Los determinantes de derivación por atención gineco-obstétricia y sus costos en la Coordinación Zonal 5 Salud.

Abstract

Gynecology and obstetrics are applied in science as a way to attack diseases, viruses and complications that women may suffer in their reproductive system. When the basic hospitals of zone five cannot attend to certain cases due to the complexity of the case, the patients are referred to other institutions, since in many cases these hospitals do not have a specialized service, nor do they have an intensive care unit. for neonates and adults. The general objective of the research was to analyze the health determinants involved in the referral of Gyneco - Obstetric Patients and the cost they represent to the Zonal 5 Health Coordination for the preparation of a technical proposal. The methodology used was mixed approach, deductive method, type of non-experimental and longitudinal research, the tools were the interview and the documentary review. It was possible to conclude that the referrals have caused great costs and that among the reasons are the existence of another level of complexity, the lack of specialized personnel and the little resolutive capacity at the moment of attending to the patient. The proposal was based on hiring personnel for the gynecology and anesthesiology specialties, training the gynecology staff on the referral processes and the clinical practice guide, as well as a risk identification program for pregnant women.