Zuluaga-Ramírez MM, Macedo-Ivanauskas T, Fagundes-Ferreira F, Rodrigues-Neto C

Language: Spanish
References: 13
Page: 426-432
PDF size: 233.79 Kb.

ABSTRACT

Objective. Econometric analysis that seeks to measure the cost impact of a private insurer´s own network upon outpatient care for its policyholders, own network refers to vertical integrated providers. The purpose is to assess whether greater use of its own network reduces the costs that the insurer incurred, according to what specialized literature suggests. Materials and methods. Study based on a multiple linear regression on data from a private insurer. The dependent variable is per capita cost of outpatient services. The explanatory variables are adherence to the own network and a number of variables to specify better the model. Results. With all other factors constant, in relation to covering the costs of outpatient care, it is noted that policyholders with high adhesion to their own network are less expensive than whose with low adhesion. Conclusions. The decisionmaking process about what services and what grade should be applied to each person by special conditions of the offer as the aggregation of human resources in own offices under formal rules has an impact on health care costs. Particular supply conditions cause variations in how resources are used.

REFERENCES

1. Palella FJ, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. N Engl J Med 1998;338(13):853-860.

2. Cahuana-Hurtado L, Chilian-Herrera O, Bautista-Arredondo S, Contreras- Loya D, Franco-Marina F, González-Vilchis JJ, Lozano R. Corrección de la mala clasificación de las muertes por sida en México. Análisis retrospectivo de 1983 a 2012. Salud Publica Mex 2015;57 supl 2:S142-S152.

3. Hernández-Ávila JE, Palacio-Mejía LS, Hernández-Romieu A, Bautista- Arredondo S, Sepúlveda Amor J, Hernández-Ávila M. Effect of universal access to antiretroviral therapy on HIV/AIDS mortality in Mexico 1990- 2011. JAIDS 2015 [consultado en diciembre de 2013]. Disponible en: http://www.ncbi.nlm.nih.gob/pubmed/25886921.

4. Hernández-Ávila JE, Palacio-Mejía LS, Agudelo-Botero M, López-Gatell H, Bautista-Arredondo S, Alpuche-Aranda CM, et al. Evolución de la mortalidad por VIH/sida en México: 1988-2010. En: 15º Congreso de Investigación en Salud Pública; 08 de marzo de 2013; Cuernavaca, Morelos.

5. Gardner EM, McLees MP, Steiner JF, Del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis 2011;52(6):793-800.

6. Mugavero MJ, Amico KR, Horn T, Thompson MA. The state of engagement in HIV care in the United States: from cascade to continuum to control. Clin Infect Dis 2013;57(8):1164-1171.

7. Mayer KH. Introduction: Linkage, engagement, and retention in HIV care: essential for optimal individual- and community-level outcomes in the era of highly active antiretroviral therapy. Clin Infect Dis 2011;52(Suppl 2):S205-S207.

8. Bloom N, Sadun R, Van Reenen J. Does Management Matter in Healthcare? [monografía en internet]. 2014:1-30 [consultado en diciembre de 2013]. Disponible en: http://www.people.hbs.edu/rsadun/Management_ Healthcare_June2014.pdf

9. Lega F, Prenestini A, Spurgeon P. Is management essential to improving the performance and sustainability of health care systems and organizations? A systematic review and a roadmap for future studies. Value Health 2013;16(1):S46-S51.

10. Secretaría de Salud, Subsecretaría de Prevención y Promoción de la Salud, Centro Nacional para la Prevención y el Control del VIH y el Sida. Sistema de Administración y Logística de ARV (SALVAR) [base de datos en Internet]. México: Censida, 2006 [consultado en diciembre de 2013]. Disponible en: http://www.salvar.salud.gob.mx/.

11. Silverman-Retana O, Bautista-Arredondo S, Serván-Mori E, Lozano R. Mortalidad temprana por sida en México durante el periodo 2008-2012. Salud Publica Mex 2015;57 supl 2:S119-S126.

12. Censida. Guía de manejo antirretroviral de la personas con VIH. México 2014 [documento en internet]. México: Censida, 2014 [consultado en marzo de 2015]. Disponible en: http://www.censida.salud.gob.mx/interior/ inicio/guia_arv2014.html

13. Censida. Boletín de Diagnóstico y Tratamiento Antirretroviral Censida Del 1° de julio al 30 de septiembre de 2014 [documento en internet]. México: Censida , 2014 [consultado en marzo de 2015]. Disponible en: http://www.censida.salud.gob.mx/descargas/atencion/boletin_ai/Boletin_ Diagnostico_Tratamiento_Censida_Num5b_3er_Trim_2014.pdf