Durán-Arenas L, Sánchez R, Vallejo M, Carreón J, Franco F
Dirección de Organización de Sistemas de Salud, Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, México.
Salud Publica Mex. 1996 Nov-Dec;38(6):501-12.
To determine the direct financial requirements for providing health care to the elderly in Mexico along with an estimation of the current expenditures from services provided to this same population.
Health care needs for the elderly were estimated from the censuses and the database of the National Health Survey II. In addition, service use trends for the aged were obtained from health sector statistical yearbooks. Finally, the amounts of expenditures were estimated by two methods: a) using a formula that considers hospital discharges, daily bed costs and length of stay; and b) inferring hospital expenditures and ambulatory visits from the numbers of hospital discharges.
Currently health care needs of the aged outnumber the amount of resources and the capacity of the health care sector to meet these needs. Our estimates for the year 1994 show that 4.9% of the total budget available to public health care institutions was dedicated to hospital services provided to the elderly.
In Mexico, the aged population health needs are already a priority, due to the particular nature of their needs and demand. Taking care of this population demands an important fraction of the resources spent in hospital services. To correctly plan and allocate resources for providing health care to this population developing a research agenda is an important requirement.
确定为墨西哥老年人提供医疗保健的直接资金需求，并估算目前为该人群提供服务的支出情况。
根据人口普查和第二次全国健康调查数据库估算老年人的医疗保健需求。此外，从卫生部门统计年鉴中获取老年人的服务使用趋势。最后，通过两种方法估算支出金额：a）使用一个考虑出院人数、每日床位成本和住院时长的公式；b）根据出院人数推断医院支出和门诊就诊情况。
目前，老年人的医疗保健需求超过了资源数量以及医疗保健部门满足这些需求的能力。我们对1994年的估算表明，公共医疗机构可用总预算的4.9%用于为老年人提供医院服务。
在墨西哥，由于老年人群体需求的特殊性，其健康需求已成为优先事项。照顾这一人群需要在医院服务支出中占很大一部分资源。为正确规划和分配为该人群提供医疗保健的资源，制定一项研究议程是一项重要要求。
