Ítem
Acceso Abierto
Costo incremental para pacientes con diagnóstico de diabetes mellitus, hipertensión arterial y enfermedad renal crónica en el departamento de Antioquia
Título de la revista
Autores
Mesa Urhan, Ricardo
Archivos
Fecha
2023-10-11
Directores
García Rendón, John Jairo
ISSN de la revista
Título del volumen
Editor
Universidad del Rosario
Citations
Métricas alternativas
Resumen
Estudio de caso que tiene como objetivo determinar el costo incremental por condición de morbilidad de pacientes con diagnósticos de Hipertensión Arterial, Diabetes Mellitus y Enfermedad Crónica (en sus estadios del I al III) en el departamento de Antioquia y cuáles serían los mecanismos de posibles políticas públicas, tanto para financiar los pacientes que padecen estas condiciones crónicas, como para evitarlas mediante un énfasis relevante en prácticas de Promoción y Mantenimiento de la Salud.
Abstract
The objective of this research is to determine the incremental cost per morbidity condition, specifically for the group of patients under both the contributory and subsidized healthcare systems, who have confirmed diagnoses of Arterial Hypertension, Diabetes Mellitus, and Chronic Kidney Disease (Stages I to III). Using a linear regression model estimating an equation through the Ordinary Least Squares - OLS method, the main findings indicate a directly proportional relationship between disease severity and healthcare cost. Additionally, the cost increases as the level of care rises. Treating a patient without any of these 3 pathologies costs $68,792 COP less per year than a second-level chronic patient, and a first-level chronic patient costs $36,378 less to treat than a patient requiring specialized healthcare (second level). Moreover, the cost is higher for individuals in the age group of 70 to 74 years. It is during this time period that individuals are more likely to be chronically ill and have higher healthcare expenses. Likewise, there is an impact based on the place of residence, where providing healthcare services in remote municipalities and areas becomes more expensive for the entire healthcare system. This can be attributed mainly to logistical, infrastructural, and human resource factors. Finally, both being affiliated with the contributory healthcare system and being female within the healthcare system show a positive relationship with medical costs.
Palabras clave
Morbilidad , Costo de atención , Paciente crónico , Enfermedad , Unidad de Pago por Capitación , Promoción y mantenimiento de la salud , EPS , IPS , Régimen Contributivo , Régimen Subsdiado
Keywords
Morbidity , Cost of care , Chronic patient , Disease , Health promotion and maintenance , EPS , IPS , Capitation Payment Unit , Contributory Regime , Subsidized
