RESUMO
Seventy five percent or more of a diagnosis comes from a proper medical history along with an excellent physical examination. This leaves to the clinical laboratory the function of supporting the findings, determining prognosis, classifying the diseases, monitoring the diseases and, in the minimum of cases, establishing the diagnosis. In recent years there has been a global phenomenon in which the allocation of resources to health care has grown in an excessive way; the Instituto Mexicano del Seguro Social is not an exception with an increase of 29 % from 2009 to 2011; therefore, it is necessary to set containment and reduction without compromising the quality of patient care.
El 75 % o más del diagnóstico de una entidad nosológica proviene de una adecuada historia clínica junto con una exhaustiva exploración física, lo cual le deja al laboratorio clínico la función de apoyar los hallazgos, establecer pronóstico, clasificar una enfermedad, dar seguimiento y establecer en el mínimo de los casos un diagnóstico. En los últimos años se ha presentado un fenómeno global en el que la erogación de recursos para la atención a la salud ha aumentado de forma desmedida y el Instituto Mexicano del Seguro Social no ha sido la excepción con un aumento del 29 % del 2009 al 2011, por lo que es necesario el establecimiento de medidas de contención y reducción sin que se comprometa la calidad de la atención a los pacientes.
Assuntos
Serviços de Laboratório Clínico/estatística & dados numéricos , Gastos em Saúde , Uso Excessivo dos Serviços de Saúde/economia , Serviços de Laboratório Clínico/economia , Controle de Custos , Humanos , Uso Excessivo dos Serviços de Saúde/prevenção & controle , MéxicoRESUMO
BACKGROUND: The American trypanosomiasis is the second parasitic disease in importance after paludism and one of the main mechanism of transmission is a blood transfusion. Our objective was to measure the effect the Tripanosoma Cruzi screening test in blood banks in the Mexican Institute of Social Security. METHODS: Information was obtained from each unit of blood collected. The Tripanosoma cruzi prevalence was calculated only in samples with double reactivity in the blood banks. RESULTS: Of 71 blood banks, only 26 had been doing T. Cruzi screen; after implementation of integrated services 55 are doing the screening. There were 935 donors with double reactivity to the T. Cruzi test from 230,074 samples. The national prevalence was 0.406%. The seroprevalence was 0.013% to 3.118%. CONCLUSIONS: The screening of the T. cruzi improved the detection and increased the safety and the prevention of its transmission by blood transfusion.