Center for Health System Research, National Institute of Public Health, Cuernavaca, México.
Management School, La Salle University, Cuernavaca, México.
Int J Health Plann Manage. 2021 Mar;36(2):579-586. doi: 10.1002/hpm.3103. Epub 2020 Dec 24.
Taking the Mexican case as a tracer of what is happening in Latin America on public health, we estimate the recent changes and challenges for the management of hypertension in older adults in the context of universal health coverage. The population base was 200, and 308 reported cases of older adults with hypertension. The cost-evaluation method used was based on the instrumentation and consensus technique. Regarding epidemiological changes for 2016 versus 2018, there is an increase of 21% (CI: 95%, p < 0.001). Comparing the economic impact in 2016 versus 2018 (CI: 95%, p < 0.001), the increase is 33%. The total amount estimated for hypertension in 2018 (in US dollars) was $ 1,896,520,273. It includes $ 898,064,979 as direct costs and $ 998,455,294 as indirect costs. The recent trends show that the financial requirements for the coming years do not guarantee the effectiveness of the coverage rates required for the elderly. In terms of catastrophic expenditure, the challenge is not minor, the greatest economic burden is for the pocket of patients and their families.
以墨西哥为例，研究公共卫生领域在拉丁美洲的情况，我们估计在全民健康覆盖的背景下，老年人高血压管理最近发生的变化和面临的挑战。基础人口为 200 人，报告了 308 例老年高血压病例。使用的成本评估方法基于仪器和共识技术。关于 2016 年与 2018 年的流行病学变化，发病率增加了 21%（95%CI：p<0.001）。比较 2016 年与 2018 年的经济影响（95%CI：p<0.001），增加了 33%。2018 年高血压的总估计金额（美元）为 1896520273 美元，其中包括 898064979 美元的直接成本和 998455294 美元的间接成本。最近的趋势表明，未来几年的资金需求并不能保证老年人所需的覆盖率的有效性。就灾难性支出而言，挑战不小，最大的经济负担是患者及其家庭的负担。
