Cobertura efectiva del tratamiento de la hipertensión arterial en adultos en México por entidad federativa

Ríos-Blancas, María Jesús; Cahuana-Hurtado, Lucero; Figueroa, Héctor Lamadrid; Lozano, Rafael

doi:10.21149/8195

Cited by 10 publications

(11 citation statements)

References 31 publications

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“…Some of the studies tried to assess effective coverage of chronic conditions and diseases in both preventive and curative areas. Prevention and treatment of hypertension [ 11 , 21 , 22 , 32 ], prevention and treatment of diabetes [ 11 , 21 , 31 , 33 ], treatment of hypercholesterolemia [ 11 , 21 ], treatment of vision disorders [ 21 , 36 ], breast [ 11 ] and cervical cancer screening [ 11 , 29 ] were among prioritized interventions selected to be monitored.…”

Section: Resultsmentioning

confidence: 99%

“…Country’s major health problems and high-priority conditions [ 22 ], Burden of Disease and leading causes of mortality and morbidity [ 29 , 32 – 34 ], high maternal mortality ratio [ 35 ], high occurrence and prevalence rate [ 30 , 31 , 36 ] and conflict in coverage rate of different sources [ 24 ] were among the main selection criteria in specific interventions assessment category. In addition to the mentioned criteria, availability of data was the critical prerequisite especially in all of the studies applied ex post approach in estimating effective coverage.…”

Section: Resultsmentioning

confidence: 99%

“…Some of the studies benefited from national health surveys and administrative data [ 15 , 21 , 30 , 35 , 36 ] in need measurement. In addition to the aforementioned methods, estimating prevalence rate through available data on biomarkers or performance tests from health surveys have been used for treatment interventions such as treatment of hypertension, diabetes and hypercholesterolemia in order to measure the denominator [ 11 , 21 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies have used available self-reporting data from household surveys [ 11 , 24 – 26 , 30 , 32 , 34 ] and national health surveys [ 21 , 23 , 27 – 29 , 34 ] in order to estimate the utilization . Another method used in this regard was administrative data [ 11 , 21 , 23 – 26 , 31 , 33 , 35 ] such as program-specific control records for diabetes, hospital discharge data, and drug inventory.…”

Section: Resultsmentioning

confidence: 99%

“…This method can be found in Lozano et al study too [ 21 ]. Statistical methods including instrumental variables was the other method applied to assess hypertension treatment assessment [ 32 ]. Risk-adjusted outcome (mortality) was part of a mixed strategy which was used to assess services delivered to premature babies in Lozano et al study [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

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Effective coverage as a new approach to health system performance assessment: a scoping review

Jannati

Sadeghi

Imani

et al. 2018

BMC Health Serv Res

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BackgroundDelivering interventions is the main task of health systems whose accurate measurement is an essential input into tracking performance. Recently, the concept of effective coverage was introduced by World Health Organization to incorporate into health system performance assessment. The aim of present scoping review was mapping the key elements and steps of effective coverage assessment in practical efforts including kinds of interventions, criteria for selecting them and the need, use and quality estimation approaches and strategies of each intervention.MethodsWe conducted a scoping review of health system/program assessments which assessed effective coverage till May 2017. Seven databases were systematically searched with no time and language restriction through applying combined keyword of “effective coverage”.ResultsEighteen studies contributed findings on monitoring effective coverage of health interventions and they all were included in the review. Only 4 contributed findings on health system and the others were related to specific intervention(s) assessment. The interventions monitored by effective coverage were mainly in child health, prenatal and antenatal care and delivery, and chronic conditions areas. Potential impact on the burden of disease, leading causes of mortality and morbidity, and high occurrence and prevalence rate were among the main intervention selection criteria. Availability of data was the critical prerequisite, especially, in all of the studies applied ex post approach in estimating effective coverage. Estimation based on a norm, self- reporting from surveys and biomarkers were the main strategies and methods of need, utilization and quality measurement, respectively.ConclusionsMore studies are needed to contribute to the ongoing improvement in the development of effective coverage concept and increasing practical efforts, especially through defining prospective approaches and strategies into estimation of composite measures based on the effective coverage framework. Also, further attention needs to be paid to quality measures of effective coverage in a manner that better conceptualizes and measures the connection between coverage rates and interventions’ effectiveness. At the administrative system level, more innovation is needed to develop data systems in order to enhance capacity of routine health service information.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3692-7) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effective coverage as a new approach to health system performance assessment: a scoping review

