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[A qualitative study on health care to chronically ill people in Popular Health Insurance program]
Luis Eduardo Hernández-Ibarra1, Francisco J Mercado-Martínez
1Facultad de Enfermería, Universidad Autónoma de San Luís Potosí, San Luis Potosí, México.
Objective:
To examine health care provided to chronically ill people in the Popular Health Insurance (Seguro Popular) from the perspective of patients and health professionals.
Materials And Methods:
A qualitative study was carried out in Guadalajara, Mexico. 40 chronically ill people, and 14 health professionals of primary health centers participated in the study. Information was gathered using semi-structured interviews; critical discourse analysis was carried out.
Results:
Seguro Popular has meant gains and losses to participants. Cronically ill people value it positively since it is perceived as a gift, not a social right. Some obstacles impede participants accessing health care, obtaining medications and analysis. Conflictive relations also cause tensions between patients and health professionals.
Conclusion:
The initial goals of Seguro Popular are not achieved regarding health care to chronically ill people. The perspectives of sick people should be prioritized.
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