Abstract

MUKODSI CARAN, Miguel  and  BORGES OQUENDO, Lourdes de la Caridad. Aplicación del costo-eficiencia en un área de salud. Rev Cubana Med Gen Integr [online]. 2000, vol.16, n.5, pp.461-467. ISSN 0864-2125.

A cross-sectional descriptive study of cost-efficiency was conducted at "Turcios Lima" Polyclinic in Havana City to correlate the health expenditures and the results attained during a year. The budget as well as the unitary costs resulting from the application of the system approved by the Ministry of Public Health are analyzed. The behavior of a group of selected health indicators reflecting the degree of efficiency is shown. A relationship between both aspects is established and it is concluded that there are reserves of economic efficiency that have not been exploted yet based on the following results: the salary accounts for 75% of the expenditures, the high costs by consultation of the Family Physician Plan are $3,65; in Interconsultations, $11,09; in Specialized Medical Attention, $10,59; and in Psychology, $10,50. The physcian?s offices in working and educational centers are expensive, as a well as the diagnostic tools. It is recommended the systematic evaluation of the results of the costs in the meetings of the Working Basic Group

Keywords : HEALTH STATUS INDICATORS; COST-EFFICIENCY ANALYSIS; COST-BENEFIT ANALYSIS; ORGANIZATIONAL ANALYSIS; HEALTH EXPENDITURES.

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