Main Article Content
Metodology: It is a descriptive study. It analyses the distribution of compensated population by age and sex; besides the payment of ISS Valle del Cauca to the Health Institutions (IPS) in the interventionist cardiology specialty. The information was taken of the register made by the IPS to the Social Secure Institute and crossed with the Individual Registers of Procedures in Health (RIPS) to identify the patients with coronary illness and to rate them in accordance with the International Illness Codes (CIE 10) likewise the book about activities, Processing and Interventions of the Obligatory Health Program (MAPIPOS).
Universe: 1,349 processing. The population was 1,103 affiliated patients with the Seguro Social with coronary illness diagnoses.
Analysis and results: The compensated population of ISS represents 9.3% of Valle del Cauca population (4’532,378 inhabitants in the Departamento and 423,400 compensated). Of them 43% are 45 years old or more and are in risk for suffering coronary illness and need medical intervention. The ISS Valle del Cauca paid out to IPS with interventionist cardiology services the total of $5’320,786.046 more of five thousand millions pesos for 1,349 procedures realized to 1103 patients of coronary illness. This money represents 39% of the total budget to general contracting for that period.
Conclusions: The Social Secure Valle del Cauca paid 2/5 parts of its budget in health services in procedures of interventionist cardiology during November 2003 to December 2004. The proportion of costs in this kind of intervention is high relating the great compensated population oldest of 45 years (43%) registered in ISS. There is an unbalance in the compensated population in ISS Valle del Cauca because after this age there is a higher concentration of the risk to suffer coronary illness and to need medical intervention. This situation is a threat to the financial stability of ISS Valle del Cauca section.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use