Costo-efectividad de una alternativa para la prestación de servicios de atención primaria en salud para los beneficiarios del Seguro Popular de México / Cost-effectiveness analysis of an alternative for the provision of primary health care for beneficiaries of Seguro Popular in Mexico
Salud pública Méx
;
58(5): 569-576, sep.-oct. 2016. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-830831
RESUMEN
Resumen Objetivo:
Calcular la razón costo-efectividad de servicios públicos y privados contratados por el Seguro Popular en primer nivel de atención. Material ymétodos:
Se evaluó una experiencia piloto de contratación de servicios de primer nivel de atención a la salud en el estado de Hidalgo, México, midiendo, con base en una encuesta poblacional, la calidad general y la detección de disminución de visión. Se analizó la sensibilidad mediante simulaciones de Monte Carlo.Resultados:
El prestador privado es dominante en calidad y costo-efectivo para la detección de disminución de visión.Conclusiones:
La compra estratégica de prestadores privados de atención primaria es promisoria para mejorar los servicios de salud y reducir los costos.ABSTRACT
Abstract Objective:
To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular. Materials andmethods:
A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources.The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies. Sensitivity analysis was performed using Monte Carlo simulations.Results:
The private provider is dominant in the quality and cost-effective detection of decreased vision.Conclusions:
Strategic purchasing of private providers of primary care has shown promising results as an alternative to improving quality of health services and reducing costs.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Primary Health Care
/
Vision Disorders
/
Universal Health Insurance
Type of study:
Evaluation studies
/
Health economic evaluation
Limits:
Humans
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Salud pública Méx
Journal subject:
Public Health
Year:
2016
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Mexicano del Seguro Social/MX
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