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Impacto del servicio de rehabilitación en el primer nivel de atención.

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Title: Impacto del servicio de rehabilitación en el primer nivel de atención.
Authors: Sánchez-Hernández, Miguel Ángel1 miguel.sanchezh@imss.gob.mx, Ibarra-Ramírez, Carlos Tomás1, Vilchis-Aguado, Ma. del Rosario1, Montesano-Delfín, Jesús Rafael2, Guízar-Mendoza, Juan Manuel2, Loya-García, Blanca Esthela3
Source: Revista Medica del IMSS. jul/ago2008, Vol. 46 Issue 4, p391-396. 6p. 4 Charts.
Subjects: REHABILITATION services in hospitals, PRIMARY care, OCCUPATIONAL disease diagnosis, BACKACHE, HAND diseases, ANKLE diseases
Geographic Terms: MEXICO
Abstract (English): Objective: to evaluate the impact of rehabilitation service in two primary care units (PCU). Methods: a comparative cross-sectional study was performed in two PCU (No. 53 and No. 51). The former has a rehabilitation service and the second one refers to a rehabilitation consultant at a specialized hospital. The variables evaluated were: amount of cases, days of disability, average days/cases, and average cost/case according to specific disease considering the five main medical disease required disability for general or risk work disease. We used descriptive statistics for results and Student's t test to evaluate significance. Results: back pain was the first cause of disablement; the average in opportunity care was seven days. The average number of days disability benefit for hand trauma, ankle sprain, and for back pain was lower in PCU No. 53, as well as for cervical sprain, but slightly higher for knee sprain. Evaluating the global incapacity days average and cost for each case, we found a significant difference to PCU No. 53. Conclusions: recovery time to return work was faster and lower the average cost in patients from to the PCU No. 53 which has its own rehabilitation service. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: evaluar el desempeño de los servicios de rehabilitación entre dos unidades de medicina familiar. Material y métodos: estudio transversal y comparativo entre dos unidades de medicina familiar: una con servicio de rehabilitación propio y otra que refería este tipo de consulta a un hospital de tercer nivel. Las variables fueron número de casos, días de incapacidad, promedio de días de incapacidad/ caso y promedio de costo/caso por causa específica de los cinco principales motivos de consulta que requirieron incapacidad por enfermedad general o riesgo de trabajo. Se utilizó estadística descriptiva para análisis de resultados y t de Student para valorar significancia. Resultados: la lumbalgia ocupó el primer lugar de frecuencia, la oportunidad de la atención fue de siete días en promedio. El tiempo de incapacidad en traumatismos de mano, esguince de tobillo y lumbalgia fue menor en la unidad con servicio de rehabilitación, similar para el esguince cervical y levemente mayor en el esguince de rodilla. Los días de incapacidad y el costo por caso presentaron diferencias estadísticamente significativas a favor de la unidad con servicio de rehabilitación. Conclusiones: la recuperación para el trabajo es más rápida y menor los promedios de costo por caso en los derechohabientes adscritos a la unidad que cuenta con servicio de rehabilitación propio. [ABSTRACT FROM AUTHOR]
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Impacto del servicio de rehabilitación en el primer nivel de atención.
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  Data: <searchLink fieldCode="AR" term="%22Sánchez-Hernández%2C+Miguel+Ángel%22">Sánchez-Hernández, Miguel Ángel</searchLink><relatesTo>1</relatesTo><i> miguel.sanchezh@imss.gob.mx</i><br /><searchLink fieldCode="AR" term="%22Ibarra-Ramírez%2C+Carlos+Tomás%22">Ibarra-Ramírez, Carlos Tomás</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Vilchis-Aguado%2C+Ma%2E+del+Rosario%22">Vilchis-Aguado, Ma. del Rosario</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Montesano-Delfín%2C+Jesús+Rafael%22">Montesano-Delfín, Jesús Rafael</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Guízar-Mendoza%2C+Juan+Manuel%22">Guízar-Mendoza, Juan Manuel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Loya-García%2C+Blanca+Esthela%22">Loya-García, Blanca Esthela</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Medica+del+IMSS%22">Revista Medica del IMSS</searchLink>. jul/ago2008, Vol. 46 Issue 4, p391-396. 6p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22REHABILITATION+services+in+hospitals%22">REHABILITATION services in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22PRIMARY+care%22">PRIMARY care</searchLink><br /><searchLink fieldCode="DE" term="%22OCCUPATIONAL+disease+diagnosis%22">OCCUPATIONAL disease diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22BACKACHE%22">BACKACHE</searchLink><br /><searchLink fieldCode="DE" term="%22HAND+diseases%22">HAND diseases</searchLink><br /><searchLink fieldCode="DE" term="%22ANKLE+diseases%22">ANKLE diseases</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22MEXICO%22">MEXICO</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: to evaluate the impact of rehabilitation service in two primary care units (PCU). Methods: a comparative cross-sectional study was performed in two PCU (No. 53 and No. 51). The former has a rehabilitation service and the second one refers to a rehabilitation consultant at a specialized hospital. The variables evaluated were: amount of cases, days of disability, average days/cases, and average cost/case according to specific disease considering the five main medical disease required disability for general or risk work disease. We used descriptive statistics for results and Student's t test to evaluate significance. Results: back pain was the first cause of disablement; the average in opportunity care was seven days. The average number of days disability benefit for hand trauma, ankle sprain, and for back pain was lower in PCU No. 53, as well as for cervical sprain, but slightly higher for knee sprain. Evaluating the global incapacity days average and cost for each case, we found a significant difference to PCU No. 53. Conclusions: recovery time to return work was faster and lower the average cost in patients from to the PCU No. 53 which has its own rehabilitation service. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: evaluar el desempeño de los servicios de rehabilitación entre dos unidades de medicina familiar. Material y métodos: estudio transversal y comparativo entre dos unidades de medicina familiar: una con servicio de rehabilitación propio y otra que refería este tipo de consulta a un hospital de tercer nivel. Las variables fueron número de casos, días de incapacidad, promedio de días de incapacidad/ caso y promedio de costo/caso por causa específica de los cinco principales motivos de consulta que requirieron incapacidad por enfermedad general o riesgo de trabajo. Se utilizó estadística descriptiva para análisis de resultados y t de Student para valorar significancia. Resultados: la lumbalgia ocupó el primer lugar de frecuencia, la oportunidad de la atención fue de siete días en promedio. El tiempo de incapacidad en traumatismos de mano, esguince de tobillo y lumbalgia fue menor en la unidad con servicio de rehabilitación, similar para el esguince cervical y levemente mayor en el esguince de rodilla. Los días de incapacidad y el costo por caso presentaron diferencias estadísticamente significativas a favor de la unidad con servicio de rehabilitación. Conclusiones: la recuperación para el trabajo es más rápida y menor los promedios de costo por caso en los derechohabientes adscritos a la unidad que cuenta con servicio de rehabilitación propio. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=35236290
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        Text: Spanish
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        StartPage: 391
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      – SubjectFull: REHABILITATION services in hospitals
        Type: general
      – SubjectFull: PRIMARY care
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      – SubjectFull: OCCUPATIONAL disease diagnosis
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      – SubjectFull: HAND diseases
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      – SubjectFull: ANKLE diseases
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      – SubjectFull: MEXICO
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      – TitleFull: Impacto del servicio de rehabilitación en el primer nivel de atención.
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