Jannati

Sadeghi

Imani

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

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Assessing health system performance: effective coverage at the Mexican Institute of Social Security

Leslie

Doubova

Pérez‐Cuevas

2019

Health Policy and Planning

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Universal health coverage is a national priority in Mexico, with active efforts to expand public healthcare system access, increase financial protection and improve quality of care. We estimated effective coverage of multiple conditions within the Mexican Institute of Social Security (IMSS), which covers 62 million individuals. We identified routinely collected performance indicators at IMSS from 2016 related to use and quality of care for conditions avertable with high-quality healthcare; where candidate indicators were available, we quantified need for service from a population-representative survey and calculated effective coverage as proportion of individuals in need who experience potential health gains. We assessed subnational inequality across 32 states, and we weighted conditions by relative contribution to national disease burden to estimate composite effective coverage. Conditions accounting for 51% of healthcare-avertable disability-adjusted life years lost in Mexico could be assessed: antenatal care, delivery care, newborn care, childhood diarrhoea, cardiovascular disease and diabetes. Estimated effective coverage ranged from a low of 27% for childhood diarrhoea to a high of 74% for newborn care. Substantial inequality in effective coverage existed between states, particularly for maternal and child conditions. Overall effective coverage of these six conditions in IMSS was 49% in 2016. Gaps in use and quality of care must be addressed to ensure good health for all in Mexico. Despite extensive monitoring of health status and services in Mexico, currently available data are inadequate to the task of fully and routinely assessing health system effective coverage. Leaders at IMSS and similar healthcare institutions must be more purposeful in planning the assessment of population need, utilization of care and quality impacts of care to enable linkage of these data and disaggregation by location or population sub-group. Only then can complex health systems be fairly and fully evaluated.

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Effective coverage of medical treatment for hypertension, diabetes and dyslipidaemia in Japan: An analysis of National Health and Nutrition Surveys 2003–2017

Ikeda

Nishi

Sugiyama

et al. 2020

J Health Serv Res Policy

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Objective To examine trends in effective medical treatment coverage for hypertension, diabetes and dyslipidaemia in Japan, using a metric to assess effective coverage of health interventions derived from a health system performance assessment framework. Methods We obtained cross-sectional data for 96,863 individuals aged 40–74 years from the 15 annual Japanese National Health and Nutrition Surveys (2003–2017). We defined treatment need for hypertension, diabetes and dyslipidaemia as biomarkers equal to or greater than diagnostic thresholds or medication use. For individuals needing treatment, we conducted nearest-neighbour matching to estimate treatment effects and effective coverage, defined as the fraction of potential reductions in biomarkers actually achieved in treated individuals by medications. Results The age-standardized prevalence of treatment need for hypertension, diabetes and dyslipidaemia remained around 40%, 7% and 33%, respectively, in 2003–2017. Average treatment effects for those treated in 2013–2017 were 14.8 mmHg (95% confidence interval: 14.2–15.4) for systolic blood pressure, 1.2 percentage points (0.8–1.6) for haemoglobin A1c and 57.9 mg/dl (56.6–59.2) for non-high-density lipoprotein cholesterol. Effective coverage significantly increased between 2003–2007 (hypertension: 48.4% [44.7–52.0], diabetes: 43.8% [35.7–51.8], dyslipidaemia: 86.3% [83.1–89.5]) and 2013–2017 (hypertension: 76.2% [74.2–78.2], diabetes: 74.7% [71.0–78.5], dyslipidaemia: 94.6% [93.3–95.9]). Conclusions Effective coverage of medical treatment for metabolic risk factors has increased. Most of the potential reductions in non-high-density lipoprotein cholesterol have been achieved by statins. Further efforts are necessary to improve the effectiveness of antihypertensive and antidiabetic drugs.

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Cobertura efectiva del tratamiento de la hipertensión arterial en adultos en México por entidad federativa

Abstract: Ríos

Cited by 10 publications

References 31 publications

Effective coverage as a new approach to health system performance assessment: a scoping review

Effective coverage as a new approach to health system performance assessment: a scoping review

Assessing health system performance: effective coverage at the Mexican Institute of Social Security

Effective coverage of medical treatment for hypertension, diabetes and dyslipidaemia in Japan: An analysis of National Health and Nutrition Surveys 2003–2017

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