Proyecto para la implementación de un Centro Médico Integral para pacientes adultos con diabetes tipo II con obesidad atendidos en la Clínica Kennedy Alborada 2012
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Este Proyecto propone un servicio integral de salud para pacientes con Diabetes tipo II y Obesidad. Ante la problemática actual del incremento de consultas de estas patologías y su relación con enfermedades cardiovasculares y el cáncer, tenemos un aumento de la demanda de los servicios de salud relacionadas a las mismas. El objetivo general de la investigación fue “proponer un diseño para la creación de un centro médico integral para pacientes adultos obesos, en la Clínica Kennedy Alborada” y cuatro objetivos específicos. Se realizó una investigación tomando como lugar la Clínica Kennedy Alborada durante el período enero –junio del 2012. El universo de la investigación estuvo conformado por 593 pacientes de la consulta de endocrinología y obesidad. La muestra de la investigación fue de 119 pacientes. Los resultados de la investigación, indicaron que el promedio mensual es de 99 atenciones; el grupo etario de pacientes de 41 años en adelante constituye el 96% de la consulta; la clasificación de pacientes por sexo demuestra que de 593 pacientes, 423 (71%) son del sexo femenino y 170 (29%) del sexo masculino; el porcentaje de pacientes con Diabetes Mellitus Tipo II y un Índice Masa Corporal >= 30 es del 20,1%. La determinación de costos y presupuestos indica que el proyecto demandará una inversión inicial de US$ 96.379,98; de estos la cantidad de 68.098,30 (70,7%) provendrá de un préstamo bancario a 60 meses plazo, calculado al 14% de interés anual; se estima que las ventas del primer año serán de US$ 359.450,00, y presentará resultados positivos durante cinco años que es el período proyectado. Considerando una tasa de descuento del 9,94% el proyecto presenta una TIR del 33,27%, una VAN positiva de US$ 91.468,61 y un índice de rentabilidad de US$ 2,01, se recuperará la inversión en un lapso de 40 meses (3 años y 4 meses). Existe en la ciudad una oferta suficiente de personal calificado y el proyecto considera todo el diseño organizativo, estratégico, de localización, equipamiento y el diseño de servicios. Por lo expuesto es un proyecto socialmente deseable, comercialmente posible, financieramente atractivo y técnicamente viable.
This project proposes a comprehensive health service for patients with type II diabetes and obesity. Given the current problems of increased consultations of these pathologies and their relation to cardiovascular disease and cancer, have increased the demand for health services related to them. The overall objective of the research was "to propose a design for the creation of a comprehensive medical center for obese adult patients in the clinic Kennedy Alborada" and four specific objectives. The investigation was conducted as taking place Alborada Kennedy Clinic during the period from January to June 2012. The universe of the research consisted of 593 patients attended for endocrinology and Obesity. The research sample was 119 patients. The results of the research, which indicates that the monthly average is 99 attentions, the age group of 41 patients older constitute 96% of the consultation, the patient classification by sex shows that of 593 patients, 423 (71 %) were female and 170 (29%) males, the percentage of patients with Diabetes Mellitus Type II and a Body Mass Index> = 30 is 20.1%. The sub-section costing and budgets indicates that the project will require an initial investment of U.S. $ 96,379.98, of these the amount of 68,098.30 (70.7%) come from a bank loan term to 60 months, calculated to 14 % annual interest, with an estimated first year sales will be U.S. $ 359,450.00, and will present positive results for five years which is the projected period. Assuming a discount rate of 9.94% the project has an IRR of 33 , 27%, a positive NPV of U.S. $ 91,468.61 and a rate of return of $ 2.01, the investment will be recovered within 40 months (3 years and 4 months). It exists in the city a sufficient supply of qualified and the proyect considered all the organizational design, strategic location, equipment and design services. The foregoing is a socially desirable project, commercially feasible, financially attractive and technically viable.
This project proposes a comprehensive health service for patients with type II diabetes and obesity. Given the current problems of increased consultations of these pathologies and their relation to cardiovascular disease and cancer, have increased the demand for health services related to them. The overall objective of the research was "to propose a design for the creation of a comprehensive medical center for obese adult patients in the clinic Kennedy Alborada" and four specific objectives. The investigation was conducted as taking place Alborada Kennedy Clinic during the period from January to June 2012. The universe of the research consisted of 593 patients attended for endocrinology and Obesity. The research sample was 119 patients. The results of the research, which indicates that the monthly average is 99 attentions, the age group of 41 patients older constitute 96% of the consultation, the patient classification by sex shows that of 593 patients, 423 (71 %) were female and 170 (29%) males, the percentage of patients with Diabetes Mellitus Type II and a Body Mass Index> = 30 is 20.1%. The sub-section costing and budgets indicates that the project will require an initial investment of U.S. $ 96,379.98, of these the amount of 68,098.30 (70.7%) come from a bank loan term to 60 months, calculated to 14 % annual interest, with an estimated first year sales will be U.S. $ 359,450.00, and will present positive results for five years which is the projected period. Assuming a discount rate of 9.94% the project has an IRR of 33 , 27%, a positive NPV of U.S. $ 91,468.61 and a rate of return of $ 2.01, the investment will be recovered within 40 months (3 years and 4 months). It exists in the city a sufficient supply of qualified and the proyect considered all the organizational design, strategic location, equipment and design services. The foregoing is a socially desirable project, commercially feasible, financially attractive and technically viable.
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Sobrepeso, Obesidad, Centro médico integral, Diabetes mellitus tipo 2, Hospital Clínica Kennedy de la Alborada, Cantón Guayaquil, Ecuador