Family healthcare expenditure on children affiliated to the Medical Insurance for a New Generation

Rodríguez-Ortega, Evelyne; Pasillas-Torres, Elvira Mireya

doi:10.1590/s0036-36342012000700009

Cited by 6 publications

(6 citation statements)

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“…Despite laser treatment being covered by health insurance in Mexico, many providers are not availing themselves of this opportunity as reimbursement processes can be slow and cumbersome, and the fee may go to the hospital rather than the individual providing the treatment. Under these circumstances families are bearing the costs unnecessarily [ 21 , 26 ]. Many of the families of infants cared for in government facilities are poor, and the out of pocket expenditure for laser treatment is likely to have adverse consequences, but this was not explored in this study.…”

Section: Discussionmentioning

confidence: 99%

Limitations in ROP Programs in 32 Neonatal Intensive Care Units in Five States in Mexico

Zepeda-Romero

Gilbert²

2015

BioMed Research International

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Retinopathy of prematurity (ROP) is the main cause of avoidable blindness in children in Mexico despite National ROP Guidelines and examination of preterm infants being a legal requirement. Objective. To assess coverage of ROP programs and their compliance with national guidelines. Study Design. Thirty-two neonatal intensive care units (NICUs) in five of the largest states were visited. Staff were interviewed to collect information on their ROP programs which were defined as (1) compliant, if National Guidelines for screening and treatment were followed, (2) noncompliant, if other approaches were used, or (3) no program. Results. Only 10 (31.2%) had fully compliant programs and 11 (34.4%) had no program. In the remaining 11 (34.4%) different screening criteria were used (7 units): screening was undertaken by an ophthalmologist in unsalaried time (4), was not undertaken in the NICU (2), and was undertaken by a neonatologist (1) and/or Avastin was used as first-line treatment (7). Poorer states had poorer programs. Conclusions. Despite legislation mandating eye examination of preterm births, many ROP programs in the largest cities in Mexico require improvement or need to be established. Prevention of blindness due to ROP needs to be prioritized in Mexico to control the epidemic of ROP blindness.

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Section: Discussionmentioning

confidence: 99%

Limitations in ROP Programs in 32 Neonatal Intensive Care Units in Five States in Mexico

Zepeda-Romero

Gilbert²

2015

BioMed Research International

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“…We acknowledge this will underestimate the total economic costs of child and adolescent obesity and overweight. 59 divided by the average number of children per family in Mexico in 2009. 60 All costs were inflated to 2020 Mexican Pesos (MXN) values, using consumer price index (CPI) and discounted at 3% annually.…”

Section: Overweight and Obesity-attributable Healthcare Costmentioning

confidence: 99%

Investment case for the prevention and reduction of childhood and adolescent overweight and obesity in Mexico

Brero¹,

Meyer

Jackson-Morris

et al. 2023

Obesity Reviews

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SummaryDespite efforts to curb the rise in Mexico's child and adolescent overweight and obesity rates, prevalence in Mexico has grown by 120% since 1990 to 43.3% in 2022. This investment case identifies policies that will produce the largest returns for Mexico. The investment case model builds beyond a cost‐of‐illness analysis by predicting the health and societal economic impact of implementing child and adolescent overweight and obesity interventions in a cohort aged 0–19 from 2025 to 2090. The Markov model's impacts include healthcare expenditures, years of life lost, and reduced wages and productivity. We projected and compared costs in a status quo scenario to an intervention scenario to estimate cost savings and calculate return‐on‐investment (ROI). Total lifetime health and economic costs amount to USD 1.8 trillion—USD 30 billion on average per year. Implementing five interventions can reduce lifetime costs by approximately 7%. Each intervention has a low cost per disability‐adjusted life year averted over 30‐year, 50‐year, and lifetime horizons. The findings demonstrate that a package of interventions mitigating child and adolescent overweight and obesity offers a strong ROI. The novel investment case methods should be applied to other countries, particularly low‐ and middle‐income countries.

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“…Furthermore, 15.5% delayed healthcare and 10.0% did not seek healthcare due to economic constraints. 23…”

Section: Evaluation Of the Health Expenditure Of A Familymentioning

confidence: 99%

Design of the 2009 evaluation of the Medical Insurance for a New Generation program

Pérez‐Cuevas¹,

Muñoz‐Hernández²,

Rodríguez-Ortega³

et al. 2012

Salud pública Méx

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Diseño de la evaluación 2009 del programa Seguro Médico para una Nueva Generación. Salud Publica Mex 2012;54 supl 1:S11-S19. ResumenObjetivo. Describir el abordaje de métodos mixtos que se utilizó para evaluar el SMNG Seguro Médico para una Nueva Generación. Material y métodos. la evaluación integral del Programa se llevó a cabo en cuatro áreas clave: 1) el diseño del SMNG, 2) el estado de salud y las características sociodemográficas de los niños afiliados, 3) el desempeño del SMNG mediante la medición de la cobertura y de procesos clave, 4) los gastos en salud de la familia. La metodología mixta combina enfoques de investigación cuantitativa y cualitativa y la recolección y análisis de datos. La evaluación incluyó la revisión de bases de datos y de expedientes clínicos y la recolección de datos empíricos mediante entrevistas a profundidad con actores clave, una encuesta de hogares en todo el país y cuestionarios a personal de salud. Conclusión. Los resultados sirven como referencia sobre el estado de salud de los niños afiliados al SMNG y de las condiciones actuales del programa; además permiten identificar áreas clave que pueden abordarse para mejorar la calidad, eficiencia y eficacia del SMNG. AbstractObjective. To describe the mixed-method approach to evaluate the Medical Insurance for a New Generation (Seguro Médico para una Nueva Generación, SMNG). Materials and Methods. The program has been comprehensively evaluated. It has four key domains: 1) SMNG design; 2) children's health status and socio-demographic characteristics; 3) performance by measuring coverage, efficiency and productivity; 4) family health expenditure. Quantitative and qualitative research approaches have been used. This included reviews of existing databases and clinical charts, collection of empirical data through in-depth interviews with healthcare providers, and a nation-wide household survey. Conclusion. The results should serve as baseline data of the health status of SMNG children and the current staus of the program. Artículo originAl S12salud pública de méxico / vol. 54, suplemento 1 de 2012Pérez-CuevasR y col.

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Family healthcare expenditure on children affiliated to the Medical Insurance for a New Generation

Cited by 6 publications

References 0 publications

Limitations in ROP Programs in 32 Neonatal Intensive Care Units in Five States in Mexico

Limitations in ROP Programs in 32 Neonatal Intensive Care Units in Five States in Mexico

Investment case for the prevention and reduction of childhood and adolescent overweight and obesity in Mexico

Design of the 2009 evaluation of the Medical Insurance for a New Generation program

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