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>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2008, Issue 4


Sánchez-Hernández MÁ, Ibarra-Ramírez CT, Vilchis-Aguado MR, Montesano-Delfín JR, Guízar-Mendoza JM, Loya-García BE
Rehabilitation Service in a Primary Care Unit
Rev Med Inst Mex Seguro Soc 2008; 46 (4)

Language: Español
References: 6
Page: 391-396
PDF: 104.12 Kb.


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ABSTRACT

Objective: to evaluate the impact of rehabilitation service in two primary care units (PCU).
Methods: a comparative cross-sectional study was performed in two PCU (No. 53 and No. 51). The former has a rehabilitation service and the second one refers to a rehabilitation consultant at a specialized hospital. The variables evaluated were: amount of cases, days of disability, average days/cases, and average cost/case according to specific disease considering the five main medical disease required disability for general or risk work disease. We used descriptive statistics for results and Student’s t test to evaluate significance.
Results: back pain was the first cause of disablement; the average in opportunity care was seven days. The average number of days disability benefit for hand trauma, ankle sprain, and for back pain was lower in PCU No. 53, as well as for cervical sprain, but slightly higher for knee sprain. Evaluating the global incapacity days average and cost for each case, we found a significant difference to PCU No. 53.
Conclusions: recovery time to return work was faster and lower the average cost in patients from to the PCU No. 53 which has its own rehabilitation service.


Key words: family practice, rehabilitation, traumatology, orthopedics, disability evaluation.


REFERENCIAS

  1. Guzmán-González JM. Servicios de rehabilitación en unidades de medicina familiar. Rev Med IMSS 2004;42(5):369.

  2. Instituto Mexicano del Seguro Social. Proceso de mejora en medicina familiar. México: IMSS, Dirección de Prestaciones Médicas; 2002

  3. Instituto Mexicano del Seguro Social. Servicios de rehabilitación en unidades de medicina familiar. Programa de Difusión. México: IMSS; 2004. p. 2-12, 19-22.

  4. Instituto Mexicano del Seguro Social. Memoria estadística de salud en el trabajo. México: IMSS, División Técnica de Información Estadística en Salud; 2005.

  5. Guzmán-González JM, Hernández-Leyva B, López- Roldán V, De la Torre-Rosas J, Michaus-Romero F, et al. Seguridad social. Servicios de rehabilitación en unidades de medicina familiar. La medicina familiar en los albores del siglo XXI. México: IMSS; 2006. p. 255-267.

  6. Reed P. Disability duration guidelines. Reed Group Ltd. Disponible en http://www.mdainternet.com/MDA4/Spanish/default.asp






>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2008, Issue 4
 

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