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- W2030446970 abstract "A prospective study conducted at 8 clinics of the Mexican Social Security Institute during 1992-93 compared the health benefits of follow-up visits for IUD users with the program costs of such care. 1713 new IUD users were instructed to return for either 2 or 4 visits in the first 12 months after IUD insertion. The total number of follow-up visits was 1135 in the 4-visit group and 710 in the 2-visit group. Only 11% of women in the 4-visit regimen and 19% in the 2-visit regimen made at least the required number of visits. 83% of follow-up visits were scheduled. In both regimens 21-22% of visits involved a serious medical intervention primarily the prescription of antibiotics for suspected genital tract infection. 53 scheduled visits in the 4-visit group and 29 in the 2-visit group involved women who were asymptomatic but required a serious medical intervention. Assuming that the program provides about 250000 IUDs annually costs would total US$1.7 million for the 4-visit regimen and US$900000 for a 2-visit schedule. The 4-visit approach would generate 8387 more visits involving medical interventions than the 2-visit regimen at a cost of US$48 per visit. Although these findings indicate that the practice of scheduling frequent revisits for IUD users aids in the detection of situations requiring medical attention the Mexican Social Security Institute has decided that the costs of such a regimen are prohibitive. Program managers have concluded that only 1 follow-up visit 1 month after IUD insertion is necessary." @default.
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- W2030446970 date "1999-03-01" @default.
- W2030446970 modified "2023-09-25" @default.
- W2030446970 title "The Costs and Benefits of IUD Follow-Up Visits in the Mexican Social Security Institute" @default.
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- W2030446970 doi "https://doi.org/10.2307/2991898" @default.
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