Publicado Jun 30, 2021



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Hernán Camilo Aranguren Bello

Giancarlo Buitrago Gutiérrez

Álvaro Ruiz Morales

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Resumen

Objetivo. Determinar la relación entre el nivel de cuota moderadora y la frecuencia de consulta a los servicios de urgencias en pacientes con asma que pertenecen al régimen contributivo en Colombia. Métodos. Se llevó a cabo un estudio observacional analítico de cohorte retrospectivo en el cual se incluyeron las personas mayores de 18 años cotizantes con diagnóstico de asma, usuarios del régimen contributivo registrados en la base de datos para el cálculo de la Unidad por Capitación entre los años 2012 y 2014. Se hizo reclutamiento de los pacientes durante el año 2013 y posterior seguimiento a la cohorte durante un año, desde la fecha de ingreso. Se tomó como variable de desenlace la frecuencia de consulta al servicio de urgencias, se evaluó la influencia de las principales variables de confusión y se aplicó un modelo de regresión binomial negativa para el análisis de los datos. Resultados. Se incluyeron 54 516 pacientes asmáticos con sus comorbilidades, de los cuales un 13,69% consultó a urgencias. Luego de controlar por el índice de Charlson y la edad de consulta a urgencias, el riesgo de consultar a urgencias es 1,1 veces más frecuente en el nivel 3 de cuota moderadora con respecto al nivel 1. Conclusiones. Se sugiere que las cuotas moderadoras podrían comportarse como una barrera de acceso a los servicios de salud en pacientes asmáticos. Se recomienda la realización de estudios que evalúen de modo más preciso esta hipótesis.

Keywords

Asma, servicio de urgencias, cuota moderadora, régimen contributivo, ColombiaAsthma, emergency services, moderating fee, contributive regimen, ColombiaAsma, serviço de urgências, taxa moderadora, regime contributivo, Colômbia

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Cómo citar
Aranguren Bello, H. C., Buitrago Gutiérrez, G. ., & Ruiz Morales, Álvaro . (2021). Asociación entre la cuota moderadora y la frecuencia en la consulta a los servicios de urgencias en pacientes adultos con asma, usuarios del Régimen Contributivo en Colombia. Gerencia Y Políticas De Salud, 20. https://doi.org/10.11144/Javeriana.rgps20.acmf
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