Costes de invalidez por insuficiencia renal crónica en la Delegación Baja California del Instituto Mexicano del Seguro Social

摘要

Introduction: Chronic Kidney Disease (CKD) is a disabling public health problem which affects functional capacity, health-related quality of life and generates loss of productive life years. Since sick persons cannot perform their work activity -representing incremental costs in health institutions for the disease- it would be feasible to obtain a disability report. Methods and materials: Descriptive and retrospective study. It was carried out in the BC Delegation of the Mexican Social Security Institute. In 2015 and after the Research Committee approval, the insured patients’ records with CKD invalidity report were analyzed and the variables of gender, age, lost of working years, temporary disability days and disability costs were evaluated. Descriptive statistics were performed. Results: The total number of patients was 81: 83% were men, 17% women. The average disability age was 46 years, with an average of working years loss of 19, subsidized 7,842 thousand days of Temporary Incapacity for Work (TIW) meaning $1,125,759 million pesos, with a disability subsidy cost of $3,008,104 million pesos, totaling 3,37% of BC’s Gross Domestic Product (GDP). Conclusion: Chronic Kidney Disease causes high financial and in-kind costs in health institutions. The quality of life care will be improved and the number of working years lost for this disease will decrease preventing those disease-causing agents and going through an early care attention.