title: Utilization and purchase of medical care services in Mexico by residents in the United States of America, 1998-1999.
abstract: OBJECTIVE
  We assessed self-reported frequency of purchase of medications and medical care services in Mexico by southern New Mexico (United States, [U.S.]) residents in relation to their medical insurance coverage.
  
  
  METHODS
  We analyzed data obtained in 1998 and 1999 from a health interview survey of residents in a six-county region of southern New Mexico, using prevalence and logistic regression methods for complex survey data.
  
  
  RESULTS
  About 22% of southern New Mexico residents had purchased medications and 11% had sought medical care in Mexico at least once during the year preceding the survey. When we adjusted for the effects of other variables, persons able to pay for services out of pocket and those who were uninsured were more likely than persons who were fully covered to purchase medications or medical care in Mexico.
  
  
  CONCLUSIONS
  Large numbers of people residing near the border in New Mexico traveled south to Mexico to purchase medications and medical care. Lack of medical insurance was associated with higher frequencies of these purchases. There seems to be a need to establish relationships between U.S. private and public care plans and Mexican medical care providers to identify appropriate mechanisms for U.S. residents to purchase medical care in Mexico.
authors.affiliation: New Mexico Department of Health, 1170 North Solano, Suite L, Las Cruces, New Mexico 88001, United States of America. Luis.Escobedo@dshs.state.tx.us
authors.forename: Luis G
authors.initials: LG
authors.lastname: Escobedo
authors.forename: Victor M
authors.initials: VM
authors.lastname: Cardenas
mesh_terms: D000293:Adolescent; D000328:Adult; D003132:Commerce / Q000706:statistics & numerical data; D003710:Demography; D004358:Drug Therapy / Q000191:economics / Q000706:statistics & numerical data; D005260:Female; D006296:Health Services / Q000191:economics / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D038622:Internationality; D008297:Male; D008800:Mexico; D008875:Middle Aged; D009516:New Mexico / Q000208:ethnology; D015995:Prevalence; D011795:Surveys and Questionnaires