Revista Española de Salud Pública
On-line version ISSN 2173-9110Print version ISSN 1135-5727
ANDANI CERVERA, Joaquín; GUADALAJARA OLMEDA, Natividad; BARRACHINA MARTINEZ, Isabel and VIVAS CONSUELO, David. Incidence and Variability of Temporary Disability Due to Anxiety Disorders during 2009 in the Valencia Community, Spain. Rev. Esp. Salud Publica [online]. 2012, vol.86, n.1, pp.61-70. ISSN 2173-9110. http://dx.doi.org/10.1590/S1135-57272012000100006.
Background: Anxiety, dissociative and somatoform disorders (WHO-e 300) are the second cause of Temporary Disability (TD) in Spain. This is the main reason that justifies the analysis of the variability among primary health care centers (PHC) of the Valencian Community in the prescription processes of Temporary Disability for these disorders. Methods: Epidemiological cross-sectional descriptive study of variability of TD processes initiated in 2009 corresponding to diagnosis e 300 in 739 PHC from 23 heh districts in the Valencian Community, where 25,859 TD processes for the diagnosis e 300 were prescribed. Traditional indicators of variation developed for the analysis of small areas were used to determine variability in the incidence rate of TD processes. The analysis of variance was used to determine the percentage of explanation of the factors studied. Results: The average incidence rate obtained was of 1.08 for 100 individuals. The variation range was between 0.01 and 1.97 for percentiles P5 to P95. In the variance components analysis, the factor of heh district explains the highest percentage of variability (22.12), followed by the factor province (20.21%), coastal areas (4.65%), teaching accreditation (2.44%) and the size of population assigned to each PHC (2.40%). Conclusions: Significant differences were observed in the incidence rate of TD processes for the diagnosis e 300. The PHCs with greater population pressure and those that are accredited had the highest rates of incidence.
Keywords : Sick Leave; Mental Disorders; Primary Health Care; Disability Insurance; Medical Practice Management.