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2015, Number 4

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Revista Cubana de Salud Pública 2015; 41 (4)

Cost of preventive medical exams performed in workers

Lage DC, Almirall HP, Suárez JA, Pérez AY, Lima MR, Fernández DI
Full text How to cite this article

Language: Spanish
References: 12
Page: 631-637
PDF size: 88.84 Kb.


Key words:

cost, preventive medical examination, occupational health.

ABSTRACT

Introduction: the systematic medical examinations in its variants are an important element of the health care of workers and their conception and performance should comply with the required rationality and efficiency.
Objective: to estimate the costs per worker and per research study of systematic medical examinations performed in workers.
Methods: the research work was conducted at the National Institute of Occupational Health. Two systems were used to estimate costs, that is, the ABC method and the disease/patient estimation method used in the Cuban public health system. The information was collected from documentary review including the medical histories of patients tested in the center. One database was created with 3 474 workers who went to the Institute services in the 2008-2013 period.
Results: the costs of medical examinations, both the ones conducted in the different specialties and those performed per worker, showed significant differences; their comparison is difficult since the medical examinations are poorly standardized in the Institute.
Conclusions: the costs were accurately estimated, but it is required to continue studying them in the preventive activities of the occupational health. The method used to estimate costs may influence their economic assessment.


REFERENCES

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  2. Valdés JC. Antecedentes históricos de la economía de la salud y su evolución en Cuba. Medisan. 2010 [citado 22 OCt 2010];14(4). Disponible en: http://scielo.sld.cu/scielo.php?=s1029...script=sci_arttext

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  9. Sánchez GG. (2009). Procedimiento para la determinación del costo por grupos de enfermedades relacionadas con el diagnóstico en la Clínica de Neurología Infantil del CIREN. La Habana: Universidad de La Habana; 2009.

  10. Lage DC. Análisis Costo-Resultados De Los Exámenes Médicos Periódicos Realizados por el INSAT en el 2008 y el 2009 [tesis]. La Habana: INSAT; 2012.

  11. Pérez AY. Los exámenes médicos preventivos a los trabajadores. Determinación del costo en el Policlínico docente “Fernando Álvarez Pérez” y en el Instituto Nacional de Salud de los Trabajadores [tesis]. La Habana: INSAT; 2013.

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C?MO CITAR (Vancouver)

Revista Cubana de Salud Pública. 2015;41