Evaluación de la disponibilidad, utilización y costos de la tomografía computarizada en el estado de Morelos, México / Evaluation of the availability, utilization, and costs of computerized tomography in the state of Morelos, Mexico
Salud pública Méx
;
44(5): 392-398, sept.-oct. 2002.
Artigo
em Espanhol
| LILACS
| ID: lil-331701
ABSTRACT
OBJECTIVE: To assess the availability, utilization, and costs of computerized tomography (CT scan) in private and public hospitals in Morelos State, Mexico. MATERIAL AND METHODS: From January to April 1999, a cross-sectional study was carried out in two private and two public hospitals in Morelos, Mexico. Individual face-to-face interviews were conducted with directors, managers, radiologists, and heads of maintenance at each hospital. Statistical analysis was performed to describe the variables measuring availability, utilization, and costs of CT scans. A comprehensive assessment of CT scans was also performed. Emphasis was made on the variability of observed patterns among the participating hospitals. RESULTS: CT scan technology has been used by hospitals in Morelos State for over ten years; programs for preventive or corrective maintenance of these equipments are available, although at high costs. No strategies for technology assessment are available for acquisition of CT scanners nor during their period of utilization. This study did not attempt to evaluate the appropriateness of the clinical use of CT nor its untoward effects. CONCLUSIONS: Findings from the present study showed that: 1) a lack of mechanisms for technology assessment and management of CT scans prevented hospitals from managing CT scanning technologies efficiently; 2) technology assessment regulation is not available, even though it is necessary for the adequate selection of the best technologies, on the basis of their efficiency, effectiveness, safety, and availability.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Tomografia Computadorizada por Raios X
Tipo de estudo:
Avaliação Econômica em Saúde
/
Avaliação de Tecnologias em Saúde
/
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
México
Idioma:
Espanhol
Revista:
Salud pública Méx
Assunto da revista:
Saúde Pública
Ano de publicação:
2002
Tipo de documento:
Artigo
País de afiliação:
México
Instituição/País de afiliação:
Instituto Mexicando del Seguro Social/MX
/
Secretaría de Salud/MX
/
Sistema Estatal para el Desarrollo Integral de la Familia/MX
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