Equity and accessibility in health? Out-of-pocket expenditures on health care in middle income countries: evidence from Mexico

Abstract

Abstract

Factors that affect first contact access in the primary health care: integrative review

“…Scatena The two dimensions "locomotion to the health service" and "service" composed the factors that were associated with access to TB diagnosis being made by the variables: spent money on transportation; sought health services closer to home; number of times sought the health center to get an appointment and get an appointment within 24 hours. Arredondo A, Nájera P. 35 To determine costs for patients to seek and receive health care in public and private institutions…”

“…Presence of ESF [10][11][12][13][14][15][16] Home assistance 14,17 Hosting or responsiveness 10,14,16,[18][19][20][21][22][23] Opening hours 10,15,18,21,[23][24][25][26] Balance between fulfilling spontaneous demand and scheduled [10][11]16 Telephone contact offer 24,27 Nurse on the place 24,28 Unfavorable Transportation difficulties 11,13,18,23,[25][26][29][30][31][32][33][34][35][36] Geographic location 10,11,18,23,…”

“…16 The difficulty for medical consultation scheduling was evidenced as a factor that works against accessibility. This difficulty 10,21,30,[35][36] was appointed by the number of times sought the clinic to get care in the short term (24 hours to 1 week). 15,24,27,34 The traditional scheduling system 11, 18,23 , which sometimes results in queues and dissatisfaction 16 , the level of tolerance for unscheduled consultations (emergency care) 10 and the difficulty to reschedule lost consultations 25 were also considered organizational barriers to access.…”

Hacia un marco conceptual para repensar la accesibilidad cultural

“…No obstante, una parte importante de ellos tienden a utilizar la noción sin definirla o fundarla a nivel teórico con solidez 7,8,9,10,11 . Solitario et al 12 (p. 98) argumentan que el concepto de accesibilidad "aparece en los textos dándolo por sentado, como si existiera un acuerdo básico entre actores o se encontrara naturalizado".…”

“…La accesibilidad ha sido definida de diferentes maneras 7,8,9,10,11,12,13,14 . A la vez, posee lími-tes borrosos con otros conceptos relacionados, como los de acceso, uso o calidad de los servicios de salud, los cuales algunos autores utilizan como sinónimos 3,5 .…”