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[墨西哥卫生系统的响应能力]

[Responsiveness of the Mexican health system].

作者信息

Puentes-Rosas Esteban, Ruelas Enrique, Martínez-Monroy Tania, Garrido-Latorre Francisco

机构信息

Dirección General de Evaluación del Desempeño, Secretaría de Salud, México, DF, Mexico.

出版信息

Salud Publica Mex. 2005;47 Suppl 1:S12-21.

Abstract

OBJECTIVE

To present and discuss findings on the responsiveness of the Mexican health system.

MATERIAL AND METHODS

The data source was the 2002-2003 National Performance Assessment Survey. A descriptive analysis was performed and results were adjusted for user's expectations using vignette information. Final results were disaggregated by sex, provider, age, and education level.

RESULTS

Responsiveness scores given by women and senior individuals were higher than those provided by men and young adults. Major differences were observed when provider comparisons were made. In ambulatory care, the Ministry of Health and private providers were better rated than major social security institutions. For in-patient care, private providers were better rated than public health institutions.

CONCLUSIONS

Responsiveness of the Mexican health system requires improvements in certain areas in order to meet one of the basic goals of all health systems.

摘要

目的

展示并讨论墨西哥卫生系统响应性的调查结果。

材料与方法

数据来源为2002 - 2003年国家绩效评估调查。进行了描述性分析,并使用情景信息根据用户期望对结果进行了调整。最终结果按性别、提供者、年龄和教育水平进行了分类。

结果

女性和老年人给出的响应性得分高于男性和年轻人。在比较提供者时观察到了主要差异。在门诊护理方面,卫生部和私立提供者的评分高于主要社会保障机构。对于住院护理,私立提供者的评分高于公共卫生机构。

结论

墨西哥卫生系统的响应性在某些领域需要改进,以实现所有卫生系统的基本目标之一。

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