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[Assessment of accessibility to health services facilities]
E Villarreal Ríos1, J González Rocha, A M Salinas Martínez
1Instituto Mexicano del Seguro Social, Monterrey Nuevo León México. inssnorteinv@infosel.net.mx
Objective:
To assess health care access integrating the availability of resources, medical institution and the patient point of view.
Setting:
Nuevo León, México.
Measurements And Main Results:
A random sample of patients were interviewed about their perceptions on different barriers, which also were assessed for the institution utilizing the corresponding indicator. Availability of resources were also measured for every primary and secondary medical care unit of the greatest Mexican health care system in Nuevo León. It was observed a 70% access; 70% for primary care and 73% for secondary care. Availability of human resources was an important factor but barriers as observed by the institution were the most important (waiting time and traveling cost). Barriers were rated different by the institution and the patient.
Conclusions:
The combination of institutional barriers, patient barriers and resources for assessing health care access is discussed.