medigraphic.com
Instituto Nacional de Salud Pública

2021, Number 6

<< Back Next >>

salud publica mex 2021; 63 (6)

Health care utilization during the Covid-19 pandemic in Mexico: the cascade of care

Colchero MA, Gómez R, Pineda-Antúnez CJ, Bautista-Arredondo S

Language: English
References: 22
Page: 743-750
PDF size: 379.12 Kb.


ABSTRACT

Objective. The objective of the study is to describe trends in selected services offered at public health facilities and utilization patterns during the Covid-19 epidemic in Mexico. Materials and methods. We used administrative data and the National Health and Nutrition Survey Covid-19, 2020. Results. We found a reduction in the rates of diabetes and detection screening during 2020 compared to 2014-2019. From the demand side, we found that 18.6% of the population reported health needs, and only 34% of them received care in public health facilities. The use of private health services was extensive even among the population with social security. The uninsured and the population with high and medium socioeconomic status had a lower probability of receiving care in public health facilities. Conclusion. We document trends in selected services, as well as the cascade of care during the Covid-19 epidemic in Mexico and its potential impact on displaced health care.


REFERENCES

  1. Edejer TT-T, Hanssen O, Mirelman A, Verboom P, Lolong G, Watson OJ, et al. Projected health-care resource needs for an effective response to COVID-19 in 73 low-income and middle-income countries: a modelling study. Lancet Glob Heal. 2020;8(11):e1372-9. https://doi.org/10.1016/ S2214-109X(20)30383-1

  2. Chen J, Vullikanti A, Hoops S, Mortveit H, Lewis B, Venkatramanan S, et al. Medical costs of keeping the US economy open during COVID-19. Sci Rep [Internet]. 2020;10(1):18422. https://doi.org/10.1038/s41598-020- 75280-6

  3. Pellino G, Spinelli A. How coronavirus disease 2019 outbreak is impacting colorectal cancer patients in Italy: a long shadow beyond infection. Dis Colon Rectum. 2020;63(6):720-2. https://doi.org/10.1097/ DCR.0000000000001685

  4. Kang C, Yang S, Yuan J, Xu L, Zhao X, Yang J. Patients with chronic illness urgently need integrated physical and psychological care during the COVID-19 outbreak. Asian J Psychiatr. 2020;51:102081. https://doi. org/10.1016/j.ajp.2020.102081

  5. Malhotra C, Chaudhry I, Ozdemir S, Finkelstein EA. Reduced health-care utilization among people with chronic medical conditions during coronavirus disease 2019. Proc Singapore Healthc. 2020;30(3):254-7. https://doi. org/10.1177/2010105820964533

  6. Hung KK, Walline JH, Chan EYY, Huang Z, Lo ESK, Yeoh EK, Graham CA. Health Service Utilization in Hong Kong During the COVID-19 Pandemic - A Cross-sectional Public Survey. Int J Health Policy Manag. 2020;10(10):1-6. https://doi.org/10.34172/ijhpm.2020.183

  7. Schers H, van Weel C, van Boven K, Akkermans R, Bischoff E, olde Hartman T. The COVID-19 Pandemic in Nijmegen, the Netherlands: Changes in Presented Health Problems and Demand for Primary Care. Ann Fam Med. 2021;19(1):44-7. https://doi.org/10.1370/afm.2625

  8. Michalowsky B, Hoffmann W, Bohlken J, Kostev K. Effect of the COVID- 19 lockdown on disease recognition and utilisation of healthcare services in the older population in Germany: a cross-sectional study. Age Ageing. 2021;50(2):317-25. https://doi.org/10.1093/ageing/afaa260

  9. Dirección General de Información en Salud. COVID-19, México: Datos epidemiológicos [Internet]. Mexico: SINAVE, 2020 [cited Aug 18, 2020]. Available from: https://covid19.sinave.gob.mx/

