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Salud Pública de México

Gabriel Martínez
Objective: To describe the mechanisms of allocation and purchase of the Seguro Popular program, the way they operate and how are controls applied.To discuss incentive schemes that can improve performance in general, strengthen primary care and improve access to specialty hospitals. Materials and methods: The 2014 reforms to the General Health Law are evaluated to understand their intent, which is to strengthen State systems and the relationship with the Federal authority...
September 2016: Salud Pública de México
Alejandro Figueroa-Lara, Miguel A González-Block
Objective: To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular. Materials and methods: A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources.The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies...
September 2016: Salud Pública de México
Biani Saavedra-Avendaño, Blair G Darney, Hortensia Reyes-Morales, Edson Serván-Mori
Objective: To test the association between public health insurance and adequate prenatal care among female adolescents in Mexico. Materials and methods: Cross-sectional study, using the National Health and Nutrition Survey 2000, 2006, and 2012.We included 3 978 (N=4 522 296) adolescent (12-19) women who reported a live birth.We used logistic regression models to test the association of insurance and adequate (timeliness, frequency and content) prenatal care. Results: The multivariable predicted probability of timely and frequent prenatal care improved over time, from 0...
September 2016: Salud Pública de México
Camilo Cid, Cristian A Herrera, Lorena Prieto
Objective: To analyze the differences in health outcomes by hospital characteristics, focusing on ownership: public, private not-for-profit (PNFP) and private for-profit (PFP). Materials and methods: We used a discharged patient dataset of Chilean hospitals for the period 2001-2010 with a total of 16 205 314 discharges in 20 public, six PNFP and 15 PFP hospitals.We selected a subsample of two medical conditions: myocardial infarction and stroke.We used probit regression analyses with mortality rates as dependent variable, ownership status as the key explanatory variable, and control variables which included patients' health status and socioeconomic level, and hospital characteristics...
September 2016: Salud Pública de México
Emanuel Orozco-Núñez, Jaqueline Alcalde-Rabanal, Juan Navarro, Rafael Lozano
Objective: To show that the administrative regime of specialized hospitals has some influence on the administrative processes to operate the Mexican Fund for Catastrophic Expenditures in Health (FPGC, in Spanish), for providing health care to breast cancer, cervical cancer and child leukemia. Materials and methods: The variable for estimating administrative efficiency was the time estimated from case notification to reimbursement. For its estimation, semistructured interviews were applied to key actors involved in management of cancer care financed by FPGC...
September 2016: Salud Pública de México
Gustavo Nigenda, Jaqueline Alcalde-Rabanal, Luz María González-Robledo, Edson Serván-Mori, Sebastián García-Saiso, Rafael Lozano
Objective: To analyze efficiency indicators of human resources working at Mexico's Ministry of Health. Materials and methods: Three dimensions of efficiency were explored: a) labor wastage, b) distribution of human resources (HR) across levels of care, and c) productivity. Results: Health workers present significant levels of unemployment and underemployment; distribution does not meet international recommendations, and heterogeneous levels of productivity were found among states...
September 2016: Salud Pública de México
Miguel Ángel González-Block, Alejandro Figueroa, Ignacio García-Téllez, José Alarcón
Objective: The financial coordination of the System of Social Protection in Health (SPSS) was analyzed to assess its support to strategic purchasing. Materials and methods: Official reports and surveys were analyzed. Results: SPSS covers a capita of 2 765 Mexican pesos, equivalent to 0.9% of GDP. The Ministry of Health contributed 35% of the total, state governments 16.7% and beneficiaries 0.06%. The National Commission for Social Protection in Health received 48...
September 2016: Salud Pública de México
Carlos Urriola, Antonio Infante, Ismael Aguilera, Héctor Ormeño
Objective: To analyze the process of design and implementation of AUGE. Materials and methods: Literature review of pre-reform background, architecture design and implementation process of reform AUGE and complementary interviews to eight informants involved in its development. Results: The assessment of health equity was a key element in pre-reform, there are four fundamental dimensions in the design, and the implementation has nine phases...
September 2016: Salud Pública de México
Natalia Yavich, Ernesto Pablo Báscolo, Jeannie Haggerty
Objective: To analyze the relationship between health system financing and services organization models with costs and health services performance in each of Rosario's health sub-systems. Materials and methods: The financing and organization models were characterized using secondary data. Costs were calculated using the WHO/SHA methodology. Healthcare quality was measured by a household survey (n=822). Results: Public subsystem:Vertically integrated funding and primary healthcare as a leading strategy to provide services produced low costs and individual-oriented healthcare but with weak accessibility conditions and comprehensiveness...
September 2016: Salud Pública de México
Camilo Cid, Ernesto Báscolo, Cristian Morales
No abstract text is available yet for this article.
September 2016: Salud Pública de México
Osvaldo Artaza
No abstract text is available yet for this article.
September 2016: Salud Pública de México
Ana María Millán-Velázquez
No abstract text is available yet for this article.
August 2016: Salud Pública de México
María Lourdes Garza-Rodríguez, Antonio Alí Pérez-Maya, Daniela Estefanía Monsivais-Ovalle, Juan Francisco Velázquez-Vadillo, Hugo Alberto Barrera-Saldaña
A biobank facility is one of the most valuable means that academic medical organizations have to offer researchers for improving the competitiveness of their medical research. We describe the implementation of our institutional biobank. Our efforts focused on the design and equipment of work areas, staff training, quality control, bioethical and regulatory issues, generating research collaborations and developing funding strategies. We implemented an institutional biobank at the School of Medicine of the Autonomous University of Nuevo León, Mexico...
