Salud pública de México
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Salud pública de México · Nov 1994
Comparative Study[Sanitary quality of water supply for human consumption in Campeche].
This paper presents data of a study undertaken to know the sanitary features of water supply (deep pools) for human consumption in the city of Campeche, Mexico. Levels of intestinal bacteria (total and fecal coliforms) were monitored, as well as heterotrophic plate counts and the surroundings of each deep pool were inspected. Each water supply was monitored three times from January to July, 1993 and presented unacceptable levels of heterotrophic plate counts and coliforms which is a strong evidence of fecal contamination of animal or human origin. These findings are a clear indication of unacceptable contamination of water supply for human consumption which requires an improvement and systematic inspection in order to provide good quality water to the population of Campeche.
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Payment mechanisms for physicians have always been subject of debate. The profession tends to prefer fee-for-services, while health care institutions prefer to pay doctors by salary or capitation. ⋯ In nations like Mexico, where the State is the dominant actor, salary or capitation can be used as an instrument to encourage quality of care and better geographic distribution. In this paper, several country cases are reviewed.
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Salud pública de México · Nov 1993
[An evaluation of the Mexico-BID Health Services Improvement Program, 1991].
The evaluation of the program for enhancing health services showed advances in the building and provision of equipment for the health units, as well as development of additional operative capability until 1991. One of the main characteristics of the evaluation process, was the utilization of the local and state information systems, which allow the selective use of indicators in order to identify the advances of the program of expanded coverage and enhance of the quality of care and its direct relationship with the organization of health services. The present research constitutes a good example of the development of programmes funded by multilateral organizations.
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Salud pública de México · Sep 1993
[Accidents and injuries in 4 general hospitals of the Distrito Federal].
We report the injuries for "E" code in 10191 subjects attending four general hospitals of Mexico City. Seventy-nine per cent of them were males and 29.1 per cent were females. THe highest utilization rate of the care unit was during weekends. ⋯ People classified as drunk were more likely to have more severe injuries and to be admitted to the hospital and female drinkers had the highest risk of hospitalization (RR = 3.03; IC = 1.85-5.04). Only in 49 per cent of the cases was the external cause of injury coded The main causes were gunshots and stabbing with knife or cutting weapon. In this study we found a greater proportion of fractures in women than in men, pointing toward the possible presence of osteoporosis in the female population.
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Salud pública de México · May 1993
[Quality assurance programs through the accreditation of hospitals in Latin America and the Caribbean].
The majority of the approximately 14,000 hospitals in Latin America and the Caribbean face enormous challenges to live up to the basic prepositions of quality assurance in health care. If methods of quality control in medical education and hospitals are not implemented soon in Latin America, we will face, in the very near future, the same situation that has marred the quality of medical care in the U. ⋯ This situation should be avoided at all costs, before the current absence of quality control favors financial external forces over the implementation of self-assessment methods or external control by accreditation commissions. The following conditions are needed for the effective development of quality assurance programs; a) professional technical skills; b) efficient use of resources; c) reduction to a minimum of lesions derived from services; d) patient satisfaction in his requirements, expectations and accessibility to health services, and e) local health systems, where comprehensive outpatient and inpatient services are provided.