[Assessment of accessibility to health services facilities].
OBJECTIVE
To assess health care access integrating the availability of resources, medical institution and the patient point of view.


METHODS
Nuevo León, México.


RESULTS
A random sample of patients were interviewed about their perceptions on different barriers, which also were assessed for the institution utilizing the corresponding indicator. Availability of resources were also measured for every primary and secondary medical care unit of the greatest Mexican health care system in Nuevo León. It was observed a 70% access; 70% for primary care and 73% for secondary care. Availability of human resources was an important factor but barriers as observed by the institution were the most important (waiting time and traveling cost). Barriers were rated different by the institution and the patient.


CONCLUSIONS
The combination of institutional barriers, patient barriers and resources for assessing health care access is discussed.
Villarreal Ríos
E
E
Instituto Mexicano del Seguro Social, Monterrey Nuevo León México. inssnorteinv@infosel.net.mx
González Rocha
J
J
Salinas Martínez
A M
AM
Garza Elizondo
M E
ME
Núñez Rocha
G
G
Uribe Martínez
M G
MG
D006268:Health Facilities; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008800:Mexico; D014505:Urban Population
Evaluación de la accesibilidad en los servicios de salud.