Rivera-Hernandez Maricruz, Galarraga Omar
Bio Med Gerontology Health, Brown University, Providence, RI, USA
Department of Health Services, Policy and Practice Brown University, Providence, RI, USA.
J Aging Health. 2015 Sep;27(6):962-82. doi: 10.1177/0898264315569457. Epub 2015 Mar 24.
The main purpose of this article was to assess the differences between Seguro Popular (SP) and employer-based health insurance in the use of preventive services, including screening tests for diabetes, cholesterol, hypertension, cervical cancer, and prostate cancer among older adults at more than a decade of health care reform in Mexico.
Logistic regression models were used with data from the Mexican Health and Nutrition Survey, 2012.
After adjusting for other factors influencing preventive service utilization, SP enrollees were more likely to use screening tests for diabetes, cholesterol, hypertension, and cervical cancer than the uninsured; however, those in employment-based and private insurances had higher odds of using preventive care for most of these services, except Pap smears.
Despite all the evidence that suggests that SP has increased access to health insurance for the poor, inequalities in health care access and utilization still exist in Mexico.
本文的主要目的是评估在墨西哥十多年的医疗改革中，大众保险（SP）与雇主提供的医疗保险在预防性服务使用方面的差异，包括针对老年人的糖尿病、胆固醇、高血压、宫颈癌和前列腺癌筛查测试。
使用2012年墨西哥健康与营养调查的数据建立逻辑回归模型。
在调整了影响预防性服务利用的其他因素后，大众保险的参保者比未参保者更有可能进行糖尿病、胆固醇、高血压和宫颈癌筛查测试；然而，参加基于就业的保险和私人保险的人在使用大多数此类服务（除巴氏涂片检查外）进行预防性护理方面的几率更高。
尽管有所有证据表明大众保险增加了穷人获得医疗保险的机会，但墨西哥在医疗保健获取和利用方面的不平等现象仍然存在。
