Comparing costs and timing of ankle sprain care in two first-tier care systems




Arlette R. Ordóñez-Flores, Servicio de Rehabilitación, Hospital General de Zona No. 197, Instituto Mexicano del Seguro Social (IMSS), Órgano de Operación Administrativa Desconcentrada Estado de México Oriente, Texcoco de Mora, Estado de México, México
José J. Rivera-Sánchez, Servicio de Geriatría, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México
M. Valeria Jiménez-Baez, Coordinación de Planeación y Enlace, Órgano de Operación Administrativa Desconcentrada Quintana Roo, Cancún, Quintana Roo, México
David Rojano-Mejía, Coordinación de Investigación en Salud, IMSS, Ciudad de México, México
Macedonia G. Moreno-Tovar, Coordinación Clínica de Educación e Investigación en Salud, Unidad de Medicina Familiar No. 41, Órgano de Operación Administrativa Desconcentrada Ciudad de México Sur, Ciudad de México, México
Alma I. Guerrero-Martínez, Coordinación Clínica de Turno, Hospital General de Zona No. 48, Órgano de Operación Administrativa Desconcentrada Ciudad de México Sur, Ciudad de México. México


Objective: To compare the costs of care and the opportunity of care for the management of grade I-II ankle sprain in two Family Medicine Units, one with rehabilitation service (FMU 13) and one without rehabilitation service (FMU 41). Method: Observational analytical study, records with diagnosis of grade I-II ankle sprain attended at the FMU were included January-November 2021. Consultations were recorded in the emergency department, family medicine, rehabilitation, cabinet studies and time to grant the appointment in the rehabilitation service (opportunity of care), the Mann-Whitney U test was used to compare costs of care and timeliness of care. Results: In FMU 41, care costs were higher compared to FMU 13 ($13,990 vs $8,063); however, this difference was not significant, as was the cost of care in family medicine, rehabilitation, and opportunity of care. Conclusions: The costs of care and the opportunity of care were similar in both models of care (FMU 13-FMU 41) of grade I-II ankle sprain.



Keywords: Ankle sprain. Cost of care. Cost analysis. Rehabilitation.