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Salud Pública de México
Print version ISSN 0036-3634
Abstract
HERNANDEZ-NAJERA, Olimpia; CAHUANA-HURTADO, Lucero and AVILA-BURGOS, Leticia. Health-care costs of breast cancer at the Institute of Social Security and Services for Government Workers in Mexico. Salud pública Méx [online]. 2021, vol.63, n.4, pp.538-546. Epub Feb 27, 2023. ISSN 0036-3634. https://doi.org/10.21149/12332.
Objective:
To estimate the cost of common versus normative practice in the treatment of breast cancer (BrCa) at the Mexican Institute of Social Security and Services for Government Workers (ISSSTE).
Materials and methods:
A process approach from the perspective of providers. We identified the resources utilized during one year of treatment through online questionnaires administered to oncologists in various hospitals (common treatment) as well as by conducting a clinical guidelines review (normative treatment).
Results:
The cost of common treatment was USD113.6 million annually. For stage I cases, it proved 1.23 and 1.12 times higher in regional and general as opposed to highly specialized hospitals. For stages 0-II cases, it was higher than normative treatment owing to greater use of consultations and chemotherapy.
Conclusions:
BrCa accounts for 3.8% of the ISSSTE budget in 2017. Achieving greater efficiency in the use of resources allocated for BrCa treatment requires stricter adherence to clinical guidelines as well as early detection.
Keywords : breast cancer; healthcare costs; social security; Mexico.