Coste económico y carga asistencial en el laboratorio de parasitología derivados de la atención al inmigrante

Turrientes, María del Carmen; Huerga, Helena; López‐Vélez, Rogelio

doi:10.1157/13045449

Cited by 9 publications

(4 citation statements)

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“…This has been demonstrated in the measurement of DID, total expense and number of packages consumed. Other studies had demonstrated this low utilization of services, although not all of them had given in depth study to drug utilization [ 5 , 7 , 22 , 30 - 33 ]. It has also been shown that this difference occurred in all therapeutic groups and main active ingredients although with huge variability.…”

Section: Discussionmentioning

confidence: 99%

Comparative study of paediatric prescription drug utilization between the spanish and immigrant population

Gimeno-Feliu

Armesto-Gómez

Macipe-Costa

et al. 2009

BMC Health Serv Res

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BackgroundThe immigrant population has increased greatly in Spain in recent years to the point where immigrants made up 12% of the infant population in 2008. There is little information available on the profile of this group with regard to prescription drug utilization in universal public health care systems such as that operating in Spain. This work studies the overall and specific differences in prescription drug utilization between the immigrant and Spanish population.MethodsUse was made of the Aragonese Health Service databases for 2006. The studied population comprises 159,908 children aged 0-14 years, 13.6% of whom are foreign nationals. Different utilization variables were calculated for each group. Prescription-drug consumption is measured in Defined Daily Doses (DDD) and DDD/1000 persons/day/(DID).ResultsA total of 833,223 prescriptions were studied. Utilization is lower for immigrant children than in Spanish children for both DID (66.27 v. 113.67) and average annual expense (€21.55 v. €41.14). Immigrant children consume fewer prescription drugs than Spanish children in all of the therapy groups, with the most prescribed (in DID) being: respiratory system, anti-infectives for systemic use, nervous system, sensory organs. Significant differences were observed in relation to the type of drugs and the geographical background of immigrants.ConclusionPrescription drug utilization is much greater in Spanish children than in immigrant children, particularly with reference to bronchodilators (montelukast and terbutaline) and attention-disorder hyperactivity drugs such as methylphenidate. There are important differences regarding drug type and depending on immigrants' geographical backgrounds that suggest there are social, cultural and access factors underlying these disparities.

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Section: Discussionmentioning

confidence: 99%

Comparative study of paediatric prescription drug utilization between the spanish and immigrant population

Gimeno-Feliu

Armesto-Gómez

Macipe-Costa

et al. 2009

BMC Health Serv Res

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“…La población inmigrante en España, fenómeno social indudable de la última década, es objeto de un creciente número de estudios médicos tanto en patología infecciosa como en otros problemas de salud. Entre los infecciosos destacan la tuberculosis pulmonar 1-8 y las infecciones por virus de la inmunodeficiencia humana (VIH) [9][10][11][12][13][14][15] , y entre los referidos a problemas sociales y de salud, la desnutrición y el raquitismo [16][17][18][19][20][21][22] y la utilización y costes de los servicios sanitarios 18,[23][24][25][26] . En menor medida, encontramos trabajos referidos a cisticercosis 27 , hepatitis virales [28][29][30] , criptococosis 31 , esquistosomiasis 32 , paludismo 33 y otras enfermedades importadas 34 .…”

Section: Introductionunclassified

Diagnostics upon Hospital Release of Immigrants in the City of Valencia, Spain (2001-2002)

