Socio-economic and extensional impact of domiciliary admissions in Primary Health Care

Authors

  • José A. Véliz Gutiérrez Especialista de Segundo Grado en Medicina General Integral. Máster en Salud Pública. Profesor Auxiliar. Universidad de Ciencias Médicas de Pinar del Río.
  • Noarys Pérez Díaz Ingeniera Química. Doctor en Ciencias Ecológicas. Máster en Ingeniería Ambiental. Profesora Titular. Universidad de Ciencias Médicas de Pinar del Río.
  • José G. Sanabria Negrín Especialista de Segundo Grado en Histología. Doctor en Ciencias Biológicas. Profesor Auxiliar. Universidad de Ciencias Médicas de Pinar del Río.
  • Nery Silvia Concepción Pérez Licenciada en Educación. Especialidad Historia. Asistente. Universidad de Ciencias Médicas de Pinar del Río.
  • Yaisel Lorenzo Rodríguez Licenciado en Enfermería. Profesor Auxiliar. Universidad de Ciencias Médicas de Pinar del Río.

Keywords:

PRIMARY HEALTH CARE, PSYCHOSOCIAL IMPACT, HEALTH CARE COSTS.

Abstract

A retrospective and descriptive study was conducted at "Hermanos Cruz" Outpatient Clinic, Pinar del Rio during January 2008-2009 aimed at determining the socio-economic and extensional impact of domiciliary admissions. The target group was comprised of the total of this kind of admissions for number 1 and 2 basic working groups. The 10 main pathologies causing domiciliary admissions were determined, and a survey was applied to collect individual and general data of the patients under this medical care service. Individual Clinical Histories in the Doctor's Offices having domiciliary admissions during the period under study were revised. The role of medical students was explored, as well as their level of knowledge regarding domiciliary admissions, extensional doings through health promotion and medical care activities. One of the main causes was pregnancy-associated illnesses; verifying a greater familial and patient agreement with this type of admission. Extensional activities of medical students during the training period at the doctor's offices were considered satisfactory. The cost-benefit reached a figure of 27780.00 Cuban pesos daily and 194460.00 Cuban pesos weekly compared with hospital admissions; as well as the level of satisfaction in the community regarding this modality of medical services in Primary Health Care. Higher local solutions to health problems are achieved, together with better competence and performance of the Family Doctors and Nurses.

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References

1. Barroso Utra IM, García Fariñas A, Rodríguez Salvá A, Vos Pol de Gorbea MB, Van Der SP. El ingreso en el hogar y su costo directo en Cuba. Rev Panam Salud Publica [serial on the Internet]. 2007Mar [cited 2011 Apr 14];21(2-3): 85-95. Available from: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892007000200004&lng=en

2. García Fariñas A, Rodríguez Salvá A, Marine Alonso MA, Pol de Vos, Van der Stuyfs P. Gastos asumidos por la familia durante el ingreso en el hogar. Rev cub salud pública [revista en internet] 2007[citado octubre 2010]; 34(2): Disponible en: http://www.scielosp.org/pdf/rcsp/v34n2/v34n2a07.pdf

3. Morgado Bode YL, Hernández Díaz M, Ramos Carménate AI, Pérez Castellanos Y, Consuegra Valle A. Comportamiento de las Orientaciones Metodológicas del Ingreso en el Hogar. Gaceta Médica Espirituana [revista en internet] 2006[citado febrero 2011]; 8(2): Disponible en: http://bvs.sld.cu/revistas/gme/pub/vol.8.(2)_04/p4.html

4. Cuba. Ministerio de Salud Pública. Organización y funcionamiento del equipo básico de salud (EBS). En: Carpeta metodológica de Atención Primaria de Salud y Medicina Familiar. VII Reunión Metodológica del MINSAP. Ciudad de La Habana, 2007: p 5-7

5. Rodríguez Salvá A, Díaz Socarrás AJ, Ibarra Sala AM,de Vos P, Mariné Alonso MA, Van der Stuyft P, Bonet Gorbea MH. El trabajo en equipo en consultorios médicos compartidos: opción a desarrollar en la atención primaria. Revista Cubana de Higiene y Epidemiología [revista en internet]. 2006[citado enero 2011]; 44(1):1-9. Disponible en: http://redalyc.uaemex.mx/redalyc/pdf/2232/223214849005.pdf

6. Vera CR, Fernández E, Alonso J, Basanta L, Zuazaga G. Comportamiento del ingreso en el hogar. Rev Cubana Med Gen Integr [revista en internet]. 2001[citado enero 2010]; 17 (5):429-34. Disponible en: http://bvs.sld.cu/revistas/mgi/vol17_5_01/MGI04501.htm

7. Shepperd S, Iliffe S. Hospital at home versus in-patient hospital care (Cochrane Review). Chichester, UK: John Wiley & Sons, Ltd; 2004.

8. Torres Esperón JM, Urbina Laza O. La enfermería en la Salud Pública Cubana. Rev. cub. salud pública [serial on the Internet]. 2009Mar [cited2011Apr14];35(1): Available from: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0864-34662009000100007&lng=en

9. García Fariñas A, Barroso Utrá I, Rodríguez Salvá A, Pol De Vos, Van der Stuyft P, Bonet Gorbea M. Costos directos del ingreso en el hogar en Cuba. Rev. cub. salud pública [serial on the Internet]. 2008Mar [cited2011Apr11];34(1): Available from: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0864-34662008000100014&lng=en

10. Márquez N. Grado de satisfacción con el ingreso en el hogar. Rev Cubana Med Gen Integr. [Serie en Internet]. 2002[citado 9 Sep 2004]; 18(5): Disponible en: http://bvs.sld.cu/revistas/mgi/vol18_5_02/mgi0252002.htm

11. Garrida RJ, Reyes MR, Cordero V, Rodríguez E. El ingreso en el hogar: dificultades para la ejecución del proceso de atención de enfermería en un área de salud. Rev Cubana Med Gen Integr. [Serie en Internet]. 2003[citado 19 Ago 2004]; 19(1): Disponible en: http://bvs.sld.cu/revistas/mgi/vol19_1_03/mgi02103.htm

12. Bouza HP, Márquez PM, Martín J, Montano G, Romero RE, Vergel M. Costos, beneficios y satisfacción poblacional del ingreso domiciliario. Medicentro. 2004; 8(1):1-8.

13. Pujalá Melero R, Díaz Brito Y, Pereira Jiménez I, Rodríguez Ferrá R. Ingreso en el hogar: comportamiento en un grupo básico de trabajo. Archivo Médico de Camagüey [revista en internet] 2006[citado enero 2010];10(2): Disponible en: http://www.amc.sld.cu/amc/2006/v10n2-2006/2107.htm

14. Wilson SF, Collins N. Hospital in the home: what next? Med J Augst [on line] 2006[cited january 2011]; 184 (3): 141-142. Available in: http://www.mja.com.au/public/issues/183_05_050905/wil10550_fm.html

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Published

2011-12-23

How to Cite

1.
Véliz Gutiérrez JA, Pérez Díaz N, Sanabria Negrín JG, Concepción Pérez NS, Lorenzo Rodríguez Y. Socio-economic and extensional impact of domiciliary admissions in Primary Health Care. Rev Ciencias Médicas [Internet]. 2011 Dec. 23 [cited 2025 Aug. 29];15(4):102-15. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/841

Issue

Vol. 15 No. 4 (2011)

Section

ORIGINAL ARTICLES

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