Preventive health screening utilization in older Mexicans before and after healthcare reform

Salinas, Jennifer J.

doi:10.21149/spm.v57s1.7592

Cited by 9 publications

(7 citation statements)

References 27 publications

(31 reference statements)

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“…This is consistent with SPS’ main objectives, particularly regarding the aim of offering financial protection to households with greater financial vulnerability. We complement previous findings that have shown a positive effect of SPS on access to health care [ 48 ], health resources such as insulin [ 49 ], and improved access to health services to prevent chronic and infectious diseases [ 50 ] among older adults, with robust results regarding SPS’ welfare protection of older adults’ households.…”

Section: Conclusion and Discussionsupporting

confidence: 82%

Welfare effects of health insurance in Mexico: The case of Seguro Popular de Salud

García-Díaz

Sosa-Rubí²,

Serván‐Mori³

et al. 2018

PLoS ONE

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This study contributes with original empirical evidence on the distributional and welfare effects of one of the most important health policies implemented by the Mexican government in the last decade, the Seguro Popular de Salud (SPS). We analyze the effect of SPS on households’ welfare using a decomposable index that considers insured and uninsured households’ response to out-of-pocket (OOP) payments using both social welfare weights and inequality aversion. The disaggregation of the welfare index allows us to explore the heterogeneity of the SPS impact on households’ welfare. We applied propensity score matching to reduce the self-selection bias of being SPS insured. Overall results suggest non-conclusive results of the impact of SPS on households’ welfare. When we disaggregated the welfare index by different sub-population groups, our results suggest that households’ beneficiaries of SPS with older adults or living in larger cities are better protected against OOP health care payments than their uninsured counterparts. However, no effect was found among SPS-insured households living in rural and smaller cities, which is a result that could be attributed to limited access to health resources in these regions. Scaling up health insurance coverage is a necessary but not sufficient condition to ensure the protection of SPS coverage against financial risks among the poor.

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Section: Conclusion and Discussionsupporting

confidence: 82%

Welfare effects of health insurance in Mexico: The case of Seguro Popular de Salud

García-Díaz

Sosa-Rubí²,

Serván‐Mori³

et al. 2018

PLoS ONE

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“…In Brazil, everyone can use the public national health care system, but individuals who are exclusive users of public services, who are often less educated and poor, have to wait longer for treatment than those who also have access to private health insurance (Gouveia, Souza, Luna, Souza-Júnior, & Szwarcwald, 2005). In Mexico, access to health care has improved in the last 10 years (Gutiérrez, García-Saisó, Dolci, & Ávila, 2014), but those who remain uninsured have worse medical service utilization (Salinas, 2015). These findings confirm previous studies that highlighted the important role of access and quality of health care services as important determinants of health outcomes (Marmot et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Educational Differences in Health Among Middle-Aged and Older Adults in Brazil and Mexico

Andrade

López-Ortega

2017

J Aging Health

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“…Approximately one third of the older adult population in our sample is now insured with the new SP. Researchers have observed that SP facilitated the inclusion of populations previously excluded from the public health insurance system (Doubova et al, 2015; Knaul et al, 2012; Salinas, 2015).…”

Section: Discussionmentioning

confidence: 99%

Health Care Expenditures and Utilization Among Older Mexican Adults

2018

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Objectives: Examine differences in health care utilization and out-of-pocket (OOP) expenditures among older Mexican adults in 2001 and 2012, and identify individual characteristics associated with utilization and expenditures in both years. Method: Data from the 2001 and 2012 cross-sections of the Mexican Health and Aging Study were utilized. Outcomes included nights spent in the hospital, medical/outpatient procedures, and OOP expenditures with these services. Covariates included demographics and comorbidities. Two-part regression models were used to identify covariates associated with utilization and expenditures in each year. Results: The proportion of those who spent at least one night in the hospital or had at least one medical/outpatient visit was higher in 2012 than in 2001, while the proportion of individuals with OOP expenditures decreased between the years. Those with more comorbidities had the highest OOP expenditures in both years. Discussion: Although the population paying for health care services OOP was lower in 2012, there is persistent inequality in expenditures across population groups.

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Preventive health screening utilization in older Mexicans before and after healthcare reform

Cited by 9 publications

References 27 publications

Welfare effects of health insurance in Mexico: The case of Seguro Popular de Salud

Welfare effects of health insurance in Mexico: The case of Seguro Popular de Salud

Educational Differences in Health Among Middle-Aged and Older Adults in Brazil and Mexico

Health Care Expenditures and Utilization Among Older Mexican Adults

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