Constantino-Casas Patricia, del Pilar Torres-Arreola Laura, Posadas-García Jorge Luis, Nevárez-Sida Armando, García-Contreras Fernando
Unidad de Investigación en Economía de la Salud, Coordinacíon Delegacional de Salud en el Trabajo en Nayarit, Instituto Mexicano del Seguro Social, Mexico.
Rev Med Inst Mex Seguro Soc. 2007 Jan-Feb;45(1):89-96.
The repercussion of health-disease state on social life or individual includes his/her work performance. In many countries, social security is one of the options for diffusing and buffering the impact of the disease. This paper is focused on the analysis of the unjustified prescription of temporary sick leave certificates (CITT), which combines the social security medical components and economic benefits (subsidies). The objective is to analyze the mechanism of prescription of CITT from the perspective of health economics and health care services. The detailed flow of CITT at the Mexican Institute of Social Security is described, as are some concepts of the health economics perspective that contribute to explain the prescription of CITT. Statistical data of sick leaves due to work-related and non-work-related diseases are presented from the institutional perspective. Finally, it is emphasized that although CITT are a medical prescription, it is advisable to take into account the economic perspective and its concepts in order to achieve an efficient use of resources.
