Abstract

CASTILLO GUZMAN, Antonio; AROCHA MARINO, Carmen; ARMAS ROJAS, Nurys B.  and  CAMEJO ESQUIJAROSA, Digna. Economic assessment of temporary work disability in a health care institution. Rev Cubana Salud Pública [online]. 2010, vol.36, n.1, pp.107-118. ISSN 0864-3466.

Introduction Since the triumph of the revolution, Cuban social welfare assures overall coverage to the whole population. Temporary work disability is an issue that the present social welfare system takes into account. Annex 2 to the ministerial resolution no.176 of 1989 stipulates the prescription by physicians of the number of days that an individual under treatment should rest. Objectives To assess the economic impact of the payment of medical leaves submitted by sick workers at the Institute of Cardiovascular Surgery and Cardiology in 2005. Methods Partial cost description-type economic assessment was made in which all the 224 medical leaves submitted that year were checked. The prescribed temporary work disability was compared with that of the resolution, and then differences were estimated. Results Medical leaves prescribed 523 days more than the number set by the law, which economically accounted for the payment of 4 286,03 pesos in excess. Conclusions The number of rest days prescribed in medical leaves was higher than the number stipulated by the ministerial resolution no.176 of 1989. It was considered that Annex 2 was issued 17 years ago; therefore, the diagnostic range should be reviewed and expanded.

Keywords : Social welfare; temporary work disability; economic assessment; medical leave.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )