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10% of hospitalized patients, at risk for other diseases
? PRINTED 26/10/2011
Although institutions hold workshops with the best specialists in the country, doctors do not apply in practice the knowledge acquired.
The Mexicans are 10.4% greater risk of suffering a health risk or damage to enter the hospital to a medical unit highly specialized public sector that get on air transport, reported the National Public Health Institute.
"Health services are not quite sure, since the minimum risk of injury or severe in a hospital is 10.4%, a situation that happens when one gets into a sea, air or land," said Javier Santacruz, Director of Research at the National Medical Arbitration Commission, after referring to an analysis of Harvard University, which states that in the case of the U.S. the risk is 4%.
By giving the results of quality health services, advances and challenges , Santacruz said that according to research that involved Mexico, Costa Rica, Argentina, Colombia and Peru, the trend is that of 100 patients admitted to one hospital, 10 adverse suffer minimal damage, moderate or severe to cause fatal complications.
"Most adverse events in the health system are not fatal, but cause harm to patients, in some cases temporary damage, in other cases are chronic and a percentage close to 15% were deaths," he said.
According to official figures, the year, more than 2 million hospitalizations, of which 200 000 will fall risk in this sector throughout the country.
Santacruz clarified that failures of attention involving various aspects. "We're talking about barriers such as good training and education of medical professionals, the availability of resources and inputs to health such as drugs, lack and failure of equipment and supplies that are available when required also hygiene problems. When the barriers fail is when this damage occurs to patients, "he said in an interview.
To doctors IMSS, ISSSTE and the Ministry of Health, the Director of Research of the National Medical Arbitration acknowledged that the study covered 50 national hospitals, of which 10 were detected in problems related to lack of availability of resources human, material and supplies, and financial. "Mexico goes almost 7% of GDP on health (when the optimal spending between 12 and 14% according to the OECD).
According to the research, doctors make more mistakes than nurses, as they have on average three times more failures than their subordinates.
For its part, Alberto Lifshitz Guinzberg, head of the Education Unit, Research and Health Policy IMSS, acknowledged that while ongoing workshops conducted with the best specialists in the country and the world, the reality is that medical personnel are not applicable to the daily practice these teachings.
"If we identify, for example, that doctors are not treating people with diabetes, then launched a teaching strategy, we invite teachers get educational materials, pastors doctors to go, give them incentives, diplomas, curriculum items, sandwiches and cookies, then go to the event and apechugan entire roll of the great experts who teach them how to care for diabetics. "
But one would, he said, they will improve their performance, however the above "has failed miserably, is already proven."
Shortage in the IMSS
While the IMSS has done all administrative work to improve health services, there is still 10% of prescriptions are filled not so complete, so that before the end of six years will be treated to meet this problem, explained his CEO Daniel Karam at Celebration Health Day Institutional.
"The IMSS manages the surtimiento is 97%, well that means 500 000 3% fill prescriptions without a monthly basis, and if not spoken takes 10%, more than 1.6 million. I asked the general secretary to make an analysis in each state to be told at what levels is the supply and surprise we found that only in some cities reached 85% of surtimiento of medication, which is serious, "the official.
They refuse to lose trial
rejected The Ministry of Health who is losing a battle with the determination of a federal judge to protect pharmaceutical industry representatives to sell without a prescription antibiotics.
Only 'is an injunction was sought in two specific cases, in that sense we believe apply to the antibiotic prescription is an important measure to avoid self-medication and in this sense we hope to continue working and promoting the bill, "said Solomon Chertorivski Secretary of Health.
A federal judge declared unconstitutional the agreement in May 2010 issued by the SSA to prevent pharmacies selling antibiotics without prescription, after the regulatory agency purchasing and dispensing with the A/H1N1 flu outbreak. From Agreement to C1ontrol of Antibiotics, the SSA reported that Mexico decreased 20% buy improper, and reversed the self-medication.
The president of National Association of Pharmacies of Mexico, Antonio Pascual acknowledged that the annual market amounts to 110 MMDP drugs and 20% are antibiotics, ie, 22 MMDP