Salud Pública de México

A predictive model for the utilization of curative ambulatory health services in Mexico [Un modelo predictivo de la utilización de servicios de salud ambulatorios curativos en México.]

Atanacio Valencia-Mendoza -, Stefano M Bertozzi

Resumen


Objectives. To estimate the degree to which individual and household variables jointly predict utilization of curative ambulatory services in Mexico for four types of health providers. Material and Methods. Patient choice of provider (selfcare, Ministry of Health, social security, or private provider) when they become ill is modeled using a nested multinomial logit model that uses household and individual variables as predictors. The data are from the Mexican National Health Survey conducted in 2000. Results. Being a social security beneficiary is one of the most important predictors of utilization. A strong positive relationship between socio- economic status (SES) and demand for services was also found, with the strongest relationship being for private providers, followed by social security. Utilization of Ministry of Health (MoH) services was negatively associated with household SES. Conclusions. Expansion of health insurance coverage should significantly reduce health inequalities due to reduced care-seeking by non-beneficiaries.Keywords: utilization; health services; Mexico

Palabras clave


utilización; servicios de salud; México

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Salud Pública de México es una publicación periódica electrónica, bimestral, publicada por el Instituto Nacional de Salud Pública (con domicilio en Avenida Universidad núm. 655, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, C.P. 62100, teléfono 329-3000, página web, www.insp.mx), con ISSN: 1606-7916 y Reserva de Derechos al Uso Exclusivo con número: 04-2012-071614550600-203, ambos otorgados por el Instituto Nacional del Derecho de Autor. Editor responsable: Carlos Oropeza Abúndez. Responsable de la versión electrónica: Subdirección de Comunicación Científica y Publicaciones, Avenida Universidad núm. 655, planta baja, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, C.P. 62100, teléfono 329 3000. Fecha de última modificación: 11 de abril de 2019. D.R. © por el sitio: Instituto Nacional de Salud Pública.

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