Challenges on the Path to Universal Health Coverage

Bonilla-Chacin, Maria Eugenia; Afandiyeva, Gulara; Suaya, Agustina Sara

doi:10.1596/29180

Cited by 8 publications

(8 citation statements)

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“…This is probably due to the existence of Seguro Popular , a public health insurance program that was created in 2002. According to World Bank data, between 2006 and 2012, because of Seguro Popular the gap in insurance coverage rates between the indigenous and the non‐indigenous population was virtually eliminated (Bonilla‐Chacín & Aguilera, )…”

Section: Resultsmentioning

confidence: 99%

Analyzing Multidimensional Poverty Estimates in Mexico From an Ethnic Perspective: A Policy Tool for Bridging the Indigenous Gap

Canedo

2018

Poverty & Public Policy

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Indigenous people in Mexico are more likely to be disadvantaged and live in poverty than non‐indigenous people. To better understand the forms in which indigenous people in Mexico experience poverty, this article reports, from an ethnic perspective, on the findings of multidimensional poverty estimates. The premise guiding this exercise is that the primary purpose of poverty measurement is to provide a continuous assessment of how to better target poverty. The analysis utilizes Alkire and Foster's (AF) specific multidimensional measurement framework. It also employs the Mexican Official Poverty Measure (MPM). Both methods are applied to 2014 data provided by the Mexican National Household Expenditure Revenue Survey (ENIGH) to explore the extent to which the privation of social rights influences the living conditions of Mexico's indigenous poor to better target poverty alleviation efforts. Results showing higher levels of deprivation in the social rights domain for indigenous people than for non‐indigenous people reveal the need for the Mexican government to articulate social policies that are specifically designed to tackle the social rights deprivations that the indigenous poor endure.

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Section: Resultsmentioning

confidence: 99%

Analyzing Multidimensional Poverty Estimates in Mexico From an Ethnic Perspective: A Policy Tool for Bridging the Indigenous Gap

Canedo

2018

Poverty & Public Policy

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“…S9 and S10 in the Supplementary Appendix). When recruitment into this study ended in 2004, half of all Mexican adults had no health insurance, but during the course of the next 8 years, health care provision improved substantially with the introduction of Seguro Popular,25 which, during the period from 2004 through 2012, extended health insurance nationwide 26. In 2008, mortality rates from vascular, diabetic, and renal disease in Mexico began to decrease, which perhaps reflected better health care provision 8.…”

Section: Discussionmentioning

confidence: 99%

Diabetes and Cause-Specific Mortality in Mexico City

Alegre-Díaz¹,

et al. 2016

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Background-Most large, prospective studies of the effects of diabetes on mortality have focused on high-income countries where patients have access to reasonably good medical care and can receive treatments to establish and maintain good glycemic control. In those countries, diabetes less than doubles the rate of death from any cause. Few large, prospective studies have been conducted in middle-income countries where obesity and diabetes have become common and glycemic control may be poor.

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“…The present study identified an association between prospective patterns of modifiable health risk behaviors and its change over time with the utilization of healthcare services. These results may establish a precedent that has not been widely explored about modifiable health risk behaviors and health services use in the context of a social security institution providing health insurance and services for preventative and treatment, and a package of other comprehensive benefits; and belonging to a upper-middle income country experiencing health reform and high fragmentation of its healthcare system, as it is Mexico [40]. These results show that changes in specific MHRB are associated with the utilization of health care services provided at IMSS healthcare facilities.…”

Section: Discussionmentioning

confidence: 99%

Prospective patterns of modifiable health risk behaviors and the utilization of healthcare services in the “Health Workers Cohort Study” in Mexico

et al. 2018

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IntroductionWe still lack information about how changes in modifiable health risk behaviors influence the utilization of healthcare services. This study assesses the relationships between prospective patterns of modifiable health risk behaviors and the utilization of healthcare services.Material and methodsThis was a prospective study among men and women participants in the Health Workers Cohort Study, aged 18 years and older. The following data about modifiable health risk behaviors was collected in two waves of the study (2004–2006 and 2010–2012): 1) physical activity, b) consumption of fruit and vegetables, 3) alcohol, and 4) tobacco consumption, to determine the association between the utilization of healthcare services after 6 years of follow-up (period 2010–2012). Information was collected through self-administered questionnaires; clinical and anthropometric variables were measured following standard procedures. Analyses were conducted using zero-inflated negative binomial regression models.ResultsParticipants with a pattern of consumption of < 3 portions of fruits and vegetables per day (p = 0.035) and did not meet recommended levels of PA (p = 0.013) during the two waves of the study had fewer preventative consultations; those who quit smoking reported a higher frequency of preventative consultations (p = 0.021) and more visits with a medical specialist (p = 0.048). Participants who reduced alcohol consumption to low or completely stopped its consumption reported fewer visits to the general physician (p = 0.031), p < 0.05.ConclusionsChanges in prospective patterns of modifiable health risk behaviors influenced the use of healthcare services after 6 years of follow-up. Findings in this study could be useful to determine possible demands of healthcare services among populations with specific modifiable health risk behaviors.

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Challenges on the Path to Universal Health Coverage

Cited by 8 publications

References 0 publications

Analyzing Multidimensional Poverty Estimates in Mexico From an Ethnic Perspective: A Policy Tool for Bridging the Indigenous Gap

Analyzing Multidimensional Poverty Estimates in Mexico From an Ethnic Perspective: A Policy Tool for Bridging the Indigenous Gap

Diabetes and Cause-Specific Mortality in Mexico City

Prospective patterns of modifiable health risk behaviors and the utilization of healthcare services in the “Health Workers Cohort Study” in Mexico

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