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
Language: Spanish
References: 12
Page: 631-637
PDF size: 88.84 Kb.
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
Cruz Álvarez NM, Verdical Vidal R, Vázquez Vigoa A, Gamon Morales TN. Aplicación del sistema de costos en el Policlínico Héroes del Moncada. Rev Cubana Salud Pública. 1996 [citado 22 Oct 2010];22 (1). Disponible en: http://bvs.sld.cu/revistas/spu/vol22_1_96/spu08196.htm
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
Gaete R. Producción, eficiencia y costos de servicios de salud en el Paraguay. Asunción: Centro de Información y Recursos para el Desarrollo; 1999 [citado octubre 22, 2010]. Disponible en: http://www.cird.org.py/salud/docs/Produccion-eficiencia-ycostos- de-servicios.pdf
Nystuen P, Hagen BK. Solución de intervención centrada en la lista de los empleados enfermos con problemas psicológicos o dolor músculoesquelético: un ensayo controlado aleatorio. BMC Public Health. 2006;6:69.
Pankova VB, Golvsheva GV, Khvastunov RM, Makarov AA. Evaluation of the efficiency of preventive medical examination of rail way transport workers. Saint Gig. 2006 [cited 2010 Oct 22];(2):29-32. Available from: http://www.ncbi.nlm.nh.gov./pubmed/16758816
Moshe S, Slodownik D, Merkel D. Value of preemployment medical assessment for white-collar workers. Área Salud Ambiental. 2003 [cited 2010 Oct 22];58(11):723-7. Available from: http://www.ncbi.nlm.gov./pumed/15702900.
Vermeulen SJ, Tamminca SJ, Schellart AS, Ybema JF, Anema JR. Return-to- work of sick-listed workers withouht an employment contract—what works? BMC Public Health. 2009 [cited 2010 Oct 22];9:232. Available from: http://www.ncbi.nlm.nh.gov./pubmed/19602219
Almirall P. Envejecimiento y condiciones de trabajo. ¿Un problema para el tercer mundo? De próxima aparición. Revista Cubana de Salud y Trabajo 2015.
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.
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.
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.
De Rocchi CA. (1994): Sistema de costeo de actividades (ABC) versus mapa de localización de costos: un estudio comparativo. Publicación No. 14. Rev Costos Gestión. 1984 Mar:95-100.