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Sergio Bautista-Arredondo1, Adriana Vargas-Flores2, Luis Alberto Moreno-Aguilar3

  • 1Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.. sbautista@insp.mx.

Salud Publica De Mexico
|December 7, 2023
PubMed
Summary
This summary is machine-generated.

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Mexican adults often face unmet health needs, with access barriers like distance and cost influencing care choices. Improving public health service accessibility is key to reducing private sector reliance and out-of-pocket expenses.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Access

Context:

  • In 2022, a significant portion of the Mexican population reported unmet health needs.
  • Understanding healthcare-seeking behaviors is crucial for public health.
  • The National Survey of Health and Nutrition Continuous 2022 provides key data.

Purpose:

  • To describe the healthcare choices of the Mexican population when facing a health need in 2022.
  • To analyze factors influencing the selection of public versus private healthcare services.
  • To identify barriers to accessing appropriate healthcare based on social security affiliation.

Summary:

  • 44% of those with a health need received care in public services; private services were utilized across all demographics, especially by those without social security.

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  • Access (71%) and perceived quality (21%) were primary reasons for not using designated services.
  • Key access drivers included affiliation, proximity, and cost; quality factors included promptness and satisfaction.

    • Impact:

    • Findings highlight the need to improve public healthcare accessibility (e.g., reduce wait times, simplify bureaucracy) to decrease reliance on private services.
    • Addressing access barriers can mitigate financial burdens, particularly for the uninsured population.
    • This research informs policy aimed at reducing healthcare inequality and out-of-pocket spending in Mexico.