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[墨西哥的医疗保险覆盖范围]

[Medical insurance coverage in Mexico].

作者信息

Puentes-Rosas Esteban, Sesma Sergio, Gómez-Dantés Octavio

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:S22-6.

PMID:16101203
Abstract

OBJECTIVE

To present estimates of health insurance coverage in Mexico and discuss the differences among some sources of information.

MATERIAL AND METHODS

Based on a national survey performed in 2002, the percentage of insurance coverage was estimated by state, rural condition, and expenditure level.

RESULTS

The percentage of the population without medical insurance is 59.9%. The main insurance institution is the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social, IMSS), with a coverage of 29.5%. Private insurance agencies cover 1.5% of the total population. There are huge differences in insurance coverage by state, expenditure level and social exclusion level.

CONCLUSIONS

Data on insurance coverage provided by Mexico's main social security institution differ from that obtained through population-based studies. Some of these differences may be due to probabilistic reasons and others to macroeconomic changes. However, these reasons had not been sufficiently explored. In depth studies are needed in order to explain the observed differences.

摘要

目的

呈现墨西哥医疗保险覆盖情况的估计数据,并讨论一些信息来源之间的差异。

材料与方法

基于2002年进行的一项全国性调查,按州、农村状况和支出水平估计保险覆盖百分比。

结果

无医疗保险的人口百分比为59.9%。主要保险机构是墨西哥社会保障局(Instituto Mexicano del Seguro Social,IMSS),覆盖率为29.5%。私人保险机构覆盖总人口的1.5%。各州、支出水平和社会排斥程度的保险覆盖存在巨大差异。

结论

墨西哥主要社会保障机构提供的保险覆盖数据与通过基于人口的研究所获得的数据不同。其中一些差异可能是由于概率原因,另一些则是由于宏观经济变化。然而,这些原因尚未得到充分探究。需要进行深入研究以解释观察到的差异。

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