Julián Sánchez assures that his wife went into labor in November 2020, so she went to the General Hospital of the West, also known as “Zoquipan”.
As the unit was saturated, they referred it to another. “And it turned out that they did not attend deliveries there. It is not good that they did not give clear information, ”says Julián.
Other patients agree that they sought care in private institutions because the public ones that took care of COVID-19 patients in Jalisco were full.
According to information provided by Transparency, Last year, 57,103 surgeries were registered in the second and third levels in the public hospitals of the State that participated in the plan of reconversion in the face of the pandemic, which represents a decrease of 36% compared to the previous year, when there were 89,175 (a reduction of 32,072 interventions).
The statistic includes all the hospitals of the State Health Secretariat, the Civil Hospitals and the service provided by the Jalisco State Pension Institute (Ipejal) to its beneficiaries, since it is also indicated that they paid care during the health emergency.
On the other hand, the Mexican Institute of Social Security (IMSS) replied that it does not have the data for 2020 and 2021 because in “the requested periods have not yet concluded (the statistics) and the information is in the integration phase. The final version available and public for 2020 will be given until June 2021 ”.
In past days became known that, given the drop in hospitalized patients, general services were being reactivated. For example, in Civilians they already take care of all ailments, such as those related to pulmonary physiology, hematology, rheumatology and orthopedics, among others.
On the other hand, the IMSS asks the beneficiaries to attend their family medicine and specialty consultations, such as traumatology and orthopedics, ophthalmology, internal medicine, cardiology, pulmonology, urology, gastroenterology, dermatology and general surgery, among others.
They ask patients to reschedule appointments and update studies
At the beginning of the year, José Luis Ramírez needed to have an inguinal hernia surgery performed. He tells that he went to the Mexican Institute of Social Security (IMSS), where he is affiliated, but he did not have spaces.
“It was last January and, at the time, they did not have operating rooms or doctors because everything was focused on COVID-19. They weren’t even giving consultations ”.
Although it is not an emergency operation, the situation affected him in his daily life and he could not let it go.
“It’s not life-threatening, but you can’t be okay. Everything hurts, you can’t do anything … ”.
He explains that he also had the possibility of going to the Institute of Social Security and Services for State Workers (ISSSTE), but it was no longer because he learned that the unit was also focused on the attention of the new coronavirus.
“At that time, all the people were afraid to enter the hospitals where they treated the pandemic. They entered for a different surgery and they left for COVID-19 … those rumors ran ”.
In the end, José Luis decided to undergo surgery in a private hospital, where he was operated immediately and without complications.
“I was lucky that my family helped me, but they cannot help everyone. My feeling was that, with COVID-19, the other diseases were forgotten ”.
An inguinal hernia surgery costs between 15,000 and 18,000 pesos.
Through Transparency, the IMSS shared that in 2018 more than 126 thousand interventions were carried out in second and third level units in Jalisco, while in 2019 the figure exceeded 121 thousand. In all of Mexico, the average in that period was 1.2 million surgeries per year; that is about 10% of all events in the country are held in units in Jalisco.
In recent days, the Social Communication area of the IMSS reported that medical services paused during the pandemic have already been reactivated.
“In the event that any beneficiary has missed or their appointment for studies or consultation was suspended during the pandemic, it is necessary that they go back to reschedule it, according to the level of care required. Before any important symptoms or deterioration of health, they should go to the emergency room of their medical unit ”.
Like surgical procedures, the IMSS highlighted that “It is important that they go to their doctor again so that the preoperative studies and the evaluation for their new surgery schedule are updated.”
General services reactivate
The Mexican Institute of Social Security (IMSS) and the Civil Hospitals reactivated general services after the loss of COVID-19 cases.
Jaime Andrade, director of the Civiles, answered that with the hospital reconversion they added 750 beds to treat infected people, but in recent days the average was 13 people, so they reactivated the general consultations of other diseases related to pulmonary physiology, hematology, rheumatology and orthopedics, among others. It indicates that the paused services were not of an urgent nature.
In the Old Civil Hospital, the infected will be received on the Infectology floor. And in the Nuevo, in the area of Internal Medicine.
On the other hand, the IMSS asks the beneficiaries to attend their consultations for family medicine, specialty, surgeries and other medical services that are already recovering after the decrease in virus infections.
“Some of the specialties that are already in normal operation are traumatology and orthopedics, ophthalmology, internal medicine, cardiology, neurology, urology, gastroenterology, endocrinology, pediatrics, psychiatry, nephrology, angiology, dermatology, rheumatology and general surgery, among others” , he shared.
