墨西哥贫困老年群体的预防性医疗保健寻求行为：Seguro Popular（全民医保）的影响，2000-2012 年。
Preventive healthcare-seeking behavior among poor older adults in Mexico: the impact of Seguro Popular, 2000-2012.
机构信息
Department of Health Services, Policy and Practice, Brown University. Providence, Rhode Island, USA.
出版信息
Salud Publica Mex. 2019 Jan-Feb;61(1):46-53. doi: 10.21149/9185.
OBJECTIVE
Determine the effect of Seguro Popular (SP) on preventive care utilization among low-income SP beneficiaries and uninsured elders in Mexico.
MATERIALS AND METHODS
Fixed-effects instrumental-variable (FE-IV) pseudo-panel estimation from three rounds of the Mexican National Health and Nutrition Survey (2000, 2006 and 2012).
RESULTS
Our findings suggest that SP has no significant effect on the use of preventive services, including screening for diabetes, hypertension, breast cancer and cervical cancer, by adults aged 50 to 75 years.
CONCLUSIONS
Despite the evidence that suggests that SP has increased access to health insurance for the poor, inequalities in healthcare access and utilization still exist in Mexico. The Mexican government must keep working on extending health insurance coverage to vulnerable adults. Additional efforts to increase health care coverage and to support preventive care are needed to reduce persistent disparities in healthcare utilization.
目的
确定“大众保障”（Seguro Popular，简称 SP）对墨西哥低收入 SP 受益人和无保险老年人的预防保健利用的影响。
材料与方法
利用三轮墨西哥国家健康和营养调查（2000 年、2006 年和 2012 年）的固定效应工具变量（FE-IV）伪面板估计。
结果
我们的研究结果表明，SP 对 50 至 75 岁成年人使用预防服务（包括糖尿病、高血压、乳腺癌和宫颈癌筛查）没有显著影响。
结论
尽管有证据表明 SP 增加了穷人获得健康保险的机会，但在墨西哥，医疗保健获取和利用方面的不平等仍然存在。墨西哥政府必须继续努力扩大对弱势成年人的健康保险覆盖范围。需要进一步努力扩大医疗保健覆盖范围并支持预防保健，以减少医疗保健利用方面持续存在的差距。
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