Benchmarking of performance of Mexican states with effective coverage

Lozano, Rafael; Soliz, Patricia; Gakidou, Emmanuela; Abbott-Klafter, Jesse; Feehan, Dennis M.; Vidal, Cecilia; Ortiz, Juan Pablo Durán; Murray, Christopher J L

doi:10.1016/s0140-6736(06)69566-4

Cited by 156 publications

(154 citation statements)

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“…Inequalities existed between income quintiles for the combination of all 14 interventions measured, for maternal and child health coverage (8 interventions) and for other adult interventions (6 interventions). The absolute gap in effective maternal and child health coverage was 9% between lowest and higher income quintiles, and 14% for other adult interventions (Lozano et al, 2006).…”

mentioning

confidence: 95%

“…It has been defined as "the proportion of potential health gain that can be delivered through an intervention by the health system that is actually delivered" (Lozano et al, 2006). If, for example, a health system could increase life expectancy for women by two years through early detection and treatment for cervical cancer, but delivers only one year, then effective coverage for this health problem is 50%.…”

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confidence: 99%

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Measuring Disparities in Health Status and in Access and Use of Health Care in OECD Countries

Looper

Lafortune

2009

OECD Health Working Papers

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JT03260782 OECD HEALTH WORKING PAPERSThis series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language -English or French -with a summary in the other.Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France.The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD. ABSTRACTMost OECD countries have endorsed as major policy objectives the reduction of inequalities in health status and the principle of adequate or equal access to health care based on need. These policy objectives require an evidence-based approach to measure progress. This paper assesses the availability and comparability of selected indicators of inequality in health status and in health care access and use across OECD countries, focussing on disparities among socioeconomic groups. These indicators are illustrated using national or cross-national data sources to stratify populations by income, education or occupation level. In each case, people in lower socioeconomic groups tend to have a higher rate of disease, disability and death, use less preventive and specialist health services than expected on the basis of their need, and for certain goods and services may be required to pay a proportionately higher share of their income to do so.Options for future OECD work in measuring health inequalities are provided through suggesting a small set of indicators for development and inclusion in the OECD Health Data database. Some indicators appear to be more advanced for international data collection, since comparable data are already being collected in a routine fashion in most OECD countries. These include the indicators of inequalities in selfrated health, self-rated disability, the extent of public health care coverage and private health insurance coverage, and self-reported unmet medical and dental care needs.Increased availability and comparability of data will improve the validity of cross-national comparisons of socioeconomic inequalities in health status and health care access and use. Harmonisation of definitions and collection instruments, and the greater use of data linkages in order to allow disaggregation by socioeconomic status, will determine whether health inequalities can be routinely monitored across OECD countries.

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confidence: 95%

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confidence: 99%

Measuring Disparities in Health Status and in Access and Use of Health Care in OECD Countries

Looper

Lafortune

2009

OECD Health Working Papers

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“…6 Actual service delivery can be measured more precisely through effective coverage, a metric that has been recently used in Mexico for key interventions. 4,27 For 11 indicators (delivery of skilled birth attendance; antenatal care; bacille Calmette-Guérin, diphtheria-tetanus-pertussis and measles immunization; treatment of premature neonates, diarrhoea and acute respiratory infections; Papanicolaou screening for cervical cancer; management of hypertension and mammography) it was possible to compare measurements for 2000 and 2005-2006 using data from the National Health Survey and hospital discharge records. Results showed that national coverage has increased for most of the 11 interventions.…”

Section: Health Infrastructure and Drug Availabilitymentioning

confidence: 99%

“…Results showed that national coverage has increased for most of the 11 interventions. 4 Coverage for mammography, cervical cancer screening, skilled birth attendance, management of premature birth and treatment of hypertension showed important increases. Also, Seguro Popular beneficiaries were found to have significantly higher levels of Another study based on data from the 2005-2006 Encuesta Nacional de Salud y Nutrición showed that the Seguro Popular has had a protective effect against catastrophic expenditures, both at the population level and in a subgroup of households that reported having used outpatient or inpatient services in the two weeks preceding the survey.…”

Section: Health Infrastructure and Drug Availabilitymentioning

confidence: 99%

“…Since previous papers have described what led to the reform and how it was implemented, [1][2][3][4][5][6][7] we focus on its initial effects on the mobilization of additional public resources, the availability of health infrastructure and basic inputs, service utilization, effective health-care coverage and financial protection. Obstacles and future challenges surrounding the reform are also discussed.…”

Section: Introductionmentioning

confidence: 99%

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The democratization of health in Mexico: financial innovations for universal coverage

Frenk

Gómez‐Dantés

Knaul

2009

Bull World Health Org

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In 2003, the Mexican Congress approved a reform establishing the Sistema de Protección Social en Salud [System of Social Protection in Health], whereby public funding for health is being increased by one percent of the 2003 gross domestic product over seven years to guarantee universal health insurance. Poor families that had been excluded from traditional social security can now enrol in a new public insurance scheme known as Seguro Popular [People's Insurance], which assures legislated access to a comprehensive set of health-care entitlements. This paper describes the financial innovations behind the expansion of health-care coverage in Mexico to everyone and their effects. Evidence shows improvements in mobilization of additional public resources; availability of health infrastructure and drugs; service utilization; effective coverage; and financial protection. Future challenges are discussed, among them the need for additional public funding to extend access to costly interventions for non-communicable diseases not yet covered by the new insurance scheme, and to improve the technical quality of care and the responsiveness of the health system. Eventually, the progress achieved so far will have to be reflected in health outcomes, which will continue to be evaluated so that Mexico can meet the ultimate criterion of reform success: better health through equity, quality and fair financing.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

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