medigraphic.com
Instituto Nacional de Salud Pública

2023, Number 1

<< Back Next >>

salud publica mex 2023; 65 (1)

Health care provider selection and health needs among the Mexican population, 2021

Colchero MA, Gómez R, Bautista-Arredondo S

Language: Spanish
References: 22
Page: 28-35
PDF size: 348.69 Kb.


ABSTRACT

Objective. To estimate the association between the selection of health care providers and the health needs of the population. Materials and methods. We used data from Encuesta Nacional de Salud y Nutrición 2021 sobre Covid-19. Results. Acute needs (respiratory infections, diarrhea and Covid-19) represent 48%; 21% chronic needs (control, followup or diagnosis of diabetes, hypertension, gastritis, cancer); 12% prevention needs (vaccination, checkups, prenatal visits), non-infectious acute events that include physical injuries, headaches, fever (7%), and 4% the rest. The selection between private and public providers depend on the health need. For acute needs only 25% of the population uses public services. For chronic needs, non-infectious acute and preventive need, the proportion that uses public services is larger, including the population without social security. Conclusions. The results of this study can be used to strengthen public services that need more resources in the context of the health systems reform.


REFERENCES

  1. Gómez-Dantés O, Sesma S, Becerril V, Knaul FM, Arreola H, Frenk J.Sistema de salud de México. Salud Publica Mex. 2011;5(supl 2):s220-s232[citado 2022 sep 05]. Disponible en: http://saludpublica.mx/index.php/spm/article/view/5043/10023

  2. Machado DGJ. La transformación del sistema de salud y el Seguro Popular.Gac Med Mex. 2012;148(6):518-24 [citado 2022 sep 05]. Disponibleen: https://www.anmm.org.mx/GMM/2012/n6/GMM_148_2012_6_518-524.pdf

  3. Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, et al. Encuesta Nacional deSalud y Nutrición 2020 sobre Covid-19. Resultados nacionales. Cuernavaca,México: Instituto Nacional de Salud Pública, 2021 [citado 2022sep 05]. Disponible en: https://ensanut.insp.mx/encuestas/ensanutcontinua2020/doctos/informes/ensanutCovid19ResultadosNacionales.pdf

  4. Colchero MA, Gómez R, Figueroa JL, Rodríguez-Atristain A, Bautista-Arredondo S. Aumento en la oferta de consultorios adyacentes a farmaciasy atención en servicios públicos en México entre 2012 y 2018. SaludPublica Mex. 2020;62(6):851-8. https://doi.org/10.21149/11547

  5. Colchero MA, Gómez R, Pineda-Antúnez CJ, Bautista-ArredondoSA. Health care utilization during the Covid-19 pandemic in Mexico:the cascade of care. Salud Publica Mex. 2021;63(6):743-50. https://doi.org/10.21149/12894

  6. Gil MR, Choi CG. Factors affecting the choice of national and publichospitals among outpatient service users in South Korea. Inquiry. 2019.https://doi.org/10.1177/0046958019833256

  7. Nguyen TA, Giang LT. Factors influencing the vietnamese older personsin choosing healthcare facilities. Health Serv Insights. 2021;14. https://doi.org/10.1177/11786329211017426

  8. Chatterjee C, Nayak NC, Mahakud J, Chatterjee SC. Factors affectingthe choice of health care utilisation between private and publicservices among the elderly population in India. Int J Health Plann Manage.2019;34(1):e736-51. https://doi.org/10.1002/hpm.2686

  9. Gabrani J, Schindler C, Wyss K. Health seeking behavior among adultsand elderly with chronic health condition(s) in Albania. Front PublicHealth. 2021;9:616014. https://doi.org/10.3389/fpubh.2021.616014

  10. Thode N, Bergmann E, Kamtsiuris P, Kurth BM. Einflussfaktoren aufdie ambulante Inanspruchnahme in Deutschland. BundesgesundheitsblattGesundheitsforschung Gesundheitsschutz. 2005;48(3):296-306. https://doi.org/10.1007/s00103-004-1004-3

