Economic cost of care at the Dysplasia Clinic of Colima
Núñez Navarro, C.; Molina Padilla, J.; Canales Muñoz, J.L.
Ginecologia y Obstetricia de Mexico 70: 66-70
2002
ISSN/ISBN: 0300-9041 PMID: 12017949 Document Number: 549757
We studied 1,755 patients in dysplasia clinic in Instituto Mexicano del Seguro Social in Colima city in 2000, to know the economic cost of their attention. Descriptive, quantitative study, for the identification and description of the instruments and human resources needed in each intervention. We estimated the fixed cost and the variable cost to determinate unitary cost. We made comparative cost analysis for diagnoses, treatment, and for sick evolution and we estimated the proportion of the total economic resources devoted to attention in this service. We found variation in unitary cost. The median cost was $227.67 pesos for each intervention. Colposcopy has the lower cost with $134.25, the upper cost was the treatment for vaginal infection $372.15, followed for the diatermic therapy $354.40. p = 0.2. The patients with advanced stage needed more large and expensive treatment. The proportion of the total economics resources devoted for the dysplasia clinic was 0.25%. All dysplasia clinic: 1. Should know the real unitary cost for every action done. And incorporate it to the planning of the economic resources. 2. Should have an automatic system for estimation of cost in order to know the unitary cost for each action.