Costo de realizar implantación de marcapasos en un establecimiento de salud pública de tercer nivel versus red privada complementaria RPC durante 2018 2020

Abstract

Abstract: The State, guaranteeing free health services, has articulated efforts between the Public Health Integrate Network (RPIS) and the Complementary Private Network (RPC), developing the technical standard of the subsystem of reference, derivation, counter-reference, reverse reference and transfer; allowing patients treated by the units of the Ministry of Public Health (MSP) to be derived to the RPC, action that annually represents a significant item in its assigned budget, so it is necessary to know if there is an efficient use of resources. Therefore, this work was developed with the objective of knowing the cost of implanting permanent dual-chamber pacemakersin aunitof the MSP versus the RPC.It was quantified direct and indirect costs generated in 93 patients treated between 2018 and 2020 in theMSP institution were, of which 7 were derived to the RPC. The results obtained showed that the resolution of patients in the MSP institution generated greater savings compared to the RPC, showingan increase of 77% in total costs per patient.