Impact of group purchasing in cooperative of hospital in Colombia, using a price index from 1999 to 2012
The application of price indices is useful to analyze the behavior of prices as an important component in patients' access to essential medications over a period of time. The present work analyzed the variation in the prices of 303 medications sold by a cooperative of hospitals in central Colombia between 1999 and 2010 by applying inflation-adjusted price indices and Laspeyres-Paasche quantities by ABC groups and principal therapeuticals in the first and second ATC (anatomic, therapeutical, chemical) level, taking 1999 as the starting year. The medications of type A and B, as well as those belonging to the first four therapeutical groups in the first ATC level in cost and for seven groups in the second ATC level, registered a drop between 40 and 53% (P < 0.05) in the applied price indices. In addition, all the ABC and ATC groups showed increases between 9 and 12 times (P < 0.01) when applying the indices on units sold. The estimated net saving in 2010 at prices of 1999, went above $ 16.9 billion COP. This impact on prices has helped to expand the coverage in essential medications supplied to the public hospitals which are afterwards administered to the patients of this region of Colombia.
Técnicas de medición económica : metodología y aplicaciones en Colombia
El proposito de este libro es estudiar de manera integrada las bases conceptuales y la metodologia de las 
estadisticas que usan los economistas y otros cienticos sociales para describir y analizar los fenomenos 
economicos y sociales. Las estadisticas que se estudian en este texto han sido seleccionadas por su utilidad 
y aplicacion corriente. El libro no esta dirigido a especialistas, su nivel es introductorio y su enfoque 
eminentemente practico. Esta edicion electronica es gratuita y con ello aspira a llegar a un publico mas 
amplio. De ahi su estructura modular y los numerosos recursos didacticos y de consulta que contiene.
High-frequency hearing thresholds: effects of age, occupational ultrasound and noise exposure
AbstractPurpose
It has been suggested that high-frequency audiometry (HFA) could represent a useful preventive measure in exposed workers. The aim was to investigate the effects of age, ultrasound and noise on high-frequency hearing thresholds.MethodsWe tested 24 industrial ultrasound-exposed subjects, 113 industrial noise-exposed subjects and 148 non-exposed subjects. Each subject was tested with both conventional-frequency (0.125–8 kHz) and high-frequency (9–18 kHz) audiometry.ResultsThe hearing threshold at high frequency deteriorated as a function of age, especially in subjects more than 30 years old. The ultrasound-exposed subjects had significantly higher hearing thresholds than the non-exposed ones at the high frequencies, being greatest from 10 to 14 kHz. This hearing loss was already significantly evident in subjects with exposure <5 years and increased with years of exposure and advancing age. The noise exposure group had significantly higher hearing thresholds than the non-exposed group at the conventional frequencies 4 and 6 kHz and at the high frequency of 14 kHz. After stratification for age, there was a significant difference between the two groups at 9–10 and 14–15 kHz only for those under 30 years of age.ConclusionMultivariate analysis indicated that age was the primary predictor, and noise and ultrasound exposure the secondary predictors of hearing thresholds in the high-frequency range. The results suggest that HFA could be useful in the early diagnosis of noise-induced hearing loss in younger groups of workers (under 30 years of age).
