Estudio de variabilidad geográfica de las hospitalizaciones potencialmente evitables en México durante tres quinquenios
| Autor: | Javier Valdés-Hernández, Aldelmo Eloy Reyes-Pablo, Eduardo Navarrete-Hernández, Sonia Canún-Serrano |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Population Respiratory Tract Diseases Primary care Municipal level Age and gender 03 medical and health sciences Young Adult Hospital discharge Diabetes Mellitus Prevalence Medicine Humans education Child Mexico Aged Gynecology education.field_of_study 030505 public health business.industry Infant General Medicine Atencion primaria Middle Aged Patient Discharge Gastroenteritis Hospitalization Child Preschool Christian ministry Female 0305 other medical science business |
| Zdroj: | Gaceta medica de Mexico. 154(4) |
| ISSN: | 0016-3813 |
| Popis: | espanolIntroduccion: Las enfermedades que motivan hospitalizacion potencialmente evitable tienen la caracteristica de ser sensibles a la prevencion, diagnostico y control ambulatorio en atencion primaria a la salud. Objetivos: Identificar la tendencia nacional de la hospitalizacion potencialmente evitable entre 2001 y 2015 y analizar el patron geografico a nivel municipal y priorizar municipios. Metodo: Se usaron los egresos hospitalarios de la Secretaria de Salud. Se calcularon tasas de prevalencia nacionales y razones municipales, estandarizadas por edad y sexo. Se emplearon estadisticos de variabilidad para analizar y elaborar mapas. Resultados: De los egresos hospitalarios, 10.39, 9.81 y 9.26 % se clasificaron como hospitalizaciones potencialmente evitables para cada periodo quinquenal. La tasa nacional se incremento en el lapso estudiado: de 36.27 a 47.24 por 10 000 habitantes. La diabetes mellitus, las gastroenteritis y otras enfermedades de las vias respiratorias inferiores fueron las causas de mayor frecuencia. Los patrones geograficos en los tres periodos fueron semejantes. Se identificaron 487 municipios prioritarios, 174 con alto uso y 313 con sobreuso hospitalario, que concentraron 35.83 % de las hospitalizaciones evitables, 8.58 y 27.25 %, respectivamente. Conclusiones: En Mexico existe amplia variabilidad geografica de la hospitalizacion potencialmente evitable con un patron casi inmutable. EnglishIntroduction: Diseases that motivate potentially preventable hospitalization (PH) have the characteristic of being sensitive to prevention, diagnosis and control on an outpatient basis in primary care. Objectives: To identify the national trend of potentially avoidable hospitalization between 2001 and 2015; to analyze its geographical pattern at the municipal level and prioritize municipalities. Method: Hospital discharge records from the Ministry of Health were used. National prevalence rates and municipal PH ratios, standardized by age and gender, were calculated. Variability statistics were used to analyze and generate maps. Results: Among all hospital discharges, 10.39%, 9.81% and 9.26% were classified as PH for each period. The national PH rate did increase in the studied period: from 36.27 to 47.24 per 10,000 population. Diabetes mellitus, gastroenteritis and other diseases of the lower respiratory tract were the most common causes. Geographic patterns of PH were similar for the three periods. A total of 487 priority municipalities were identified, 174 with hospital high use and 313 with overuse, 35.83 % were avoidable hospitalizations, 8.58% and 27.25%, respectively. Conclusions: In Mexico there is wide geographical variability in PH, with an almost unchanging geographical pattern. |
| Databáze: | OpenAIRE |
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