Los seguros de salud mexicanos: cobertura universal incierta

Laurell, Äsa Cristina

doi:10.1590/s1413-81232011000600018

Cited by 12 publications

(17 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, the Mexican healthcare system is fragmented and inequitable. About half of the population has health-care through employment-linked social security, less than 10% have access to private health-care and the remainder have Seguro Popular (Popular Health Insurance), a voluntary welfare healthcare system (Laurell, 2011). Launched in 2004, its purpose was to provide a health-care and preventive measures package to the uninsured population and to reduce out-of-pocket expenses.…”

Section: Healthcare Systems and Renal Care In Two Developing Countriesmentioning

confidence: 99%

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

2016

View full text Add to dashboard Cite

Renal replacement therapy is the indicated treatment for individuals with chronic kidney disease (CKD) to survive. However, not all sick people have access to the same treatment. This study compares renal care in two developing countries with different health systems. Specifically, it explores hemodialysis treatment from the perspective of low-income individuals. A qualitative, comparative study was performed in Brazil and Mexico. Using purposive sampling, the research was based on open-ended interviews with nineteen participants with kidney failure undergoing hemodialysis treatment in public hospitals and ten relatives. According to our results, Brazilian participants perceived hemodialysis care as satisfactory because of health personnel courtesy as well as free access to dialysis treatment, prescription drugs, hospitalization and transportation. However, they reported deficiencies in the care they were receiving due to shortages of specialists, prescription drugs, laboratory tests and transportation. Mexican participants, in contrast, highlighted the catastrophic costs of medical care because they had no free access to renal therapy, nor adequate financial resources. Our findings suggest that low-income Brazilian CKD sufferers experience renal care differently, as they are more satisfied and face less obstacles with hemodialysis compared with those of Mexico. More studies on the topic are needed.

show abstract

Section: Healthcare Systems and Renal Care In Two Developing Countriesmentioning

confidence: 99%

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

2016

View full text Add to dashboard Cite

show abstract

“…Seguro Popular's development, implementation and evaluation received extensive coverage by the Lancet in 2006, and again most recently in July 2012, where it has been presented as the route to universal health coverage and social protection, an evidenced example, one that other low and middle-income countries can learn from [24]–[29]. While Seguro Popular has increased access to care for some conditions (though not for CKD, End Stage Renal Disease or their treatments), its critics argue it has not reduced inequalities in access, but is serving to further fragment and stratify Mexico's health system, exacerbating inefficiencies in delivery [17], [20], [21], [30], [31], [32].…”

Section: Introductionmentioning

confidence: 99%

When Health Systems Are Barriers to Health Care: Challenges Faced by Uninsured Mexican Kidney Patients

et al. 2013

View full text Add to dashboard Cite

BackgroundChronic Kidney Disease disproportionately affects the poor in Low and Middle Income Countries (LMICs). Mexico exemplifies the difficulties faced in supporting Renal Replacement Therapy (RRT) and providing equitable patient care, despite recent attempts at health reform. The objective of this study is to document the challenges faced by uninsured, poor Mexican families when attempting to access RRT.MethodsThe article takes an ethnographic approach, using interviewing and observation to generate detailed accounts of the problems that accompany attempts to secure care. The study, based in the state of Jalisco, comprised interviews with patients, their caregivers, health and social care professionals, among others. Observations were carried out in both clinical and social settings.ResultsIn the absence of organised health information and stable pathways to renal care, patients and their families work extraordinarily hard and at great expense to secure care in a mixed public-private healthcare system. As part of this work, they must navigate challenging health and social care environments, negotiate treatments and costs, resource and finance healthcare and manage a wide range of formal and informal health information.ConclusionsExamining commonalities across pathways to adequate healthcare reveals major failings in the Mexican system. These systemic problems serve to reproduce and deepen health inequalities. A system, in which the costs of renal care are disproportionately borne by those who can least afford them, faces major difficulties around the sustainability and resourcing of RRTs. Attempts to increase access to renal therapies, therefore, need to take into account the complex social and economic demands this places on those who need access most. This paper further shows that ethnographic studies of the concrete ways in which healthcare is accessed in practice provide important insights into the plight of CKD patients and so constitute an important source of evidence in that effort.

show abstract

“…Esta política, ya plenamente instalada en la población, está ampliamente registrada en la literatura, tanto en lo relacionado con sus logros, 2-4 como también con sus cuestionamientos. [5][6][7] No es de extrañar entonces -dados los pendientes y los disensos-que exista una legítima aspiración de plantear cambios en el sistema de salud. El debate democrático y la responsabilidad gubernamental -de cara a un nuevo sexenio-será sobre qué y para qué implementar dichas transformaciones.…”

Section: México Y El Derecho a La Salud: Hora De Expectativas Y Decisunclassified

México y el derecho a la salud: hora de expectativas y decisiones

Artaza-Barrios

2018

Salud Publica Mex

View full text Add to dashboard Cite

show abstract

Los seguros de salud mexicanos: cobertura universal incierta

Cited by 12 publications

References 6 publications

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

A comparative study of renal care in Brazil and Mexico: hemodialysis treatment from the perspective of ESRD sufferers

When Health Systems Are Barriers to Health Care: Challenges Faced by Uninsured Mexican Kidney Patients

México y el derecho a la salud: hora de expectativas y decisiones

Contact Info

Product

Resources

About