  10. Consejo de Salubridad General. Lineamientos de implementación de centros de atención temporal COVID-19 (CAT-COVID) y hospitales móviles (EMT). Mexico City: Secretaría de Salud, 2020 [cited Sep 8, 2020]. Available from: https://coronavirus.gob.mx/wp-content/uploads/2020/04/ Lineamientos_Centros_Atencion_Temporal.pdf

  11. Dirección General de Información en Salud. Servicios Otorgados SIS [Internet]. Mexico City: Secretaría de Salud, 2020 [cited Sep 8, 2020]. Available from: http://www.dgis.salud.gob.mx/contenidos/basesdedatos/ bdc_serviciossis_gobmx.html

  12. Dirección General de Información en Salud. Población [Internet]. Mexico City: Secretaría de Salud, 2021 [cited Jan16, 2021]. Available from: http:// dgis.salud.gob.mx/contenidos/basesdedatos/bdc_poblacion_gobmx.html

  13. Taljaard M, McKenzie JE, Ramsay CR, Grimshaw JM. The use of segmented regression in analysing interrupted time series studies: an example in pre-hospital ambulance care. Implement Sci. 2014;9(1):1-4. https://doi. org/10.1186/1748-5908-9-77

  14. Wagner AK, Soumerai SB, Zhang F, Ross-Degnan D. Segmented regression analysis of interrupted time series studies in medication use research. J Clin Pharm Ther. 2002;27(4):299-309. https://doi.org/10.1046/j.1365- 2710.2002.00430.x

  15. Institute for Health Metrics and Evaluation. GBD Compare. Seattle: IHME, University of Washington, 2019 [cited May 5, 2021]. Available from: http://vizhub.healthdata.org/gbd-compare

  16. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista- Arredondo S, Colchero MA, Gaona Pineda EB, et al. Metodología de la Encuesta Nacional de Salud y Nutrición 2020 sobre Covid-19. Salud Pública de México. 2021;63(3):444-51. https://doi.org/10.21149/12580

  17. Colchero MA, Gómez R, Bautista-Arredondo S. Caracterización de la “cascada de atención” en servicios públicos en México en localidades de menos de 100 000 habitantes. Salud Publica Mex. 2019;61(1):734-41. https://doi.org/10.21149/10570

  18. Colchero MA, Gómez R, Figueroa JL, Rodríguez-Atristain A, Bautista- Arredondo S. Increase in medical offices in pharmacies in Mexico and health care in public health services between 2012 and 2018. Salud Publica Mex. 2020;62(6):851-8. https://doi.org/10.21149/11547

  19. Lustig N, Pabón VM, Sanz F, Younger SD. The impact of COVID-19 lockdowns and expanded social assistance on inequality, poverty and mobility in Argentina, Brazil, Colombia and Mexico. Washington DC: Center for Global Development [cited Aug 18, 2020]. Available from: https://www. cgdev.org/ publication/impact-covid-19-lockdowns-and-expanded-socialassistance- inequalitypoverty-and-mobility

  20. Dicker B, Swain A, Todd VF, Tunnage B, McConachy E, Drake H, et al. Changes in demand for emergency ambulances during a nationwide lockdown that resulted in elimination of COVID-19: an observational study from New Zeland. BMJ Open. 2020;10(12):e044726. https://doi. org/10.1136/bmjopen-2020-044726

  21. López-Manning M, García-Díaz R. Doctors adjacent to private pharmacies: the new ambulatory care provider for Mexican health care seekers. Value Heal Reg issues. 2017;14:81-88. https://doi.org/10.1016/j. vhri.2017.08.010

  22. Pérez-Cuevas R, Doubova SV, Wirtz VJ, Serván-Mori E, Dreser A, Hernández-Ávila M. Effects of the expansion of doctors’ offices adjacent to private pharmacies in Mexico: secondary data analysis of a national survey. BMJ Open. 2014;4(5):e004669. https://doi.org/10.1136/bmjopen- 2013-004669




2020     |     www.medigraphic.com