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 Mexico’s 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...

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Detalles Bibliográficos
Autores: Alvaro Mathew, Martha Gallegos, Enrique Villareal, Ma. Eugenia Garza, Georgina Mayela Núñez, Ana María Salinas
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2002
País:México
Institución:Instituto Mexicano del Seguro Social
Repositorio:Redalyc-IMSS
OAI Identifier:oai:redalyc.org:10644101
Acceso en línea:https://www.redalyc.org/articulo.oa?id=10644101
Access Level:acceso abierto
Palabra clave:Salud
Mexico
utilization
hypertension
Key words: cost
Descripción
Sumario:Objective. To assess the medical care costs of hypertensionand their impact on the health care expenditures andon Mexico’s 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 Mexico’s 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