Vigilancia en salud pública: una necesidad inaplazable

Noguer, Isabel; Alonso, Juan Pablo; Arteagoitia, José M.; Astray, Jenaro; Cano, R.; Pedro, Jesús; Gutiérrez, Gonzalo; Hervada, Xurxo; Margolles, Mario; Nicolau, A.; Núñez, Domingo; Pollán, Marina; Ramos, Julián Mauro; Sierra, María-José; Vanoclocha, Hermelinda

doi:10.1016/j.gaceta.2016.11.002

Cited by 7 publications

(8 citation statements)

References 6 publications

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“…The health problems faced by households translate into expected scenarios, where some families allocate part of their economic income to health spending. However, spending can also occur in unforeseen scenarios, and it is in these cases where out-of-pocket spending is greatly affected, as health expenses, mainly due to unforeseen phenomena, cannot be covered [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Many members of households could not guarantee the financing of unforeseen expenses when contracting a disease; due to the accruing expenses, they were not able to efficiently pay for medicines or hospital services. All this was due to the existence of a scenario of uncertainty due to their health condition and, in some cases, their loss of health, since despite the fact that some members of households (heads of a household or members of a household) have Comprehensive Health Insurance (SIS) or Social Health Insurance (ESSALUD), out-of-pocket spending exposes household members to the risk of being unable to afford unforeseen expenses [ 7 , 13 , 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of Out-of-Pocket Health Spending in Households in Peru in the Times of the Pandemic (COVID-19)

Quispe Mamani,

Cutipa Quilca,

Cáceres Quenta

et al. 2023

IJERPH

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In 2021, the expenses paid by households worldwide due to COVID-19 showed an increasing behavior and directly affected economic income since they were part of unforeseen expenses among households and became a factor that contributed to the increase in the levels of poverty mainly in households that were not part of the health system. The objective of this research was to establish the main determinants of out-of-pocket spending on health in Peruvian households in the times of the pandemic. A quantitative approach, of a nonexperimental type, with a descriptive and correlational methodological design was considered. The database of the National Household Survey of the National Institute of Statistics and Informatics for 2021 was used as a source of information, applying the binomial logit econometric model. Out-of-pocket expenses during the pandemic compared to normal periods were shared by the members of the households. Since they were part of unforeseen expenses, these expenses mainly impacted the heads of the households and strongly affected household budgets. For this reason, the type of insurance, the suffering of household members from a disease, the results of tests for COVID-19, the expenditure on individual health, the existence of permanent limitations to any member of the household, the presence of an older adult in the household, and the marital status of the head of the household determined and positively influenced out-of-pocket spending in households in Peru with 36.85, 8.48, 6.50, 0.0065, 23.73, 16.79, and 2.44 percentage units. However, the existence of a drinking water service in the household, educational level, and the area of residence determined and negatively influenced out-of-pocket spending in households in Peru with 4.81, 6.75, and 19.26 percentage units, respectively. The type of insurance, the suffering of an individual from a disease, the results of COVID-19 tests, health spending, the existence of permanent limitations, the presence of an older adult in the household, and the marital status of the head of the household positively determined out-of-pocket spending in households in Peru, while the existence of a potable water service, educational level, and the area of residence determined out-of-pocket expenses in a negative or indirect way.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants of Out-of-Pocket Health Spending in Households in Peru in the Times of the Pandemic (COVID-19)

Quispe Mamani,

Cutipa Quilca,

Cáceres Quenta

et al. 2023

IJERPH

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“…La medición y vigilancia de este evento, que afecta la salud y causa enfermedad, muerte y discapacidad, debe constituirse en una labor básica de la gestión programática, en la búsqueda del bienestar en el marco del desarrollo sostenible (1). A nivel mundial, desde el inicio hasta el 2019 ONUSIDA reporta 75,7 millones de personas que contrajeron la infección, 38 millones viven hoy con VIH, las nuevas infecciones representan 1,7 millones y 690.000 personas fallecieron a causa de enfermedades relacionadas con el sida (2).…”

Section: Introductionunclassified

Carga de la enfermedad por VIH/sida en la Orinoquia colombiana 2010-2018

Lesmes¹

2023

Bol.Sem.Inv.fam

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Introducción: el VIH/sida sigue siendo un problema de salud pública a pesar de ser una enfermedad prevenible. La comprensión de los años de vida saludables perdidos a causa de esta enfermedad es importante. Objetivo: determinar la carga de la enfermedad por VIH/sida en la Orinoquia colombiana, 2010-2018. Materiales y métodos: estudio descriptivo, longitudinal retrospectivo en las personas con diagnóstico de VIH y en las fallecidas por VIH/sida de los departamentos de la Orinoquia colombiana entre 2010 y 2018, reportadas en la Aplicación Nacimientos y Defunciones - RUAF y al registro individual de prestación de servicios (RIPS). Para el análisis se usó la estimación de pérdida de años de vida saludable (AVISA), constituida por los años de vida vividos con discapacidad (AVD) y los años perdidos por muerte prematura (AVMP). Resultados: se reportaron 12.026 personas con diagnóstico de VIH/sida y 840 fallecimientos por sida. Los hombres representan la mayor proporción de la morbilidad (rango 50 %-64 %) y la mortalidad (71,3 %), la edad de ocurrencia se concentra entre los 25-44 años en morbilidad y 25-39 años para mortalidad. Se perdieron 51.290 AVISA especialmente por muertes prematuras (87 %) en hombres (35.736), en el grupo de edad entre 25-39 años. Por cada AVISA perdido por las mujeres, los hombres pierden 2,3. Conclusión: los años vividos con un estado de salud subóptima en personas con VIH/sida en la región han venido incrementando por causa del mayor tiempo de supervivencia ya demostrado en la disminución de los AVMP, especialmente en los hombres debido a su mayor incidencia.

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“…Among the components that contribute to the lack of standardized values are i) the variability in the methodologies used to measure and estimate HS in each subject, ii) dynamometer technology, or iii) a mixture of the two, 9 which means that the results of one population cannot be inferred to another. For this reason, it is recommended that normative values be developed for specific geographical areas that allow for public health surveillance processes 10 or follow-ups over time in the same population. 11 …”

Section: Introductionmentioning

confidence: 99%