Costo oportunidad de adolescentes en unidades de medicina familiar / Opportunity cost for adolescents at family medicine clinics
Rev. chil. pediatr
; 81(5): 418-424, oct. 2010. tab
Article
in Spanish
| LILACS
| ID: lil-577526
Responsible library:
CL1.1
ABSTRACT
Objective:
To determine the opportunity cost for adolescents requiring care at Family Medicine Clinics. Material andMethods:
Study of cost performed on 624 patients, 10-19 years of age, Family Medicine Clinics, Pharmacy and Laboratory. A conglomerate sample technique was used (Medical Unit), and proportional sampling internally. Several sociodemographic variables were evaluated, including transfer, waiting time and care. Statistical evaluation included averages, percentages, and confidence intervals of 95 percent.Results:
The cost-opportunity for Family Medicine and Pharmacy in the situations evaluated was $10.22 for the teenager, $71.43 for the first family member, and $14.28 for the second person accompanying the child. When they attend all three services, the cost is $12.26, $82.71 and $16.54 respectively. A weighted average cost of opportunity IFOR all three services is $93.18.Conclusions:
The largest cost of opportunity for adolescents occurs when waiting for care in Family Medicine. It is suggested that strategies be implemented to decrese waiting times in the various services.RESUMEN
Objetivo. Determinar el costo oportunidad de los adolescentes que demandan atención en las Unidades de Medicina Familiar. Material y Métodos. Estudio de costo oportunidad realizado en 624 usuarios de 10 a 19 años de edad atendidos en tres Unidades de Medicina Familiar, en los servicios de Medicina Familiar, Farmacia y Laboratorio. Se empleó la técnica muestral por conglomerados (Unidad Médica) y al interior por cuota. Se estudiaron variables sociodemográficas y número de acompañantes; se estimó el costo oportunidad para el traslado, espera y atención. El análisis estadístico incluyó promedios, porcentajes e intervalos de confianza del 95 por ciento. Resultados:
El costo oportunidad promedio para Medicina Familiar y Farmacia es de $10.22 para el adolescente, de S 71.43 para el acompañante 1 y de $14.28 para el acompañante 2; cuando acuden a los tres servicios es de $12.26, $82.71 y $16.54 respectivamente. El costo oportunidad promedio ponderado cuando acuden a los tres servicios es de $93.18.Conclusión:
El mayor costo oportunidad para los adolescentes corresponde a la espera en el servicio de Medicina Familiar. Por lo que se sugiere implementar estrategias que disminuyan el tiempo de espera en los diferentes servicios.
Full text:
Available
Collection:
International databases
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 11: Inequalities and inequities in health
/
Goal 4: Health financing
Database:
LILACS
Main subject:
Health Care Costs
/
Adolescent Health Services
/
Cost-Benefit Analysis
/
Family Practice
Type of study:
Health economic evaluation
Aspects:
Equity and inequality
Limits:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Rev. chil. pediatr
Journal subject:
Pediatrics
Year:
2010
Document type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Mexicano del Seguro Social/MX