medigraphic.com
SPANISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2024, Number 4

<< Back Next >>

salud publica mex 2024; 66 (4)

Quality of care in Mexico’s public and private health services

Flores-Hernández S, Pérez-Cuevas R, Dreser-Mansilla A, Doubova SV, Díaz-Portillo SP, Reyes-Morales H
Full text How to cite this article

Language: Spanish
References: 34
Page: 571-580
PDF size: 257.75 Kb.


Key words:

quality of healthcare, life course, healthcare quality indicators, health systems, public health services.

ABSTRACT

Objective. To analyze, using data from Encuesta Nacional de Salud y Nutrición (Ensanut) 2018 and Ensanut Continua 2022, the quality of care provided at different stages of life in the Mexican health system. Materials and methods. The health system was classified into three subsystems, two public and one private. Weighted percentages were estimated from each survey for selected indicators of care at different stages of life. Results. In the three subsystems, deficiencies in the care process persist in prenatal care, delivery resolution, vaccination at birth, use of antibiotics for acute respiratory infections in children, and screening for risk factors and complications, and underprescribed insulin in adults with diabetes, despite the increase in the length of medical visits. The preference for care in private services was due to proximity and promptness of care. Conclusions. The low quality of care in Mexico’s health care system requires innovative strategies aimed at providing comprehensive care throughout the life course.


REFERENCES

  1. Hanefeld J, Powell-Jackson T, Balabanova D. Understanding and measuringquality of care: dealing with complexity. Bull World Health Organ. 2017;95(5):368-74. https://doi.org/10.2471/BLT.16.179309

  2. Kuruvilla S, Sadana R, Villar-Montesinos E, Beard J, Franz-Vasdeki J,Araujo de Carvalho I, et al. A life-course approach to health: synergy withsustainable development goals. Bull World Health Organ. 2018;96(1):42-50. https://doi.org/10.2471/BLT.17.198358

  3. Nowak DA, Sheikhan NY, Naidu SC, Kuluski K, Upshur REG. Why doescontinuity of care with family doctors matter? Review and qualitativesynthesis of patient and physician perspectives. Can Fam Physician.2021;67(9):679-88. https://doi.org/10.46747/cfp.6709679

  4. Organización para la Cooperación y el Desarrollo Económico. Healthat a Glance 2023: OECD Indicators. París: OECD Publishing, 2023 [citadomarzo 27, 2024]. Disponible en: https://doi.org/10.1787/7a7afb35-en

  5. Bhutta ZA, Black RE. Global maternal, newborn, and child health-sonear and yet so far. N Engl J Med. 2013;369(23):2226-35. https://doi.org/10.1056/NEJMra1111853

  6. Campos-Nonato I, Galván-Valencia Ó, Hernández-Barrera L, Oviedo-Solís C, Barquera S. Prevalencia de obesidad y factores de riesgo asociadosen adultos mexicanos: resultados de la Ensanut 2022. Salud PublicaMex. 2023;65(supl 1):S238-47. https://doi.org/10.21149/14809

  7. Basto-Abreu A, López-Olmedo N, Rojas-Martínez R, Aguilar-Salinas CA,Moreno-Banda GL, Carnalla MT, et al. Prevalencia de prediabetes y diabetesen México: Ensanut 2022. Salud Publica Mex. 2023;65(supl 1):S163-8.https://doi.org/10.21149/14832

  8. Campos-Nonato I, Oviedo-Solís C, Vargas-Meza J, Ramírez-VillalobosD, Medina-García C, Gómez-Álvarez E, et al. Prevalencia, tratamiento ycontrol de la hipertensión arterial en adultos mexicanos: resultados dela Ensanut 2022. Salud Publica Mex. 2023;65(supl 1):S169-80. https://doi.org/10.21149/14779

  9. Lang ES, Wyer PC, Haynes RB. Knowledge translation: closing theevidence-to-practice gap. Ann Emerg Med. 2007;49(3):355-63. https://doi.org/10.1016/j.annemergmed.2006.08.022

