Rev. enferm. Inst. Mex. Seguro Soc; 11 (2), 2003
Publication year: 2003
Objetivo:
Generar información sobre costos directos médicos, asumidos por el Instituto Mexicano del Seguro Social (IMSS) y costos directos no médicos asumidos por los familiares de pacientes adscritos al programa de atención domiciliaria en el paciente crónico (ADEC), respecto a sitio de atención (domicilio u hospital).
Metodología:
Se realizó un análisis de costos en pacientes adscritos al ADEC. Las variables fueron:
a) costos directos médicos del IMSS en atención domiciliaria generados por costos por material, transporte y salario del personal, b) costos directos médicos del IMSS en atención hospitalaria por complicaciones que incluyó costo por día-cama, estudios de laboratorio y gabinete, consulta de especialidad y cirugías y, c) costos directos no médicos del familiar derivados por los gastos por transporte y tiempo.
Resultados:
Costos en la atención domiciliaria: IMSS S33.883.86 (21.50%), familiares: S123.754.81 (78.50%). Costos por las complicaciones:
IMSS S225.299.36 (97.12%), familiares S6.681.20 (2.88%). El costo total (tanto del IMSS como de familiares) en pacientes atendidos en su domicilio fue de S15,598.86 en contraste con los $231,980.56 gastados en los pacientes con complicaciones, atendidos en el hospital.
Conclusiones:
Los costos directos de la atención domiciliaria del IMSS fueron menores con respecto al costo de los familiares; sin embargo, en pacientes hospitalizados complicados, el costo generado por el IMSS es significativamente mayor.
Objective:
To generate information on direct medical costs, of the Instituto Mexicano del Seguro Social (IMSS) and direct no medical costs of family members, home care and hospitalization of patients that had medical complications belonging to home care chronic patient program according to the place of delivery of medical service (home or hospital).
Methodology:
An analysis of costs was made of patients in the home care program. The variables were:
a) direct medical costs of home care of the IMSS (supplies and transportation and employees' salary); b) direct medical costs of the IMSS in hospital care for complications (costs of hospitalization, blod work and screening tests costs, specialist consultation and surgery) and, c) direct non medical cost per family member (transportation and time).
Results:
Costs of home care in the IMSS were S33.883.86 mexican pesos (21.50%), of family S123.754.81 (78.50%). Medical complications cost of the IMSS S225.299.36 (97.12%), of family members S6.681.20 (2.88%). Total costs (IMSS and family) in home care were S157.598.86 in contrast with the costs for complications on patients in hospitalization S231,980.56.
Conclusions:
Direct costs of home care of the IMSS were less in comparison with the family member costs. However, when patients had complications and were hospitalized, the institution's costs were significantly higher.