2018, Number 3
Rev Hematol Mex 2018; 19 (3)
Public and private hematology: Differences and similarities among patients of first time consultation
Solano-Herrejón KY, Gómez-De León A, González-López EE, Ríos-González LI, López-Garza MI, Gómez-Almaguer D
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ABSTRACTBackground: There is an important division in the distribution of income and health services access in countries with limited resources.
Objective: To determine and to compare some characteristics of patients with hematological diseases of the public sector assisting to the first time consultation, contrasting them with those of the patients assisting to the private sector.
Material and Method: A retrospective observational study was performed, where we describe the clinical and epidemiological characteristics of patients in the public sector with available services corresponding to the National Health Ministry in a reference hospital in northeastern Mexico and compare them to patients from a private consult on the same geographic area during 2014-2015.
Results: Seven hundred and ninety-three patients were included, 49.7% from the public sector. Diagnostic consults were more common in the public sector (p ‹ 0.001), in contrast to therapeutic or second opinion consults (p ‹ 0.05). The most common reason for consult was anemia in both sectors. Patients in the public sector were older, and had a higher proportion neoplastic disease, with lower hemoglobin levels. In the private sector, there were more consults for a second opinion, and benign disorders.
Conclusions: The patient profile of the private sector system includes more patients with anemia than the public sector. The most common diseases in the public sector are of a neoplastic nature, especially lymphomas.