墨西哥癌症护理医院服务的利用情况。

Utilization of hospital services for cancer care in Mexico.

作者信息

Hernández-Ávila Juan Eugenio, Palacio-Mejía Lina Sofía, González-González Leonel, Morales-Carmona Evangelina, Espín-Arellano Lucino Iván, Fernández-Niño Julián Alfredo, Mohar-Betancourt Alejandro, Hernández-Ávila Mauricio

出版信息

Salud Publica Mex. 2016 Apr;58(2):142-52. doi: 10.21149/spm.v58i2.7783.

DOI:10.21149/spm.v58i2.7783

PMID:27557372

Abstract

OBJECTIVE

To analyze the utilization of hospital services for cancer care by location, sex, age group and care institution in Mexico from 2004-2013.

MATERIALS AND METHODS

Time series study from 2004-2013, based on administrative records of hospital discharges for cancer in the health sector, including the private sector.

RESULTS

The utilization rate increased significantly from 290 to 360 per 100 000 inhabitants. A total of 62% of hospital discharges related to malignant tumors were concentrated in eight types of cancer. Leukemia, breast and colorectal cancers almost doubled in the period. While lung cancer showed a decline among men, it increased among women. A total of 63.1% of cancer patients were women, and 81% of cases occurred in the public sector. From 2011, the Ministry of Health was the main provider of hospital services for cancer care.

CONCLUSIONS

Increases in utilization were mainly found in the Ministry of Health, quite possibly as a result of the implementation of universal insurance.

摘要

目的

分析2004年至2013年墨西哥按地点、性别、年龄组和医疗机构划分的癌症护理医院服务利用情况。

材料与方法

基于包括私营部门在内的卫生部门癌症医院出院行政记录，进行2004年至2013年的时间序列研究。

结果

利用率从每10万居民290例显著提高到360例。与恶性肿瘤相关的医院出院病例中，共有62%集中在八种癌症类型。白血病、乳腺癌和结直肠癌在这一时期几乎翻了一番。肺癌在男性中呈下降趋势，在女性中则有所上升。共有63.1%的癌症患者为女性，81%的病例发生在公共部门。从2011年起，卫生部成为癌症护理医院服务的主要提供者。