/article/view/536","pdf_url":null,"source":{"id":"https://openalex.org/S4210220290","display_name":"Jornal Brasileiro de Economia da Sa\u00fade","issn_l":"2175-2095","issn":["2175-2095","2359-1641"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2175-2095","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.21115/jbes.v18.p97-107","doi":"https://doi.org/10.21115/jbes.v18.p97-107","is_oa":true,"landing_page_url":"https://doi.org/10.21115/jbes.v18.p97-107","pdf_url":"https://www.jbes.com.br/index.php/jbes/article/download/536/474","source":{"id":"https://openalex.org/S4210220290","display_name":"Jornal Brasileiro de Economia da Sa\u00fade","issn_l":"2175-2095","issn":["2175-2095","2359-1641"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Jornal Brasileiro de Economia da Sa\u00fade","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.7246000170707703,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204694776.pdf","grobid_xml":"https://content.openalex.org/works/W7204694776.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2883801789","https://openalex.org/W1880062558","https://openalex.org/W3048618747","https://openalex.org/W4327569231","https://openalex.org/W7018819260","https://openalex.org/W2521563261","https://openalex.org/W1832898666","https://openalex.org/W2810287727","https://openalex.org/W4396890090"],"abstract_inverted_index":{"Objetivo:":[0],"Estimar":[1],"os":[2,53,140],"custos":[3,70,174],"diretos":[4],"do":[5,7,15,27,108,110,121,135,161,163],"sequenciamento":[6,16,109,122],"exoma":[8,111,164],"no":[9,171,193],"paciente":[10],"com":[11,45],"cardiomiopatia":[12,169],"hipertr\u00f3fica":[13,170],"e":[14,51,62,69,97,118,165,184,209],"de":[17,22,30,36,43,48,64,94,113,123,126,144,159,166,180,182,201],"Sanger":[18,124,167],"em":[19,76,86,138,199],"seus":[20],"familiares":[21],"primeiro":[23],"grau,":[24],"na":[25,216],"perspectiva":[26],"Sistema":[28],"\u00danico":[29],"Sa\u00fade":[31],"(SUS),":[32],"utilizando":[33],"a":[34,101,147,155,178,189,197],"metodologia":[35],"microcusteio.":[37],"M\u00e9todos:":[38],"Foi":[39],"realizada":[40],"uma":[41,83],"an\u00e1lise":[42],"microcusteio":[44,160],"o":[46,119,211],"objetivo":[47],"identificar,":[49],"quantificar":[50],"valorar":[52],"recursos":[54,67],"necess\u00e1\u00adrios":[55],"para":[56,99,168,188,205],"cada":[57],"exame,":[58],"incluindo":[59],"insumos,":[60],"deprecia\u00e7\u00e3o":[61],"manuten\u00e7\u00e3o":[63],"equipamentos,":[65],"transporte,":[66],"humanos":[68],"administrativos.":[71],"O":[72,106],"estudo":[73,153],"foi":[74,112,125],"conduzido":[75],"um":[77],"hospital":[78],"federal,":[79],"onde":[80],"est\u00e1":[81],"localizada":[82],"rede":[84,217],"especializada":[85],"gen\u00f4mica":[87],"cardiovascular.":[88],"Al\u00e9m":[89],"disso,":[90],"foram":[91],"realizadas":[92],"an\u00e1lises":[93,143],"sensibilidade":[95,145],"determin\u00edstica":[96],"probabil\u00edstica":[98],"avaliar":[100],"robustez":[102,148],"das":[103,149],"estimativas.":[104,150],"Resultados:":[105],"custo":[107,120,136],"R$":[114,127],"1.547,10":[115],"por":[116,129],"paciente,":[117],"414,75":[128],"familiar.":[130],"Os":[131,173],"insumos":[132],"representaram":[133],"80%":[134],"total":[137],"ambos":[139],"exames.":[141],"As":[142],"confirmaram":[146],"Conclus\u00e3o:":[151],"Este":[152],"apresenta":[154],"primeira":[156],"estimativa":[157],"detalhada":[158],"sequencia\u00admento":[162],"Brasil.":[172],"estimados":[175],"po\u00addem":[176],"subsidiar":[177],"defini\u00e7\u00e3o":[179],"valores":[181],"reembolso":[183],"orientar":[185],"pol\u00edticas":[186],"p\u00fablicas":[187],"incorpora\u00e7\u00e3o":[190],"desses":[191],"exames":[192],"SUS.":[194],"Estrat\u00e9gias":[195],"como":[196],"centraliza\u00e7\u00e3o":[198],"unidades":[200],"refer\u00eancia":[202],"s\u00e3o":[203],"fundamen\u00adtais":[204],"viabilizar":[206],"sua":[207],"implementa\u00e7\u00e3o":[208],"ampliar":[210],"acesso":[212],"ao":[213],"diagn\u00f3stico":[214],"gen\u00e9tico":[215],"p\u00fablica.":[218]},"counts_by_year":[],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2026-08-31T00:00:00"}
