Efectos económicos y sociales del proyecto mejoramiento carretera Santo Tomas – Colquemarca, 2021

La presente investigación tuvo como objetivo primordial Analizar los efectos económicos y sociales que ha generado el proyecto mejoramiento carretera Santo Tomas – Colquemarca; en cuanto a la metodología es de alcance y enfoque cuantitativo, diseño experimental utilizando el método hipotético deductivo, con una población igual a 1752 habitantes para el grupo experimental y 1489 habitantes para el grupo de control con una muestra de 273 para el grupo experimental y 265 habitantes para el grupo de control a quienes se les aplico la encuesta como técnica de recolección de datos y al cuestionario como herramienta de recopilación de datos es así que se llegó a las siguientes conclusiones: i) El mejoramiento de la carretera Santo Tomas – Colquemarca, mejoró las actividades económicas, debido a que antes del proyecto las actividades económicas de la población afectada se concentraban en agricultura y ganadería, mientras que después del proyecto, se logró diversificar a otros sectores y ii) El mejoramiento carretera Santo Tomas – Colquemarca, permitió que la población del área de influencia acceda a los servicios de salud, entre otros. Optimizando de esta forma las condiciones de vida de los hogares

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially