title: [The coverage of health institutions in the state of Mexico. A comparative analysis of the insured and uninsured populations].
abstract: In this paper we report on a survey aimed at comparing utilization patterns and institutional coverage of health services between insured and non-insured populations. Our results show that under fixed socioeconomic characteristics, and for the same health problems, the non-insured group had a utilization rate 1.5 times smaller than that corresponding to the insured. Institutional coverage also showed important variations: only 31.8% of the group potentially served by the Secretary of Health (non-insured group) had actually demanded care, while the corresponding figure for the insured group (those with right to use the services provided by the diverse social security institutions) was 57.6%. On the other hand, private services utilization was 1.7 times higher for the non-insured population. These results point to the need for alternative and more equitable health care models in Mexico.
authors.affiliation: Centro de Investigaciones en Salud Pública, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: P
authors.initials: P
authors.lastname: Nájera-Aguilar
authors.forename: T de J
authors.initials: Tde J
authors.lastname: Ramírez-Sánchez
authors.forename: L
authors.initials: L
authors.lastname: Cantoral-Uriza
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008800:Mexico; D009313:National Health Programs / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data; D012943:Social Security / Q000706:statistics & numerical data
vernacular_title: Cobertura de las instituciones de salud en el Estado de México. Análisis comparativo entre la población asegurada y la no asegurada.