  10. Guerra G, Gutiérrez-Calderón E, Salgado de Snyder N, Borja-AburtoVH, Martínez-Valle A, González-Block MÁ. Loss of job-related right tohealthcare associated with employment turnover: challenges for theMexican health system. BMC Health Serv Res. 2018;18(1):457. https://doi.org/10.1186/s12913-018-3283-7

  11. Romero-Martínez M, Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Mojica-Cuevas J, Cuevas-Nasu L, et al. Encuesta Nacional deSalud y Nutrición 2018-19: metodología y perspectivas. Salud Publica Mex.2019;(6)61:917-23. https://doi.org/10.21149/11095

  12. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, et al. Metodología de laEncuesta Nacional de Salud y Nutrición 2022 y Planeación y diseño de laEnsanut Continua 2020-2024. Salud Publica Mex. 2022;(5)64:522-9. https://doi.org/10.21149/14186

  13. World Health Organization. WHO recommendations on antenatalcare for a positive pregnancy experience. Ginebra: WHO, 2016 [citadomarzo 27, 2024]. Disponible en: https://iris.who.int/bitstream/handle/10665/250796/9789241549912-eng.pdf?sequence=1

  14. Centro Nacional de Excelencia Tecnológica en Salud. Atención ycuidados multidisciplinarios en el embarazo. Guía de Práctica Clínica:Evidencias y Recomendaciones. México: Cenetec, 2022 [citado marzo 30,2024]. Disponible en: http://www.cenetec-difusion.com/CMGPC/GPCIMSS-028-22/ER.pdf

  15. World Health Organization. Recommendations on maternal andnewborn care for a positive postnatal experience. Ginebra: WHO, 2022[citado marzo 31, 2024]. Disponible en: https://iris.who.int/bitstream/handle/10665/352658/9789240045989-eng.pdf?sequence=1

  16. Centro Nacional de Excelencia Tecnológica en Salud. Prevención,diagnóstico, metas de control ambulatorio y referencia oportuna de ladiabetes mellitus tipo 2 en el primer nivel de atención. Guía de PrácticaClínica: Evidencias y Recomendaciones. México: Cenetec, 2019 [citadomarzo 30, 2024]. Disponible en: https://www.cenetec-difusion.com/CMGPC/GPC-SS-093-19/ER.pdf

  17. Rayment-Jones H, Dalrymple K, Harris J, Harden A, Parslow E, GeorgiT, et al. Project20: Does continuity of care and community based antenatalcare improve maternal and neonatal birth outcomes for womenwith social risk factors? A prospective, observational study. PLoS One2021;16(5):e0250947. https://doi.org/10.1371/journal.pone.0250947

  18. de Castro F, Place JM, Allen-Leigh B, Rivera-Rivera L, Billings D.Provider report of the existence of detection and care of perinataldepression: quantitative evidence from public obstetric units in Mexico.Salud Publica Mex 2016;(4)58:468-71. https://doi.org/10.21149/spm.v58i4.8028

  19. Secretaría de Salud. Norma Oficial Mexicana, NOM 007-SSA2-2016,Para la atención a la mujer durante el embarazo, parto y puerperio, y dela persona recién nacida. México: Diario Oficial de la Federación, 2016[citado marzo 29, 2024]. Disponible en: https://www.dof.gob.mx/nota_detalle.php?codigo=5432289&fecha=07/04/2016#gsc.tab=0

  20. Duarte de Azevedo-Bittecourt S, Machado-Cunha E, Soares Madeira-Domingues RM, Soares-Dias BA, Bastos-Dias MA, Alves-Torres J, et al.Nascer no Brasil continuidade do cuidado na gestação e pós-parto àmulher e ao recém-nato. Rev Saude Publica. 2020;54:100. https://doi.org/10.11606/s1518-8787.2020054002021

  21. Wilborn D, Amin R, Kottner J, Blume-Peytavi U. Skin care in neonatesand infants: a scoping review. Skin Pharma Phy. 2023;36(2):51-66. https://doi.org/10.1159/000529550