Salazar¹,

Navarro-Calderón²,

Abad³

et al. 2003

Rev. Esp. Salud Publica

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Rev Esp Salud Pública 2003; 77: 713-723 N.º 6 -Noviembre-Diciembre 2003 Resultados: Recuperamos 8.444 ingresos que identificaron 1.577 ingresos de inmigrantes. Se evidenció una proporción similar de inmigrantes registrados con documentación reglada (841, 51,16%) e inmigrantes supuestamente no regularizados (803, 48,84%). Predominaron las mujeres (68,3%) frente a los varones (31,7%) y una media de edad inferior a los 30 años. El diagnóstico de alta más frecuente fue «complicaciones del embarazo, parto y puerperio» con 37,7% del total. Los «traumatismos y envenenamientos», «enfermedades del aparato digestivo» y «enfermedades del aparato respiratorio» representaron el 12,9%, el 7,8% y el 5,4%, respectivamente. Las «enfermedades infecciosas y parasitarias» supusieron el 4,4%.Conclusiones: La proporción de enfermedades infecciosas e infectocontagiosas observadas no contribuyen a alentar las opiniones difundidas sobre importación o reemergencia de enfermedades desde los colectivos de inmigrantes. La inmigración masiva acaecida requiere múltiples adaptaciones del Sistema de Salud que permitan establecer el perfil de salud de este colectivo, basado en estimaciones poblacionales.Palabras clave: Inmigrante. Diagnóstico. Altas hospitalarias. Hospital. ABSTRACT Diagnostics upon Hospital Release of Immigrants in the City of Valencia, Spain (2001-2002)Background: Immigration has increased remarkably in Spain over the past ten years. For theoretical reasons, the question has been raised as to whether this population may possibly be responsible for a rise in the incidence and/or transmission of infectious diseases. However, very few studies have been conducted regarding the diseases among this group which would afford the possibility of ascertaining the importance of this statement. This study is aimed at quantifying the hospital care provided to this population in the city of Valencia.Methods: The hospital release records were obtained from the Admissions Departments of the public hospitals in the city of Valencia. A oneyear retrospective observational study was conducted throughout the period.Results: We retrieved 8,444 hospital admissions identifying 1,577 hospital admissions of immigrants. Similar percentages of immigrants recorded with their documentation in proper order (841; 51.16%) and immigrants supposedly undocumented (803; 48.84%) were found. Females (68.3%) were predominant over males (31.7%), and a mean age of under 30 years of age. The most frequent diagnosis on release was «pregnancy, childbirth and post-partum-related complications», totaling 37.7% of all releases, others involving. «injuries and poisoning» (12.9%), «digestive tract diseases» (7.8%) and «respiratory tract diseases» (5.4%), «Infectious and parasitic diseases» totaled 4.4%.Conclusions: The percentage of infectious and infectious-contagious diseases found did not contribute to encouraging the opinions disseminated regarding the importing or re-emergence of diseases from the immigrant groups. The en masse immigration which has taken place requires...

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“…Esta técnica permite detectar densidades entre 5-20 parásitos/μl, pues emplea mayor cantidad de sangre en cada muestra. La preparación de las muestras se realiza de tal forma que se produzca rotura de los glóbulos rojos permitiendo así la detección del parásito y la identificación de la especie (Turrientes, 2000). Esta técnica concentra entre 20 y 30 veces más el número de capas de glóbulos rojos por lo que realizada de forma adecuada permite tener resultados con mayor sensibilidad y se estima que es 15 veces más sensible que el extendido (Turrientes, 2000).…”

Section: A11 Cifras Mundiales Del Paludismounclassified

“…El citoplasma se colorea de azul, la cromatina de rojo y el pigmento malárico pardo amarillo. En esta técnica se visualizan los glóbulos rojos parasitados y sus fases de crecimiento, lo que permite identificar la especie, sin embargo, necesita de gran presencia parasitaria en la muestra por lo que es recomendada como técnica complementaria en la detección de la malaria (Turrientes, 2000).…”

Section: A11 Cifras Mundiales Del Paludismounclassified

Espectroscopia raman como metodo de apoyo al diagnostico de malaria

Rojas Campiño

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Coste económico y carga asistencial en el laboratorio de parasitología derivados de la atención al inmigrante

Cited by 9 publications

References 0 publications

Comparative study of paediatric prescription drug utilization between the spanish and immigrant population

Comparative study of paediatric prescription drug utilization between the spanish and immigrant population

Diagnostics upon Hospital Release of Immigrants in the City of Valencia, Spain (2001-2002)

Espectroscopia raman como metodo de apoyo al diagnostico de malaria

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