title: [Financial requirements for health services demands for diabetes and hypertension in Mexico: 2001-2003].
abstract: This paper presents the results of a prospective study aimed at identifying financial requirements to provide and finance healthcare services during the period 2001-2003, for high blood pressure and diabetes, the two main chronic diseases demanding healthcare services in Mexico. The study population was drawn from Mexico's three main healthcare institutions: The Ministry of Health (SSA); the Mexican Institute of Social Security (IMSS); and the Institute for Social Security and Services for State Workers (ISSSTE). The costing method was based on instrumentation and consensus techniques per average case management. Six Box-Jenkins probabilistic models were constructed to estimate the epidemiologic change for the period 2001-2003. Study findings suggest that if risk factors and healthcare provision models remain unchanged, the financial consequences would have a greater impact on the Ministry of Health, followed by IMSS and ISSSTE. Financial requirements for both diseases will account for nearly 2% of the total budget allocated to the uninsured, and 3.5% for the insured population. Indirect costs showed a similar trend in the three institutions, representing nearly 23% above total direct costs.
authors.affiliation: aarredon@insp3.insp.mx
authors.forename: A
authors.initials: A
authors.lastname: Arredondo
mesh_terms: D000553:Ambulatory Care / Q000191:economics; D002017:Budgets; D019090:Case Management / Q000191:economics; D003920:Diabetes Mellitus / Q000191:economics* / Q000453:epidemiology / Q000628:therapy; D004469:Economics, Hospital; D006077:Government Agencies / Q000191:economics; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000191:economics / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics; D006801:Humans; D006973:Hypertension / Q000191:economics* / Q000453:epidemiology / Q000628:therapy; D008137:Longitudinal Studies; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008800:Mexico / Q000453:epidemiology; D011446:Prospective Studies; D012943:Social Security / Q000191:economics