medigraphic.com
Instituto Nacional de Salud Pública

2019, Number 6

salud publica mex 2019; 61 (6)

Characterization of the “primary health care cascade” in public services in Mexico in localities with less than 100 000 inhabitants

Colchero MA, Gómez R, Bautista-Arredondo S

Language: Spanish
References: 22
Page: 734-741
PDF size: 337.96 Kb.


ABSTRACT

Objective. To characterize the demand for public services among the population living in localities with less than 100 000 inhabitants. Materials and methods. We used data from the Encuesta Nacional de Salud y Nutrición (Ensanut) 2018. We characterize the primary health care cascade and estimated probit models on the probability of receiving care. Results. Among the population that reported a health problem, only 32% received care from a public institution. We found that women, having more than 50 years, being insured and belonging to the highest socioeconomic status —within this population— was associated with a greater probability of receiving care. Conclusions. Findings from this study show some of the challenges and opportunities to offer public health care services to the population that lives in more marginalized areas.


REFERENCES

  1. OECD. OECD Reviews of Health Systems: Mexico 2016. París: OECD Publishing, 2016. https://doi.org/10.1787/9789264230491-en

  2. Frenk J. Bridging the divide: global lessons from evidence-based health policy in Mexico. Lancet. 2006;368(9539):954-61. https://doi.org/10.1016/ S0140-6736(06)69376-8

  3. Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM. Comprehensive reform to improve health system performance in Mexico. Lancet. 2006;368(9546):1524-34. https://doi.org/10.1016/S0140- 6736(06)69564-0

  4. Knaul FM, González-Pier E, Gómez-Dantés O, García-Junco D, Arreaola-Ornelas H, Barraza-Llorens M, et al. The quest for universal health coverage: achieving social protection for all in Mexico. Lancet. 2012;380(9849):1259-79. https://doi.org/10.1016/S0140-6736(12)61068-X

  5. Bautista-Arredondo S, Serván-Mori E, Colchero MA, Ramírez- Rodríguez B, Sosa-Rubí SG. Análisis del uso de servicios ambulatorios curativos en el contexto de la reforma para la protección universal en salud en México. Salud Publica Mex. 2014;56:18-31. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036- 36342014000100004&lng=es.%0D %0D

  6. Wong R, Diaz JJ. Health care utilization among older Mexicans: health and socioeconomic inequalities. Salud Publica Mex. 2007;49(Suppl4):S505-14. Disponible en: http://saludpublica.mx/index.php/ spm/article/view/4791

  7. Al Snih S, Markides KS, Ray LA, Freeman JL, Ostir G V, Goodwin JS. Predictors of healthcare utilization among older Mexican Americans. Ethn Dis. 2006;16(3):640-6. Disponible en: http://citeseerx.ist.psu.edu/viewdoc/ download?doi=10.1.1.624.3537&rep=rep1&type=pdf

  8. Mendoza-Sassi R, Béria JU. Utilización de los servicios de salud: una revisión sistemática sobre los factores relacionados. Cad Saude Publica. 2001;17:819-32. https://doi.org/10.1590/S0102-311X2001000400016

  9. Benjamins MR. Predictors of preventive health care use among middleaged and older adults in Mexico: the role of religion. J Cross Cult Gerontol. 2007;22(2):221-34. https://doi.org/10.1007/s10823-007-9036-4

  10. Borges-Yáñez SA, Gómez-Dantés H. Use of health services by a population of 60-year olds and older in Mexico. Salud Publica Mex. 1998;40(1):13-23. Disponible en: http://www.scielo.org.mx/scielo. php?script=sci_arttext&pid=S0036-36342008000300004&ing=es

  11. Hajizadeh S, Ramezani-Tehrani F, Simbar M, Farzadfar F. Factors influencing the use of prenatal care: a systematic review. J Midwifery Reprod Heal. 2016;4(1):544-57. https://doi.org/10.22038/JMRH.2016.6431

  12. Lopez-Carrillo L, Torres-Sanchez L, Blanco-Munoz J, Hernandez-Ramirez RU, Knaul FM. Correct utilization of breast cancer detection techniques in Mexican women. Salud Publica Mex. 2014;56(5):538-64. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036- 36342014000500021&Ing=es

  13. Almeida G, Sarti FM. Measuring evolution of income-related inequalities in health and health care utilization in selected Latin American and Caribbean countries. Rev Panam Salud Publica. 2013;33(2):83-9. https:// doi.org/10.1590/s1020-49892013000200002

  14. Mishra SI, DeForge B, Barnet B, Ntiri S, Grant L. Social determinants of breast cancer screening in urban primary care practices: a communityengaged formative study. Womens Health Issues. 2012;22(5):e429-38. https://doi.org/10.1016/j.whi.2012.06.004

  15. Nuno T, Castle PE, Harris R, Estrada A, Garcia F. Breast and cervical cancer screening utilization among Hispanic women living near the United States-Mexico border. J Womens Health (Larchmt). 2011;20(5):685-93. https://doi.org/10.1089/jwh.2010.2205

  16. Gómez MU, Gómez KR, Botero MA. Determinantes sociales y acceso a los servicios de salud sexual y reproductiva en el Seguro Popular: Estudio de caso en el municipio de León–Guanajuato (México). Buenos Aires: CLACSO, 2013. http://biblioteca.clacso.edu.ar/clacso/becas/ 20131220085503/INFORME_CLACSO_20_12_13.pdf

  17. Tekelab T, Chojenta C, Smith R, Loxton D. Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis. PLoS One. 2019;14(4):e0214848. https://doi.org/10.1371/journal.pone.0214848

  18. Soto-Mas F, Iriart C, Pedroncelli R, Binder DS, Qualls CR, Price B. Impact of health care and socioeconomic needs on health care utilization and disease management: The University of New Mexico Hospital Care One Program. Popul Health Manag. 2019;22(2):113-9. https://doi. org/10.1089/pop.2018.0048

  19. 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;14:81-8. https://doi.org/10.1016/j. vhri.2017.08.010

  20. León PP, Trejo M del CG, Gurrero DMN, Rivera MAG, Ortiz VL, Muro MR. Utilización de los servicios de salud por los habitantes de las colonias periféricas de la ciudad de Xalapa, Ver. Rev Medica la Univ Veracruzana. 2006;6(1):15-9. Disponible en: https://www.medigraphic.com/pdfs/veracruzana/ muv-2006/muv061d.pdf

  21. Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, Gaona-Pineda EB, Gómez-Acosta LM, Mendoza-Alvarado LR, et al. Metodología de la Encuesta Nacional de Salud y Nutrición para localidades con menos de 100 000 habitantes (Ensanut 100k). Salud Publica Mex. 2019;61(5):678-84. https://doi.org/10.21149/10539

  22. Dmytraczenko T, Almeida G. Toward universal health coverage and equity in Latin America and the Caribbean: evidence from selected countries. Washington DC: The World Bank, 2015. https://doi.org/10.1596/978- 1-4648-0454-0




2020     |     www.medigraphic.com