Integrated preventive care coverage effectiveness in high-risk worksites in Mexico

Objectives Worksites have been considered a propitious environment for promoting health. In 2005, an integrated preventive care (IPC) system was implemented in Mexico consisting of health promotion and disease prevention interrelated activities, delivered on a single visit and on location. This proj...

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Veröffentlicht in:International archives of occupational and environmental health 2010-10, Vol.83 (7), p.813-821
Hauptverfasser: Rocha, Georgina Mayela Núñez, Martínez, Ana María Salinas, Hernández, Sandra Angélica Ramírez, Elizondo, María Eugenia Garza
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container_issue 7
container_start_page 813
container_title International archives of occupational and environmental health
container_volume 83
creator Rocha, Georgina Mayela Núñez
Martínez, Ana María Salinas
Hernández, Sandra Angélica Ramírez
Elizondo, María Eugenia Garza
description Objectives Worksites have been considered a propitious environment for promoting health. In 2005, an integrated preventive care (IPC) system was implemented in Mexico consisting of health promotion and disease prevention interrelated activities, delivered on a single visit and on location. This project contributes relevant information on IPC coverage and its degree of effectiveness on providing health promotion services to workers at high-risk worksites. Methods There were included 68 worksites particularly affected by high fatal and nonfatal injury rates; the target population comprised 45,724 workers. Coverage referred to the completion of IPC actions within the last year, and effectiveness was defined as the extent to which an observed IPC coverage came close to an ideal IPC coverage. Means and 95% confidence intervals (CI) were calculated for given estimates. Results and conclusions Overall IPC mean coverage effectiveness was 61.2% (95% CI 60.8–61.6), a value below satisfactory range limits. Results broken down by sex and age showed higher mean coverage effectiveness for adult working men than adult working women ( p  
doi_str_mv 10.1007/s00420-010-0550-2
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In 2005, an integrated preventive care (IPC) system was implemented in Mexico consisting of health promotion and disease prevention interrelated activities, delivered on a single visit and on location. This project contributes relevant information on IPC coverage and its degree of effectiveness on providing health promotion services to workers at high-risk worksites. Methods There were included 68 worksites particularly affected by high fatal and nonfatal injury rates; the target population comprised 45,724 workers. Coverage referred to the completion of IPC actions within the last year, and effectiveness was defined as the extent to which an observed IPC coverage came close to an ideal IPC coverage. Means and 95% confidence intervals (CI) were calculated for given estimates. Results and conclusions Overall IPC mean coverage effectiveness was 61.2% (95% CI 60.8–61.6), a value below satisfactory range limits. Results broken down by sex and age showed higher mean coverage effectiveness for adult working men than adult working women ( p  &lt; 0.0001). Promotion of reproductive health was the IPC process with the lowest mean coverage effectiveness (51.8%; 95% CI 50.8–52.7), followed by the disease detection process (59.0%; 95% CI 58.4–59.6) and the disease prevention and control process (61.0%; 95% CI 60.5–61.5). Maintaining the health of the workforce poses a significant challenge for health services. Therefore, analysis of coverage effectiveness represents a useful tool for evaluating and reorganizing preventive medicine care at worksites.</description><identifier>ISSN: 0340-0131</identifier><identifier>EISSN: 1432-1246</identifier><identifier>DOI: 10.1007/s00420-010-0550-2</identifier><identifier>PMID: 20544216</identifier><identifier>CODEN: IAEHDW</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Disease detection ; Disease prevention ; Earth and Environmental Science ; Effectiveness studies ; Environment ; Environmental Health ; Female ; Health Education ; Health Promotion ; Humans ; Male ; Medical sciences ; Mexico ; Middle Aged ; Miscellaneous ; Occupational health ; Occupational Health - statistics &amp; numerical data ; Occupational medicine ; Occupational Medicine/Industrial Medicine ; Original Article ; Prevention ; Preventive Health Services - statistics &amp; numerical data ; Preventive medicine ; Public health. 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In 2005, an integrated preventive care (IPC) system was implemented in Mexico consisting of health promotion and disease prevention interrelated activities, delivered on a single visit and on location. This project contributes relevant information on IPC coverage and its degree of effectiveness on providing health promotion services to workers at high-risk worksites. Methods There were included 68 worksites particularly affected by high fatal and nonfatal injury rates; the target population comprised 45,724 workers. Coverage referred to the completion of IPC actions within the last year, and effectiveness was defined as the extent to which an observed IPC coverage came close to an ideal IPC coverage. Means and 95% confidence intervals (CI) were calculated for given estimates. Results and conclusions Overall IPC mean coverage effectiveness was 61.2% (95% CI 60.8–61.6), a value below satisfactory range limits. Results broken down by sex and age showed higher mean coverage effectiveness for adult working men than adult working women ( p  &lt; 0.0001). Promotion of reproductive health was the IPC process with the lowest mean coverage effectiveness (51.8%; 95% CI 50.8–52.7), followed by the disease detection process (59.0%; 95% CI 58.4–59.6) and the disease prevention and control process (61.0%; 95% CI 60.5–61.5). Maintaining the health of the workforce poses a significant challenge for health services. 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In 2005, an integrated preventive care (IPC) system was implemented in Mexico consisting of health promotion and disease prevention interrelated activities, delivered on a single visit and on location. This project contributes relevant information on IPC coverage and its degree of effectiveness on providing health promotion services to workers at high-risk worksites. Methods There were included 68 worksites particularly affected by high fatal and nonfatal injury rates; the target population comprised 45,724 workers. Coverage referred to the completion of IPC actions within the last year, and effectiveness was defined as the extent to which an observed IPC coverage came close to an ideal IPC coverage. Means and 95% confidence intervals (CI) were calculated for given estimates. Results and conclusions Overall IPC mean coverage effectiveness was 61.2% (95% CI 60.8–61.6), a value below satisfactory range limits. Results broken down by sex and age showed higher mean coverage effectiveness for adult working men than adult working women ( p  &lt; 0.0001). Promotion of reproductive health was the IPC process with the lowest mean coverage effectiveness (51.8%; 95% CI 50.8–52.7), followed by the disease detection process (59.0%; 95% CI 58.4–59.6) and the disease prevention and control process (61.0%; 95% CI 60.5–61.5). Maintaining the health of the workforce poses a significant challenge for health services. Therefore, analysis of coverage effectiveness represents a useful tool for evaluating and reorganizing preventive medicine care at worksites.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20544216</pmid><doi>10.1007/s00420-010-0550-2</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Disease detection
Disease prevention
Earth and Environmental Science
Effectiveness studies
Environment
Environmental Health
Female
Health Education
Health Promotion
Humans
Male
Medical sciences
Mexico
Middle Aged
Miscellaneous
Occupational health
Occupational Health - statistics & numerical data
Occupational medicine
Occupational Medicine/Industrial Medicine
Original Article
Prevention
Preventive Health Services - statistics & numerical data
Preventive medicine
Public health. Hygiene-occupational medicine
Rehabilitation
Reproductive health
Risk
Workplace
Young Adult
title Integrated preventive care coverage effectiveness in high-risk worksites in Mexico
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