Costo de la atención de la hipertensión arterial y su impacto en el presupuesto destinado a la salud en México
Objective. To assess the medical care costs of hypertensionand their impact on the health care expenditures andon Mexicos Gross National Product (GNP). Material andMethods. An ecological study was conducted from June toNovember 1999, at Instituto Mexicano del Seguro Social(Mexican Institute of Soci...
| Autores: | , , , , , |
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| Tipo de documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2002 |
| País: | México |
| Recursos: | Instituto Mexicano del Seguro Social |
| Repositório: | Redalyc-IMSS |
| OAI Identifier: | oai:redalyc.org:10644101 |
| Acesso em linha: | https://www.redalyc.org/articulo.oa?id=10644101 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Salud Mexico utilization hypertension Key words: cost |
| Resumo: | Objective. To assess the medical care costs of hypertensionand their impact on the health care expenditures andon Mexicos Gross National Product (GNP). Material andMethods. An ecological study was conducted from June toNovember 1999, at Instituto Mexicano del Seguro Social(Mexican Institute of Social Security, IMSS), in Monterrey,Nuevo Leon, Mexico. A random sample of medical charts ofpatients with hypertension was selected, to extract data onutilization of health services and unitary costs per care episode.The cost per care episode and per hypertensive patientwas calculated by adjusting the unitary cost as a functionof standard and extreme utilization of IMSS health services.The resulting figure was then projected to the total populationof hypertensive patients and compared to the annualhealth care expenditures of Mexico. Results. The annualcost per patient with hypertension was $1,067 in the standardscenario and $3,913 in the extreme scenario. The annualexpenditures from hypertension corresponded to13.95% of the budget allocated to health care and to 0.71%,of Mexicos GNP. These figures changed to 51.17% and 2.61%in the extreme scenario, respectively. Conclusions. Thecosts of hypertension medical care account for a good por-of healthcare resources. This problem should be analyzedby multidisciplinary health teams in search of moreefficient medical care alternatives. The English version ofthis paper is available at: http://www.insp.mx/salud/index.html |
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