[Study of primary care health needs through family health diagnosis].
OBJECTIVE
To assess the health needs of the eligible public population of the Mexican Institute of Social Security (IMSS).


METHODS
Observational, descriptive, transversal study.


METHODS
Family Medicine Unit number 8 of the IMSS, in the city of Tlaxcala, Mexico.


METHODS
A sample of 1200 families using multi-stage sampling, between October 1999 and March 2000.


METHODS
The designed and validated questionnaire on "Family health diagnosis" was used.


RESULTS
A 19.2% of the families had a very low socio-economic level, and 14.9% of subjects were not entitled to Social Security. Functional illiteracy in at least one member was found in 12.6% of the families. According to the family Apgar, 93% of families were functional and two-thirds of the families were classified as nuclear. About 51.1% and 36.9% of women used programs for detection of cervical/uterine and breast cancer, respectively. Only 25% of the adult population underwent the detection tests for diabetes mellitus and hypertension and 10.9% had a chronic disease. 56.4% of families considered the quality of health care good, and only 18.13% were satisfied with the care received.


CONCLUSIONS
Identification of health needs through diagnosis of family health is useful as a basis for establishing a hierarchy of problems as well as for developing health programs that may facilitate greater equity in attention.
Torres-Arreola
Laura Pilar
LP
Unidad de Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional Siglo XXI, IMSS, México DF, México. laura.torres@imiss.gob.mx
Vladislavovna Doubova
Svetlana
S
Reyes-Morales
Hortensia
H
Villa-Barragán
Juan Pablo
JP
Constantino-Casas
Patricia
P
Pérez-Cuevas
Ricardo
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D018592:Cross-Over Studies; D004522:Educational Status; D005192:Family Health; D005194:Family Practice; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008297:Male; D008800:Mexico; D008875:Middle Aged; D017060:Patient Satisfaction; D011320:Primary Health Care; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires