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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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
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doi_str_mv | 10.1007/s00420-010-0550-2 |
format | Article |
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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
< 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 & 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</subject><ispartof>International archives of occupational and environmental health, 2010-10, Vol.83 (7), p.813-821</ispartof><rights>Springer-Verlag 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-d2ba03485ac127e68fbb3fb6ae21254ca4fbadc8b1a1028216e28a0e6f76e04b3</citedby><cites>FETCH-LOGICAL-c432t-d2ba03485ac127e68fbb3fb6ae21254ca4fbadc8b1a1028216e28a0e6f76e04b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00420-010-0550-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00420-010-0550-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23248417$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20544216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rocha, Georgina Mayela Núñez</creatorcontrib><creatorcontrib>Martínez, Ana María Salinas</creatorcontrib><creatorcontrib>Hernández, Sandra Angélica Ramírez</creatorcontrib><creatorcontrib>Elizondo, María Eugenia Garza</creatorcontrib><title>Integrated preventive care coverage effectiveness in high-risk worksites in Mexico</title><title>International archives of occupational and environmental health</title><addtitle>Int Arch Occup Environ Health</addtitle><addtitle>Int Arch Occup Environ Health</addtitle><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
< 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><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Disease detection</subject><subject>Disease prevention</subject><subject>Earth and Environmental Science</subject><subject>Effectiveness studies</subject><subject>Environment</subject><subject>Environmental Health</subject><subject>Female</subject><subject>Health Education</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mexico</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Occupational health</subject><subject>Occupational Health - statistics & numerical data</subject><subject>Occupational medicine</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Original Article</subject><subject>Prevention</subject><subject>Preventive Health Services - statistics & numerical data</subject><subject>Preventive medicine</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Rehabilitation</subject><subject>Reproductive health</subject><subject>Risk</subject><subject>Workplace</subject><subject>Young Adult</subject><issn>0340-0131</issn><issn>1432-1246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkVtLAzEQhYMoWi8_wBdZBPFpNZNNsvFRijdQBNHnkE0nbWq7W5Nt1X9v1lYFQXxIAjNfzpzhELIP9AQoLU8jpZzRnEI6QtCcrZEe8ILlwLhcJz1a8K5bwBbZjnFMKZSyLDbJFqOCcwayRx5u6haHwbQ4yGYBF1i3foGZNSFdzQKDGWKGzqHt6jXGmPk6G_nhKA8-PmevTXiOvsXP8h2-edvskg1nJhH3Vu8Oebq8eOxf57f3Vzf989vcJottPmCVSQaVMBZYiVK5qipcJQ0yYIJbw11lBlZVYIAyldwiU4aidKVEyqtihxwvdWeheZljbPXUR4uTiamxmUethCyFTAP-JUshIGHAEnn4ixw381CnNRIESoozxRMES8iGJsaATs-Cn5rwroHqLhi9DEanYHQXjO6ED1bC82qKg-8fX0kk4GgFmGjNxAVTWx9_uIJxxaFMHFtyMbXqIYYfh39P_wCMkqTv</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Rocha, Georgina Mayela Núñez</creator><creator>Martínez, Ana María Salinas</creator><creator>Hernández, Sandra Angélica Ramírez</creator><creator>Elizondo, María Eugenia Garza</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope><scope>7UA</scope></search><sort><creationdate>20101001</creationdate><title>Integrated preventive care coverage effectiveness in high-risk worksites in Mexico</title><author>Rocha, Georgina Mayela Núñez ; Martínez, Ana María Salinas ; Hernández, Sandra Angélica Ramírez ; Elizondo, María Eugenia Garza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-d2ba03485ac127e68fbb3fb6ae21254ca4fbadc8b1a1028216e28a0e6f76e04b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Disease detection</topic><topic>Disease prevention</topic><topic>Earth and Environmental Science</topic><topic>Effectiveness studies</topic><topic>Environment</topic><topic>Environmental Health</topic><topic>Female</topic><topic>Health Education</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mexico</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Occupational health</topic><topic>Occupational Health - statistics & numerical data</topic><topic>Occupational medicine</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Original Article</topic><topic>Prevention</topic><topic>Preventive Health Services - statistics & numerical data</topic><topic>Preventive medicine</topic><topic>Public health. 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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
< 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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