title: [Cost-effectiveness analysis of an alternative for the provision of primary health care for beneficiaries of Seguro Popular in Mexico].
abstract: To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular.
  A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources.The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies. Sensitivity analysis was performed using Monte Carlo simulations.
  The private provider is dominant in the quality and cost-effective detection of decreased vision.
  Strategic purchasing of private providers of primary care has shown promising results as an alternative to improving quality of health services and reducing costs.
authors.affiliation: División de Gestión Tecnológica e Innovación, Coordinación de Investigación en Salud, Instituto Mexicano del Seguro Social. Ciudad de México.|Escuela Militar de Graduados de Sanidad. Ciudad de México.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Figueroa-Lara
authors.affiliation: Cátedra PwC de Investigación en Sistemas de Salud, Universidad Anáhuac del Norte. Estado de México.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: González-Block
mesh_terms: D002391:Catchment Area, Health; D003362:Cost-Benefit Analysis; D017048:Health Care Costs; D006801:Humans; D008800:Mexico; D018803:Models, Economic; D009010:Monte Carlo Method; D011320:Primary Health Care / Q000191:economics*; D019472:Universal Health Insurance / Q000191:economics*; D014786:Vision Disorders / Q000191:economics*