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Article ; Online: Health-care costs of breast cancer at the Institute of Social Security and Services for Government Workers in Mexico

Hernández-Nájera, Olimpia / Cahuana-Hurtado, Lucero / Ávila-Burgos, Leticia

2021 Volume 63, Issue 4, Page(s) 538–546

Abstract: Objective: To estimate the cost of common versus normative practice in the treatment of breast cancer (BrCa) at the Mexican Institute of Social Security and Services for Government Workers (ISSSTE).: Materials and methods: A process approach from the ...

Title translation	Costos de atención del cáncer de mama en el Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, México.
Abstract	Objective: To estimate the cost of common versus normative practice in the treatment of breast cancer (BrCa) at the Mexican Institute of Social Security and Services for Government Workers (ISSSTE). Materials and methods: A process approach from the perspective of providers. We identified the resources utilized during one year of treatment through online questionnaires administered to oncologists in various hospitals (common treatment) as well as by conducting a clinical guidelines review (normative treatment). Results: The cost of common treatment was USD113.6 million annually. For stage I cases, it proved 1.23 and 1.12 times higher in regional and general as opposed to highly specialized hospitals. For stages 0-II cases, it was higher than normative treatment owing to greater use of consultations and chemotherapy. Conclusions: BrCa accounts for 3.8% of the ISSSTE budget in 2017. Achieving greater efficiency in the use of resources allocated for BrCa treatment requires stricter adherence to clinical guidelines as well as early detection.
MeSH term(s)	Breast Neoplasms/epidemiology ; Breast Neoplasms/therapy ; Female ; Government ; Health Care Costs ; Humans ; Mexico/epidemiology ; Social Security
Language	Spanish
Publishing date	2021-06-18
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	954220-6
ISSN	1606-7916 ; 0036-3634
ISSN (online)	1606-7916
ISSN	0036-3634
DOI	10.21149/12332
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Adolescent use of outpatient health services in Mexico: their health needs and associated factors.

Avila-Burgos, Leticia / Montañez-Hernández, Julio César / Cerecer-Ortiz, Nadia / Hubert, Celia / Heredia-Pi, Ileana / Suárez-López, Leticia / Villalobos, Aremis

Salud publica de Mexico

2023 Volume 66, Issue 1, ene-feb, Page(s) 25–36

Abstract: Objective: To estimate adolescent use of outpatient services, identifying their health needs and associated socioeconomic factors.: Materials and methods: Using data from Ensanut 2018-2019, adolescents (ages 10-19) with health needs and those ... ...

Abstract	Objective: To estimate adolescent use of outpatient services, identifying their health needs and associated socioeconomic factors. Materials and methods: Using data from Ensanut 2018-2019, adolescents (ages 10-19) with health needs and those receiving care from health personnel (users) were identified. Needs were analyzed by sex and socioeconomic status (SES). Logistic models were used to assess the factors associated with the use of health care and choice of provider. Results: 6% of adolescents reported health needs, of whom 64% used outpatient services. Respiratory and gastrointestinal infections were the principal health needs prompting use of services overall. However, by SES, motivations centered on pregnancy for the poor and accidental injuries for the wealthy. One in three adolescents with health needs, particularly the poorest, received no care. Living with a partner and having health insurance were the main predictors of use. Greater schooling among household heads and higher SES correlated with the use of private services. Conclusions: Despite being aware of their health needs, adolescents are the group that uses health services the least in Mexico. Promoting preventative and timely treatment for this population would encourage youths to seek care more often.
MeSH term(s)	Pregnancy ; Female ; Humans ; Adolescent ; Health Services Accessibility ; Mexico/epidemiology ; Socioeconomic Factors ; Ambulatory Care ; Insurance, Health
Language	English
Publishing date	2023-12-08
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	954220-6
ISSN	1606-7916 ; 0036-3634
ISSN (online)	1606-7916
ISSN	0036-3634
DOI	10.21149/14904
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Article ; Online: Use of Outpatient Health Services by Mexicans Aged 15 Years and Older, According to Ethnicity.

Pelcastre-Villafuerte, Blanca Estela / Avila-Burgos, Leticia / Meneses-Navarro, Sergio / Cerecer-Ortiz, Nadia / Montañez-Hernández, Julio César

International journal of environmental research and public health

2023 Volume 20, Issue 4

Abstract: The aim of this study was to estimate the prevalence of health needs and use of outpatient services for indigenous (IP) and non-indigenous (NIP) populations aged ≥15 years, and to explore the associated factors and types of need. A cross-sectional study ... ...

