analysis of changes in the association of income and the utilization of curative health services in mexico between 2000 and 2006协会的变化分析收入和医疗卫生服务的利用率在墨西哥在2000年和2006年之间.pdfVIP

Danese-dlSantos et al. BMC Public Health 2011, 11:771 /1471-2458/11/771 RESEARCH ARTICLE Open Access Analysis of changes in the association of income and the utilization of curative health services in Mexico between 2000 and 2006 † *† † Laura G Danese-dlSantos , Sandra G Sosa-Rubí and Atanacio Valencia-Mendoza Abstract Background: A common characteristic of health systems in most developing countries is unequal access to health services. As a result, members of the poorest population groups often do not receive formal attention for health services, because they cannot afford it. In 2001 in Mexico, to address income-related differences in the use of health services, the government launched a major healthcare reform, which includes a health insurance program called Seguro Popular, aimed at improving healthcare access among poor, uninsured residents. This paper analyzes the before and after changes in the demand for curative ambulatory health services focusing on the association of income-related characteristics and the utilization of formal healthcare providers vs. no healthcare service utilization. Methods: By using two nationally representative health surveys (ENSA-2000 and ENSANUT-2006), we modeled an individual’s decision when experiencing an illness to use services provided by the (1) Ministry of Health (MoH), (2) social security, (3) private entities, or (4) to not use formal services (no healthcare service utilization). Results: Poorer individuals were more likely in 2006 than in 2000 to respond to an illness by using formal healthcare providers. Trends in provider selection differed, however. The probability of using public services from the MoH increased among the poorest population, while the findings