A month ago, the Ángel Leaño Hospital, exclusively for COVID-19, closed after 10 months of operation. An interview was sought with the Ministry of Health to find out what will be returned to the Government of Jalisco, but it did not respond.
Areas most affected
- Obstetrics and gynecology, general surgery, plastic, pediatric surgery and oncology They were one of the specialties in which a more pronounced drop in interventions was noted during the pandemic in public hospitals in Jalisco.
- For example, obstetrics-gynecology events went from 37,170 to 30,472; those of general surgery, from 17 thousand 687 to seven thousand 797; and plastic surgeries fell from 5,261 to 2,949 cases.
- By number of events held in 2020, it is followed by the specialties of traumatology, orthopedics, oncology, gynecology and pediatric general surgery.
- These specialties were offered in the hospitals belonging to the Ministry of Health, both in the metropolitan and regional areas, the Civil Hospitals, the Jalisco Institute of Cancerology, the Reconstructive Surgery Institute, the “Esperanza López Mateos” Maternal and Child Hospital, the Hospital General de Occidente, the Dermatological Institute, the Specialized Unit in Obstetric and Neonatal Care, as well as the Guadalajara Obstetric and Neonatal Care Unit.
- Jalisco did not adhere to the Health Institute for Wellbeing (Insabi), but signed a coordination agreement with the institution, which meant that last year they gave them 3,120 million pesos for the free provision of health services. , medicines and other associated supplies for people without social security.
- At the IMSS, within the framework of the “new normal”, at the national level “specialized medical care was provided in the 35 state representation offices and the 25 High Specialty Medical Units also participated. And strict safety and hygiene protocols were complied with to safeguard health ”.
Due to the coronavirus, one in five admissions in Ipejal
The State Pension Institute (Ipejal) reports by Transparency that in 2020 he subrogated a total of 3,663 surgeries, which represented a decrease of 42.8% Compared to the same period of the previous year.
According to the database provided, of that income, 17% were events related to the new coronavirus, either as probable, confirmed or suspected cases; that is, one in five.
On how many operations that are not emergency or urgent are paused, he indicated that “work has continued based on hospital availability, as well as with the COVID-19 care protocols, for continuous care in surgeries.”
Ipejal reported that the hospitals authorized for emergency care outside the hours of the “Unimef” are the Bernardette Hospital Center, the Guadalajara Sanatorium, the Terranova Hospital, the Santa Catalina Hospital Services and the Santa Margarita Hospital.
On the other hand, the Ministry of Health was also asked about how many interventions were paused, to which it responded: “The scheduling of surgeries in each unit varies depending on the demand for qualified services and emergencies that are presented and that merit a surgical intervention, postponing some others that do not compromise the life and health of the person. However, it is about giving attention as soon as possible and, in case of lack of resolution in said hospital unit, the referral mechanism is applied for the referral of the patient to another unit with higher resolution, for this reason there is no system of the that the information can be extracted to be able to provide it ”.
A year later … they will pay for serious illnesses of children
- On May 4, the agreement between the Government of Jalisco and the Institute of Health for Wellbeing (Insabi) was published in the Official Gazette of the Federation for financial support and payment of care covered by the Siglo XXI Medical Insurance. which focuses on comprehensive coverage and catastrophic expenses for children under the age of five. The resources will be for the care provided last year.
- “It will be up to the amount that results from the financial support for the reimbursement of the services covered by the program made to the beneficiaries of the program during the period from January 1 to December 31, 2020, and will proceed for completed events; that is, conditions that have been resolved, except for those that merit continued treatment ”, it is indicated.
- In 2020, the Health Institute for Well-being highlighted that it would provide medical services only in the first and second levels of care for people who did not have any type of social security, which included health centers, IMSS medical units Welfare, units of medical specialties and general, rural and community hospitals. “National Health Hospitals and Federal Hospitals provide third-level care.”
- According to Insabi, health promotion, disease prevention and outpatient care actions are carried out at the first level; that is, it does not include hospitalization. Family planning actions, treatment of common illnesses and general medical check-ups are also contemplated.
- The second level of care includes basic emergency hospitalizations or surgical interventions such as childbirth or fractures. At this level are the specialties such as internal medicine, surgery, pediatrics and obstetrics-gynecology.
- Finally, the third level of care refers to the more complex specialties that require clinical or basic research, which involve cutting-edge technology procedures, such as cardiovascular surgery, hemodialysis or radiotherapy.
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