Unidad Médica Presidencial Argentina. Relevamiento de la red hospitalaria Argentina y recursos para patologías de hora de oro

2020 
Introduction: Presidential medical units are intended to protect the dignitary's health in multiple aspects and work in close relationship with security. There are three central areas of coverage: myocardial infarction, stroke and trauma. By 2016 we had not found information about the resources on medical centers in Argentina and their integration into healthcare networks. Objective: Describe the relevant medical centers and their available resources for the medical coverage areas mentioned. Methods: It is a descriptive, cross-sectional study between 12/2016 and 8/2019. The sampling was not probabilistic and for convenience. Variables were reported as proportions and comparisons were made using the chi-square test or Fischer. Results: 232 centers were entered, 66.8% in capital cities and 67% in the public sector. Capitals were associated with a greater presence of resources: category 3 centers (OR 7.85; 95% CI 3.66-16.84; p <0.000001), angiography (OR 5.94; 95% CI 3.24-10.28; p <0.000001 ), tomography (OR 3.41; 95% CI 1.51-7.69; p=0.002), thrombolytics (OR 3.24; 95% CI 1.37-7.76; p=0.005); except trauma surgery (OR 1.83; 95% CI 0.75-4.46; p=0.17). Private centers were associated with greater resources for reperfusion; and public centers for trauma treatment. Conclusions: There is an unbalanced distribution of key resources between capital and non-capital cities in large geographical areas that makes it impossible to develop an adequate network for the treatment of heart attack, stroke and trauma. The best quality of care requires combining public and private networks.
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