  11. Blackwell DL, Martinez ME, Gentleman JF, Sanmartin C, Berthelot JM.Socioeconomic status and utilization of health care services in Canadaand the United States: findings from a binational health survey. Med Care.2009;47(11):1136-46. https://doi.org/10.1097/MLR.0b013e3181adcbe9

  12. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero A, Gaona-Pineda EB, et al. Metodología de la EncuestaNacional de Salud y Nutrición 2020 sobre Covid-19. Salud PublicaMex. 2021;63(3):444–51[citado 2022 sep 05]. Disponible en: https://www.saludpublica.mx/index.php/spm/article/view/12580

  13. Organización Panamericana de la Salud. Clasificación estadísticainternacional de enfermedad y problemas relacionados con la salud.Washington, DC: Oficina Regional de la Organización Mundial de la Salud,2015 [citado 2022 sep 05]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/6282/Volume1.pdf

  14. Colchero MA, Gómez R, Bautista-Arredondo S. Caracterización dela “cascada de atención” en servicios públicos en México en localidadesde menos de 100 000 habitantes. Salud Publica Mex. 2019;61(6):734-41.https://doi.org/10.21149/10570

  15. Jolliffe IT, Cadima J. Principal component analysis: a review and recentdevelopments. Philos Trans A Math Phys Eng Sci. 2016;13;374(2065).https://doi.org/10.1098/rsta.2015.0202

  16. Awoke MA, Negin J, Moller J, Farell P, Yawson AE, Biritwum RB, Kowal P.Predictors of public and private healthcare utilization and associated healthsystem responsiveness among older adults in Ghana. Glob Health Action.2017;10(1):1301723. https://doi.org/10.1080/16549716.2017.1301723

  17. Gong CH, Kendig H, He X. Factors predicting health services useamong older people in China: An analysis of the China Health and RetirementLongitudinal Study 2013. BMC Health Serv Res. 2016;16(1):63.https://doi.org/10.1186/s12913-016-1307-8

  18. Organización Panamericana de la Salud. Las enfermedades no transmisiblesen la Región de las Américas: Todos los sectores de la sociedad puedenayudar a resolver el problema. Informe temático sobre enfermedadesno transmisibles. Washington, DC: Oficina Regional de la OrganizaciónMundial de la Salud; 2015 [citado 2022 sep 10]. Disponible en: https://www.paho.org/hq/dmdocuments/2011/paho-policy-brief-1-sp-web1.pdf

  19. Macías-Sánchez A, Villareal-Páez HJ. Sostenibilidad del Gasto Público:cobertura y financiamiento de enfermedades crónicas en México.Ens Rev Econ. 2018;37(1):99-133 [citado 2022 sep 11]. Disponible en:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-84022018000100099&lng=es&nrm=iso

  20. Carlos-Rivera F, Aguilar-Madrid G, Gómez-Montenegro PA, Juárez-Pérez CA, Sánchez-Román FR, Durcudoy Montandon JE, Borja-Aburto VH.Estimation of health-care costs for work-related injuries in the MexicanInstitute of Social Security. Am J Ind Med. 2009:52(3):195-201. https://doi.org/10.1002/ajim.20666

  21. Sánchez-Vallejo PG, Pérez-Núñez R, Heredia-Pi I. Costo económicode la discapacidad causada por lesiones de tránsito en México durante2012. Cad Saúde Pública. 2015;31(4):755-66. https://doi.org/10.1590/0102-311X00020314

  22. Colchero A, Gómez R, Figueroa JL, Rodríguez-Atristain A, Bautista-Arredondo S. Aumento en la oferta de consultorios adyacentes a farmaciasy atención en servicios públicos en México entre 2012 y 2018. SaludPublica Mex. 2022;62(6):851-8. https://doi.org/10.21149/11547




2020     |     www.medigraphic.com