Medical and surgical health care for congenital heart disease:

A panoramic vision of the reality in Mexico. The 2009 Survey 

Autores: Calderón Colmenero Juan, de la Llata Romero Manuel, Vizcaíno Alarcón Alfredo, Ramírez Marroquín Samuel, Bolio Cerdan Alejandro, et al

Resumen

Introduction: The only way to characterize the Mexican problem related to congenital heart disease care is promoting the creation of a national database for registering the organization, resources, and related activities. Material and methods: The Mexican Health Secretary adopted a Spanish registration survey design model in order to obtain national data related to congenital heart disease. This survey was distributed to all directors of medical and/or surgical health care centers for congenital heart disease in Mexico. This communication presents the results obtained in relation to organization, resources and activities performed during the last year 2009. Results: From the 22 health care centers which answered the survey 10 were reference centers (45%) and 12 were assistant centers (55%). All of them are provided with cardiologic auxiliary diagnostic methods. Except one, all centers have at least one bidimentional echocardiography apparatus. There is a general deficit between material and human resources detected in our study. Therapeutic actions for congenital heart disease (70% surgical and 30% therapeutical interventionism) show a clear centralization tendency for this kind of health care in Mexico City, Monterrey and Guadalajara. Conclusions: Due to the participation of almost all cardiac health centers in Mexico, our study provides an important information related to organization, resources, and medical/surgical activities for congenital heart disease. The data presented not only show Mexican reality, but allows us to identify better the national problematic for establishing priorities and propose solution alternatives.

Palabras clave: Congenital heart disease cardiac surgery health care Mexican database.

2014-11-07   |   283 visitas   |   Evalua este artículo 0 valoraciones

Vol. 63 Núm.4. Julio-Agosto 2011 Pags. 344-352 Rev Invest Clin 2011; 63(4-ENGLISH)