title: [Prescription of temporal disability certificates in workers attending to IMSS from the perspective of health economy].
abstract: 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.
authors.affiliation: Unidad de Investigación en Economía de la Salud, Coordinacíon Delegacional de Salud en el Trabajo en Nayarit, Instituto Mexicano del Seguro Social, Mexico. norma.constantino@imss.gob.mx
authors.forename: Patricia
authors.initials: P
authors.lastname: Constantino-Casas
authors.forename: Laura
authors.initials: L
authors.lastname: del Pilar Torres-Arreola
authors.forename: Jorge Luis
authors.initials: JL
authors.lastname: Posadas-García
authors.forename: Armando
authors.initials: A
authors.lastname: Nevárez-Sida
authors.forename: Fernando
authors.initials: F
authors.lastname: García-Contreras
mesh_terms: D003663:Decision Trees; D003695:Delivery of Health Care / Q000191:economics*; D004185:Disability Evaluation; D006801:Humans; D008800:Mexico; D018582:Sick Leave / Q000191:economics* / Q000706:statistics & numerical data*; D013997:Time Factors