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Sergio A Bautista-Arredondo1, Adriana Vargas-Flores1, M Arantxa Colchero-Aragonés2

  • 1Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.. correo@correo.com.

Salud Publica De Mexico
|February 20, 2025
PubMed
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The private sector serves half of Mexicans needing healthcare. Improving public health services accessibility and quality is crucial for increasing their utilization and ensuring equitable health outcomes.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Health Economics

Context:

  • Analysis of healthcare-seeking behaviors and public health service utilization in Mexico from 2006 to 2023.
  • Utilizes data from the National Health and Nutrition Survey (Ensanut) and historical health unit data.
  • Examines trends in response to policy changes like Seguro Popular and pharmacy-adjacent clinics.

Purpose:

  • To describe and analyze healthcare-seeking decisions and public health service use in Mexico.
  • To evaluate the impact of health insurance expansions and private sector growth on healthcare access.
  • To identify factors influencing the utilization of public versus private healthcare services.

Summary:

  • While Seguro Popular's expansion did not increase public service use, the growth of pharmacy-adjacent clinics correlated with higher healthcare seeking and access between 2012 and 2018.

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  • The discontinuation of Seguro Popular did not lead to a decrease in healthcare-seeking behavior.
  • The private sector serves approximately 50% of the population with health needs in Mexico.

    • Impact:

    • Findings highlight significant private sector involvement in healthcare delivery, impacting equity and household well-being.
    • Recommendations emphasize enhancing public health system accessibility and quality to encourage greater utilization.
    • The study informs future public health strategies aimed at improving healthcare access and equity in Mexico.