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Revista CONAMED

ISSN 2007-932X (Electronic)
Órgano Oficial de Difusión de la Comisión Nacional de Arbitraje Médico
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2018, Number 1

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Rev CONAMED 2018; 23 (1)

The medical complaint regarding the services of gynecology and obstetrics in Mexico, 2001-2015

Fernández-Cantón SB, Rizo-Amézquita JN
Full text How to cite this article

Language: Spanish
References: 6
Page: 33-42
PDF size: 247.68 Kb.


Key words:

Gynecology and Obstetrics, medical com- plaint, delivery, puerperium, conciliation, arbitration.

ABSTRACT

Introduction: During the period 2001-2015 the National Medical Arbitration Commission (CONAMED) attended a total of 24,393 medical complaints which related to the gynecology and obstetrics service were 2,758 com- plaints, representing 11.3% of the global, occupying one of the first three places. Methods: Observational, cross- sectional, descriptive study of the medical complaint re- lated to gynecology and obstetrics services based on information obtained from the Automated System of Medical Complaints of CONAMED, with a period between 2001-2015. Results: The main diagnosis that originated the medical complaint was pregnancy, delivery and puer- perium with 1,084 complaints (39.3%), the health insti- tution with the highest number of complaints was the Mexican Social Security Institute with 1,640 complaints (59.5%), the main reason for the medical complaint was the surgical treatment with 1,204 complaints (28.4%), and of this complaint, the reason was the sequela after the surgical treatment with 296 complaints (24.6%), according to the modality of conclusion of the complaint was the conciliation 1,397 complaints (50.7%) and 253 complaints (9.2%) concluded in arbitration. Finally during the arbitration process of the 253 complaints concluded in; no conciliation / due to lack of procedural interest 113 complaints (44.7%), by arbitration award 87 complaints (34.4%), in friendly composition 27 complaints (10.7%) and in conciliation 26 complaints (10.3%). Conclusions: It will be necessary to study in greater detail which pro- blems are due to lack of process supervision, little ad- herence to procedural manuals and clinical guidelines, lack of material and infrastructure and insufficient personnel or excess fatigue.


REFERENCES

  1. Mortalidad y Morbilidad Materna. Serie de información sobre salud y derechos sexuales y reproductivos. Oficina del Alto Comi- sionado para los Derechos Humanos (ACNUDH) [internet] Organi- zación de las Naciones Unidas [consultado el 11 de Noviembre 2017]. Disponible en: http://www.ohchr.org/Documents/Issues/ Women/WRGS/SexualHealth/INFO_MMM_WEB_SP.pdf

  2. Informe Estadístico Sobre Laudos Concluidos 2012-2016. Direc- ción General de Investigación y Difusión [internet]. Comisión Nacional de Arbitraje Médico (CONAMED) [consultado el 11 de noviembre 2017]. Disponible en: https://www.gob.mx/cms/up loads/attachment/file/273282/ARIEL_2012_2016.pdf

  3. Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición de Medio Camino 2016 (ENSANUT 2016) [internet]. Cuernavaca: Secretaria de Salud; 2016 [acceso 15 de Marzo 2017]. Disponible en: http://www.promocion.salud.gob.mx/dgps/des cargas1/doctos_2016/ensanut_mc_2016-310oct.pdf

  4. Dirección General de Información en Salud. Bases de datos so- bre egresos hospitalarios [internet]. Secretaria de Salud [consultado el 10 de Octubre 2016]. Disponible en: http://www.dgis.salud. gob.mx/contenidos/basesdedatos/std_egresoshospitalarios_gobmx.html

  5. Hamui L, Fuentes R, Aguirre R, Ramírez de la Roche O. Expectativas y experiencias de los usuarios del Sistema de Salud en México: Un estudio de satisfacción con la atención médica. México: Universidad Nacional Autónoma de México; 2013 [consultado el 10 de Octubre 2016]. Disponible en: http://www.facmed.unam. mx/bmnd/SatisfaccionAtencionMedica.pdf

  6. Norma Oficial Mexicana NOM-004-SSA3-2012, Del expedien- te clínico. Diario Oficial de la Federación [internet]. Secretaria de Salud [consultado el 10 de Octubre 2016]. Disponible en: http:// dof.gob.mx/nota_detalle_popup.php?codigo=5272787




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C?MO CITAR (Vancouver)

Rev CONAMED. 2018;23