Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents

Objective. To construct and validate an indicator for evaluatingthe quality of care for femoral fractures, and to assessthe contribution of the quality of health care as adeterminant of partial permanent inability secondary tofemoral fractures due to occupational accidents. Materialsand methods. The...

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Autores: Santiago Salinas, Alberto Aguilar, Alberto López, Blanca E. Hernández, Sandra Reyes, Pablo López
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2001
País:México
Institución:Instituto Mexicano del Seguro Social
Repositorio:Redalyc-IMSS
OAI Identifier:oai:redalyc.org:10643207
Acceso en línea:https://www.redalyc.org/articulo.oa?id=10643207
Access Level:acceso abierto
Palabra clave:Salud
Mexico
quality of care
permanent disability
occupational accidents
Key words: femoral fracture
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oai_identifier_str oai:redalyc.org:10643207
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spelling Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidentsSantiago SalinasAlberto AguilarAlberto LópezBlanca E. HernándezSandra ReyesPablo LópezSaludMexicoquality of carepermanent disabilityoccupational accidentsKey words: femoral fractureObjective. To construct and validate an indicator for evaluatingthe quality of care for femoral fractures, and to assessthe contribution of the quality of health care as adeterminant of partial permanent inability secondary tofemoral fractures due to occupational accidents. Materialsand methods. The study was conducted from Januaryto December 1995 at Mexican Institute of Social Security.The instrument was designed with experts’ contributionalong different stages and validated using implicit criteriaand factorial analysis. A case-control study was then conductedto evaluate the contribution of the quality of careto inability secondary to femoral fractures. Cases were 108active workers with permanent inability secondary to femoralfracture; controls were 94 active workers with fractureof femur but no permanent inability. Logistic regressionmodeling was used to establish the association betweenquality of care and partial permanent inability, adjustingby relevant variables. Results. The ultimate indicator ofquality of care consisted of the following: Timely care, presurgicalmanagement, surgical management, and fracturecomplications. A final score over 229 points meant that theworker had received good quality of care. Workers getting229 or less points had received poor quality of care. Forty-eight (44%) cases and 66 (70%) controls received good qualityof medical care. The likelihood of partial permanent inabilitywas almost three times higher among workers givenpoor quality of care (OR 2.95; 95% CI 1.5 - 5.5). Accordingto the multivariate model, predictors of partial permanentinability were: Having exposed or epiphysiary fractures,being re-submitted to surgery, having less than 90 days ofrehabilitation care, and receiving deficient medical care. Conclusions.The constructed instrument was validated. Thelevel of the quality of care received by workers is a determiningfactor for the generation of partial permanent inability.In workers having femoral fractures, it is important toconsider timely medical care and early rehabilitation, to reducethe high incidence and prevalence of this medical problemin Mexico. The English version of this paper is availabletoo at: http://www.insp.mx/salud/index.htmlInstituto Nacional de Salud Pública2001info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdf0036-3634https://www.redalyc.org/articulo.oa?id=10643207Salud Pública de México (México) Num.2 Vol.43reponame:Redalyc-IMSSinstname:Instituto Mexicano del Seguro Socialinstacron:IMSSenhttp://www.redalyc.org/revista.oa?id=106Salud Pública de Méxicoinfo:eu-repo/semantics/openAccessoai:redalyc.org:106432072024-08-23T15:24:36Z
dc.title.none.fl_str_mv Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
title Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
spellingShingle Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
Santiago Salinas
Salud
Mexico
quality of care
permanent disability
occupational accidents
Key words: femoral fracture
title_short Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
title_full Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
title_fullStr Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
title_full_unstemmed Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
title_sort Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents
dc.creator.none.fl_str_mv Santiago Salinas
Alberto Aguilar
Alberto López
Blanca E. Hernández
Sandra Reyes
Pablo López
author Santiago Salinas
author_facet Santiago Salinas
Alberto Aguilar
Alberto López
Blanca E. Hernández
Sandra Reyes
Pablo López
author_role author
author2 Alberto Aguilar
Alberto López
Blanca E. Hernández
Sandra Reyes
Pablo López
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Salud
Mexico
quality of care
permanent disability
occupational accidents
Key words: femoral fracture
topic Salud
Mexico
quality of care
permanent disability
occupational accidents
Key words: femoral fracture
description Objective. To construct and validate an indicator for evaluatingthe quality of care for femoral fractures, and to assessthe contribution of the quality of health care as adeterminant of partial permanent inability secondary tofemoral fractures due to occupational accidents. Materialsand methods. The study was conducted from Januaryto December 1995 at Mexican Institute of Social Security.The instrument was designed with experts’ contributionalong different stages and validated using implicit criteriaand factorial analysis. A case-control study was then conductedto evaluate the contribution of the quality of careto inability secondary to femoral fractures. Cases were 108active workers with permanent inability secondary to femoralfracture; controls were 94 active workers with fractureof femur but no permanent inability. Logistic regressionmodeling was used to establish the association betweenquality of care and partial permanent inability, adjustingby relevant variables. Results. The ultimate indicator ofquality of care consisted of the following: Timely care, presurgicalmanagement, surgical management, and fracturecomplications. A final score over 229 points meant that theworker had received good quality of care. Workers getting229 or less points had received poor quality of care. Forty-eight (44%) cases and 66 (70%) controls received good qualityof medical care. The likelihood of partial permanent inabilitywas almost three times higher among workers givenpoor quality of care (OR 2.95; 95% CI 1.5 - 5.5). Accordingto the multivariate model, predictors of partial permanentinability were: Having exposed or epiphysiary fractures,being re-submitted to surgery, having less than 90 days ofrehabilitation care, and receiving deficient medical care. Conclusions.The constructed instrument was validated. Thelevel of the quality of care received by workers is a determiningfactor for the generation of partial permanent inability.In workers having femoral fractures, it is important toconsider timely medical care and early rehabilitation, to reducethe high incidence and prevalence of this medical problemin Mexico. The English version of this paper is availabletoo at: http://www.insp.mx/salud/index.html
publishDate 2001
dc.date.none.fl_str_mv 2001
dc.type.none.fl_str_mv info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv 0036-3634
https://www.redalyc.org/articulo.oa?id=10643207
identifier_str_mv 0036-3634
url https://www.redalyc.org/articulo.oa?id=10643207
dc.language.none.fl_str_mv en
language_invalid_str_mv en
dc.relation.none.fl_str_mv http://www.redalyc.org/revista.oa?id=106
dc.rights.none.fl_str_mv Salud Pública de México
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Salud Pública de México
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Nacional de Salud Pública
publisher.none.fl_str_mv Instituto Nacional de Salud Pública
dc.source.none.fl_str_mv Salud Pública de México (México) Num.2 Vol.43
reponame:Redalyc-IMSS
instname:Instituto Mexicano del Seguro Social
instacron:IMSS
instname_str Instituto Mexicano del Seguro Social
instacron_str IMSS
institution IMSS
reponame_str Redalyc-IMSS
collection Redalyc-IMSS
repository.name.fl_str_mv
repository.mail.fl_str_mv
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