Video Experimental Relacionado
Updated: Jun 24, 2026
07:40
Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
¿Una política pública para los pobres? Una evaluación aleatoria del programa mexicano de seguro de salud universal
Gary King1, Emmanuela Gakidou, Kosuke Imai
1Institute for Quantitative Social Science, Harvard University, Cambridge, MA, USA.
Lancet (London, England)
|April 11, 2009
Resumen
Seguro Popular, un programa de seguro médico mexicano, redujo los gastos de salud catastróficos en un 23% en su fase inicial. Si bien llegó a los pobres, su corta duración limitó los impactos más amplios en los resultados de salud.
Área de la Ciencia:
- Salud Pública La salud pública.
- Economía de la salud Economía de la salud
- La política social La política social La política social La política social
Sus antecedentes:
- Assessed Seguro Popular, un programa mexicano que proporciona seguro de salud, atención médica, medicamentos e instalaciones a 50 millones de personas sin seguro.
- Su objetivo es evaluar el impacto del programa en los gastos y resultados de salud.
Objetivo del estudio:
- Evaluar la efectividad del programa Seguro Popular en la reducción de las cargas financieras y la mejora de la salud.
- Evaluar el alcance y el impacto del programa en diferentes grupos socioeconómicos.
Principales métodos:
- Ensayos controlados aleatorios en 74 grupos de salud emparejados en siete estados mexicanos.
- 118.569 hogares encuestados al inicio y 10 meses después de la intervención (n = 32.515 en 50 pares).
- Los efectos causales promedio de la intención de tratar y el cumplimiento se estimaron de manera no paramétrica.
Principales resultados:
- El análisis de la intención de tratar mostró una reducción del 23% en los gastos catastróficos.
- Se observaron reducciones significativas en los gastos catastróficos en los hogares pobres (3,0% puntos) y los conformes (6,5% puntos).
- No se encontraron efectos significativos en el gasto en medicamentos, los resultados de salud o la utilización, posiblemente debido a la corta duración del estudio.
Conclusiones:
- El Seguro Popular dirigió con éxito recursos a los pobres.
- La corta duración del programa (10 meses) puede tener efectos observables limitados en los resultados de salud y la utilización.
- Se necesitan más estudios a largo plazo para determinar el impacto total del Seguro Popular.
Videos de Conceptos Relacionados
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:26Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include: