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[米斯特卡地区的卫生服务:美国移民家庭和非移民家庭的使用情况及参保条件]

[Health services in the Mixteca: use and conditions of affiliation in US-migrant and non-migrant households].

作者信息

Salgado de Snyder Nelly, González-Vázquez Tonatiuh, Infante-Xibille César, Márquez-Serrano Margarita, Pelcastre-Villafuerte Blanca, Serván-Mori Edson E

机构信息

Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

出版信息

Salud Publica Mex. 2010 Sep-Oct;52(5):424-31. doi: 10.1590/s0036-36342010000500010.

Abstract

OBJECTIVE

To describe the socioeconomic and demographic characteristics of households in the Mixteca Baja and analyze differences in affiliation with health care programs and utilization, among members of households with migrants (HogMig) and without migrants (HogNoMig) to the United States.

MATERIAL AND METHODS

A cross-sectional, descriptive survey was used with heads of households in a representative sample from the Mixteca Baja of 702 homes with and without migrants to the US.

RESULTS

Members of HogMig had more personal and economic resources than those of HogNoMig; they also regularly received remittances. The majority of members of both HogMig and HogNoMig did not receive benefits from the Oportunidades program or health coverage through Seguro Popular, IMSS or ISSSTE. In general, while they used the local health clinic, they often preferred to pay for private practitioners. A small proportion of those covered by IMSS or ISSSTE reported very low utilization of the health services offered by those institutions.

摘要

目的

描述下加利福尼亚米斯特卡地区家庭的社会经济和人口特征,并分析有移民(HogMig)和无移民(HogNoMig)前往美国的家庭中,家庭成员在医疗保健项目参与情况及医疗服务利用方面的差异。

材料与方法

采用横断面描述性调查,对下加利福尼亚米斯特卡地区702户有和没有移民到美国的家庭的户主进行调查。

结果

有移民家庭的成员比无移民家庭的成员拥有更多个人和经济资源;他们还定期收到汇款。有移民家庭和无移民家庭的大多数成员都没有从“机会”项目中获得福利,也没有通过大众保险、墨西哥社会保障局(IMSS)或墨西哥国家工人社会保障和服务协会(ISSSTE)获得医疗保险。总体而言,他们虽然会去当地的健康诊所,但通常更愿意付费看私人医生。一小部分参加了IMSS或ISSSTE保险的人报告称,这些机构提供的医疗服务利用率非常低。

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