  22. Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skincontact for mothers and their healthy newborn infants. Cochrane DatabaseSyst Rev. 2016;11(11):CD003519. https://doi.org/10.1002/14651858.CD003519.pub4

  23. García-Flores EP, Herrera-Maldonado N, Hinojosa-Trejo MA, Vergara-Vázquez M, Halley-Castillo ME. Avances y logros del programa de tamizmetabólico neonatal (2012-2018). Acta Pediatr Mex. 2019;39(S1):57-65.https://doi.org/10.18233/APM39No6pp57S-65S1722

  24. Ferreira-Guerrero E, Delgado-Sánchez G, Mongua-Rodríguez N,Martínez-Hernández M, Canizales-Quintero S, Ferreyra-Reyes LD, et al.Porcentaje de infección respiratoria aguda en menores de cinco años enMéxico. Ensanut Continua 2022. Salud Publica Mex. 2023;65(supl 1):S34-8.https://doi.org/10.21149/14791

  25. Bautista-Arredondo S, Vargas-Flores A, Moreno-Aguilar LA, ColcheroMA. Utilización de servicios de salud en México: cascada de atenciónprimaria en 2022. Salud Publica Mex. 2023;65(supl 1):S15-22. https://doi.org/10.21149/14813

  26. Gonzales R, López-Caudana AE, González-Flores T, Jayanthan J, CorbettKK, Reyes-Morales H. Antibiotic knowledge and self-care for acute respiratorytract infections in Mexico. Salud Publica Mex 2012;(2)54:150-15[citado marzo 27, 2024]. Disponible en: https://saludpublica.mx/index.php/spm/article/view/7124

  27. Doubova SV, Perez-Cuevas R, Balandrán-Duarte DA, Rendón-MacíasME. Quality of care for children with upper respiratory infections at Mexicanfamily medicine clinics. Bol Med Hosp Infant Mex 2015;72(4):235-41.https://doi.org/10.1016/j.bmhimx.2015.07.003

  28. Reyes-Morales H, Flores-Hernández S, Díaz-Portillo SP, Serván-Mori E,Escalante-Castañón A, Hegewisch-Taylor J, et al. Design and validation ofindicators for the comprehensive measurement of quality of care for type2 diabetes and acute respiratory infections in ambulatory health services.Int J Qual Health Care. 2023;35(4):mzad087. https://doi.org/10.1093/intqhc/mzad087

  29. Pérez-Cuevas R, Doubova SV, Suarez-Ortega M, Law M, Pande AH, EscobedoJ, et al. Evaluating quality of care for patients with type 2 diabetesusing electronic health record information in Mexico. BMC Med InformDecis Mak. 2012;12:50 [citado marzo 27, 2024]. Disponible en: http://www.biomedcentral.com/1472-6947/12/50

  30. Chan JCN, Gagliardino JJ, Ilkova H, Lavalle F, Ramachandran A, Mbanya JC,et al. One in seven insulin-treated patients in developing countries reportedpoor persistence with insulin therapy: real world evidence from the Cross-Sectional International Diabetes Management Practices Study (IDMPS). AdvTher. 2021;38:3281-98. https://doi.org/10.1007/s12325-021-01736-4

  31. Johnson S, Thuraisingam S, Furler J, Manski-Nankervis J-A. Changes inhealth services usage associated with insulin initiation in primary care. AustralianJ Primary Health. 2018;24(2):155-61. https://doi.org/10.1071/PY17152

  32. Instituto Nacional de Estadística y Geografía. Encuesta Nacional deIngresos y Gastos de los Hogares (ENIGH) 2022. Nueva Serie. México:Inegi, 2022 [citado abril 2, 2024]. Disponible en: https://www.inegi.org.mx/programas/enigh/nc/2022/

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

  34. Unger-Saldaña K, Lajous M, Reich MR. Improving health system performancein Mexico. Lancet. 2023;402(10403):674-6. https://doi.org/10.1016/S0140-6736(23)01454-X




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2024;66