August 2016: Salud Pública de México
Camilo Manchola-Castillo, Volnei Garrafa
Recently, bioethics and international relations have gotten closer to one an other, probably as a result of the motivation of bioethics to intervene in global affairs. However, this relationship has only been on the practical level.This study's objective, through a literature review, is to highlight the huge potential that the epistemologies of both areas have to build a more fruitful dialogue. 18 articles relating both areas were retrieved from databases Scopus, Web of Science, Bireme and PubMed. The articles were then grouped in three categories of analysis: bioethics and global health; international organizations and bioethics; and international relations and bioethics...
August 2016: Salud Pública de México
Valentín Uc-Puc, Josué Herrera-Bojórquez, Carolina Carmona-Carballo, Azael Che-Mendoza, Anuar Medina-Barreiro, Juan Chablé-Santos, Juan I Arredondo-Jiménez, Adriana E Flores-Suárez, Pablo Manrique-Saide
OBJECTIVE: We assessed the efficacy of commercial repellents available in Yucatan against Aedes aegypti, vector of dengue, Chikungunya and Zika. MATERIALS AND METHODS: Protection time was determined based on WHO/CTD/ WHOPES/IC y la NOM-032-SSA2-20I4. RESULTS: Products with DEET (N, N-diethyl-3-methylbenzamide) at 25% met the recommended protection. Efficacy was directly proportional to the concentration of DEET; botanicals repellents resulted no protective...
August 2016: Salud Pública de México
Filipa de Castro, Jean Marie Place, Betania Allen-Leigh, Leonor Rivera-Rivera, Deborah Billings
OBJECTIVE: To provide evidence on perinatal mental healthcare in Mexico. MATERIALS AND METHODS: Descriptive and bivariate analyses of data from a cross-sectional probabilistic survey of 211 public obstetric units. RESULTS: Over half (64.0%) of units offer mental healthcare; fewer offer perinatal depression (PND) detection (37.1%) and care (40.3%). More units had protocols/guidelines for PND detection and for care, respectively, in Mexico City-Mexico state (76...
August 2016: Salud Pública de México
Jair Jesús Sánchez-Valdés, Vianey Colín-Navarro, Felipe López-González, Francisca Avilés-Nova, Octavio Alonso Castelán-Ortega, Julieta Gertrudis Estrada-Flores
OBJECTIVE: To determine the prevalence and the degree of contamination by molds and yeasts (M&Y), aerobic mesophilic bacteria (AMB), total coliforms (TC) and Salmonella spp. (S). These microorganisms were considered indicators of quality and hygiene in the manufacturing environment of Zacazonapan cheese. MATERIALS AND METHODS: Samples from five cheese dairies at Zacazonapan municipality were collected. The samples were collected directly from hands, water, milk, curd, cheese and surface of utensils for cheese making...
August 2016: Salud Pública de México
Neyi Estrella-Gómez, Diana Escalante-Réndiz, Araceli González-Burgos, Delta Sosa-Cordero, Rafael Rojas-Herrera
OBJECTIVE: In this work we studied the microbiological quality of the red octopus given its important economic and social impact on the region South-Southeast of Mexico. MATERIALS AND METHODS: Samples were taken in different areas of capture of the species and analyzed with biochemical tests described in the Mexican official standards, identifying strains belonging to the genus Vibrio, Salmonella and faecal coliforms, and E. coli O157: H7. We used the BAx System for the identification of microorganisms through their bacterial DNA...
August 2016: Salud Pública de México
Consuelo Velázquez-Acosta, Patricia Cornejo-Juárez, Patricia Volkow-Fernández
OBJECTIVE: To describe the incidence and patterns of bacterial resistance in urine samples from a tertiary care oncology hospital in Mexico, from 2004 to 2013. MATERIALS AND METHODS: We included the strains obtained from urine cultures, describing separately multidrug-resistant (MDR) bacteria. We analyzed the susceptibility to different antibiotics. RESULTS: 51 202 urine cultures were processed during the study; 14 480 (28.3%) cultures were positive...
August 2016: Salud Pública de México
Néstor Casillas-Vega, Rayo Morfín-Otero, Santos García, Jorge Llaca-Díaz, Eduardo Rodríguez-Noriega, Adrián Camacho-Ortiz, Ma de la Merced Ayala-Castellanos, Soraya Mendoza-Olazarán, Samantha Flores-Treviño, Santiago Petersen-Morfín, Héctor J Maldonado-Garza, Francisco J Bosques-Padilla, Elvira Garza-González
OBJECTIVE: To determine the frequency of nine sexually transmitted pathogens, coinfections and risk factors in patients attending obstetrics and gynecology clinics in Jalisco, Mexico. MATERIALS AND METHODS: Samples from 662 patients attending obstetrics and gynecology clinics were analyzed. Treponema pallidum, HIV, and HCV were detected by serology. HPV was detected by Polimerase Chain Reaction (PCR), and its genotype was determined by Restriction Fragment Length Polymorphism (RFLP)...
August 2016: Salud Pública de México
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