Resource allocation equity in northeastern Mexico.
Currently, the population health needs are unlimited, but allocation of financial resources is not in accordance with these needs, probably due to the lack of specific information. In this work, we propose a new approach to allocate resources with equity as a tool for decision-making in planning. The grade of equity in resource allocation in decentralized management medical areas (DMMAs (AMGD, for its initials in Spanish)) was determined; these are limited geographical areas of a social security institution in three states of the northeastern region of Mexico. The areas with more health needs in the global index were DMMA no. 12 in Tamaulipas with a Z-score (ZS) of -5; area no. 3 in Coahuila with -4; and area no. 9 in Nuevo Leon, no. 16 and no. 17 in Tamaulipas with -2. Equity was measured according to the degree of concordance between the health needs index and the per capita health expenditure of each area: (r = 0.19, P > 0.05). Low concordance was found between these variables in the studied medical areas.
Epidemiology Research and Health Services Unit, Mexican Social Security Institute (IMSS), CP 64000 Monterrey, Nuevo León, Mexico. gmnunezr@cis.gob.mx
Georgina Mayela Núñez
GM
Rocha
Ana María Salinas
AM
Martínez
Enrique Villarreal
EV
Ríos
Ma Eugenia Garza
ME
Elizondo
D015276:Health Care Rationing / Q000458:organization & administration*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D008507:Medically Underserved Area; D008800:Mexico; D017146:Models, Organizational; D011057:Politics