sábado, 19 de julio de 2008

Tema de tesis: Equidad en Salud (parte I)


Por Anibal Velásquez


Ejemplo: Equidad de acceso a los servicios de salud en asegurados a ESSALUD (Ejemplo para Perú)

Paso 1. Definir las variables de la investigación

Conocer las encuestas nacionales sobre salud
-ENDES (DHS): salud materno infantil en MEF y en niños menores de 5 años por

departamentos. Años 1992, 1996, 2000 y a partir 2004 continua (2004-2007)
-ENAHO (a todas las edades, demanda y uso de servicios, gasto en salud, aseguramiento,

consumo calórico proteico, por departamentos). Encuestas anuales. ENAHO continua

-ENNIV (a todas las edades, demanda y uso de servicios, gasto en salud, aseguramiento, por

regiones)

Buscar las variables principales de investigación en las encuestas
Revisar el cuestionario
Revisar el diccionario de códigos
Revisar la base de datos
Se eligen las variables principales de la investigación:

*Población objetivo: asegurados a ESSALUD
*Nivel socioeconomico
*Uso de servicios

Paso 2. El plan de la construcción de las variables principales
Identificar las variables principales y complementarias en la base de datos
Definir operacionalmente las variables principales
Ej. NSE : riqueza acumulada (activos): Se enseñará cómo hacerlo en SPSS en la 2a parte de tesis: Equidad en salud


Variables de los activos del entrevistado: auto, radio,tv, telefono,bicicleta, electricidad, etc.
Plan de cálculo o construcción de la variable

Ej. Reducir los datos de los activos en un índice
Análisis factorial de componentes principales (SPSS)

Ej. uso de servicios
Enfermos (si,no)
Consulta externa y/o hospitalizado y/o emergencia=uso de servicios

Paso 3. Se construyen las variables del estudio en la base de datos
Paso 4. Revisar los cálculos se evalúa si es necesario modificar la construcción de la variable
Paso 5. Plan de análisis de las variables principales

Se presentan los resultados principales:


-Tabla de contingencia de NSE Vs la variable principal (2) de estudio

-Curva y el indice de concentración (curva de Lorenz y coef. GINI)
Se utiliza una hoja EXCEL (se mostrará en la parte 3 de Tesis Equidad en salud)

Paso 6. Revisión del análisis
Paso 7. Escribir los resultados y discusión
Paso 8. Presentar borrador de tesis
Fotografía: Crédito Anibal velásquez. Arte Haitiano. Es una escultura en madera que se encuentra en el Hotel Montana de Puerto Príncipe, Haití

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Excelente iniciativa profesor Velásquez, me será muy útil para la tesis que estoy tratando de realizar.
Atte.
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