Abstract	The aim of this study was to estimate the prevalence of health needs and use of outpatient services for indigenous (IP) and non-indigenous (NIP) populations aged ≥15 years, and to explore the associated factors and types of need. A cross-sectional study was conducted based on the 2018-19 National Health and Nutrition Survey. The population aged ≥15 years who had health needs and used outpatient services was identified. Logistic models were developed to explore the factors underlying the use of outpatient services. For both populations, being a woman increased the likelihood of using health services, and having health insurance was the most important variable in explaining the use of public health services. Compared to the NIP, a lower proportion of IP reported health needs during the month prior to the survey (12.8% vs. 14.7%); a higher proportion refrained from using outpatient services (19.6% vs. 12.6%); and a slightly higher proportion used public health services (56% vs. 55.4%). For the NIP, older age and belonging to a household that had received cash transfers from a social program, had few members, a high socioeconomic level, and a head with no educational lag, all increased the likelihood of using public health services. It is crucial to implement strategies that both increase the use of public health services by the IP and incorporate health-insurance coverage as a universal right.
MeSH term(s)	Female ; Humans ; Cross-Sectional Studies ; Ethnicity ; Insurance, Health ; Family Characteristics ; Ambulatory Care
Language	English
Publishing date	2023-02-09
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20043048
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Adherence of Mexican physicians to clinical guidelines in the management of breast cancer: Effect of the National Catastrophic Health Expenditure Fund.

Ventura-Alfaro, Carmelita E / Ávila-Burgos, Leticia / Torres-Mejía, Gabriela

PloS one

2019 Volume 14, Issue 3, Page(s) e0212841

Abstract: Aim: To assess the adherence of physicians to the Medical-Care Guidelines for Malignant Breast Tumors in Mexico, before and after the allocation of federal subsidies from the Catastrophic Health Expenditure Fund (FPGC by its Spanish initials) to ... ...

Abstract	Aim: To assess the adherence of physicians to the Medical-Care Guidelines for Malignant Breast Tumors in Mexico, before and after the allocation of federal subsidies from the Catastrophic Health Expenditure Fund (FPGC by its Spanish initials) to accredited hospitals, a strategy implemented with the view of offering free treatment to women with breast cancer (BC). Material and methods: Based on a cross-sectional design, we gathered information on 479 BC patients who had been attended to at in four FPGC-accredited hospitals. Analysis centered on those treated within either three years before or three years after the accreditation of their attending hospitals. The four hospitals analyzed were located in the North, South, West and Center of the country. Information on all medical procedures performed during treatment was drawn from hospital medical records. Information on the socio-demographic characteristics of the patients was obtained by means of face-to-face interviews conducted in their homes. Results: Adherence of physicians to the Guidelines grew by 12.8 percent (from 43.4 to 56.2 percent) after FPGC accreditation (p<0.001) and varied according to the clinical stage of the disease, with much lower levels of adherence observed in the advanced stages (p<0.05). Conclusions: The FPGC strategy increased the adherence of physicians to the Medical-Care Guidelines for Malignant Breast Tumors in Mexico.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Breast Neoplasms/economics ; Breast Neoplasms/pathology ; Breast Neoplasms/therapy ; Cross-Sectional Studies ; Female ; Guideline Adherence/statistics & numerical data ; Hospitals, Public/economics ; Hospitals, Public/standards ; Humans ; Medical Oncology/economics ; Medical Oncology/standards ; Medical Oncology/statistics & numerical data ; Mexico ; Middle Aged ; National Health Programs/economics ; Neoplasm Staging ; Physicians/economics ; Physicians/standards ; Physicians/statistics & numerical data ; Practice Guidelines as Topic ; Program Evaluation
Language	English
Publishing date	2019-03-20
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0212841
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Socioeconomic Inequalities in Alcohol and Tobacco Consumption: A National Ecological Study in Mexican Adolescents.

Ávila-Burgos, Leticia / Guzmán-Saldaña, Rebeca / Márquez-Corona, María de Lourdes / Pontigo-Loyola, América Patricia / Márquez-Rodríguez, Sonia / Mora-Acosta, Mariana / Acuña-González, Gladys Remigia / Hernández-Morales, Antonio / Medina-Solís, Carlo Eduardo

TheScientificWorldJournal

2023 Volume 2023, Page(s) 3604004

Abstract: Alcohol and cigarettes are the psychoactive substances that adolescents use most frequently. When both addictions are combined, they carry the worst burden of disease globally. The objective of this study was to identify whether socioeconomic factors ... ...

Abstract	Alcohol and cigarettes are the psychoactive substances that adolescents use most frequently. When both addictions are combined, they carry the worst burden of disease globally. The objective of this study was to identify whether socioeconomic factors correlate with alcohol and tobacco consumption in Mexican adolescents aged 10 years or more and to establish the relationship in the consumption between the two substances. This ecological study utilized data describing alcohol and tobacco consumption among adolescents aged 10-16 years (
MeSH term(s)	Child ; Adolescent ; Humans ; Ethanol ; Tobacco Use/epidemiology ; Alcohol Drinking/epidemiology ; Socioeconomic Factors
Chemical Substances	Ethanol (3K9958V90M)
Language	English
Publishing date	2023-07-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2075968-X
ISSN	1537-744X ; 1537-744X
ISSN (online)	1537-744X
ISSN	1537-744X
DOI	10.1155/2023/3604004
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Cuentas en salud reproductiva y equidad de género

Ávila Burgos, Leticia

estimación 2007 y comparativo 2003-2007

2009

Institution	Instituto Nacional de Salud Pública (Mexico) Mexico. / Secretaría de Salud
Author's details	Leticia Ávila Burgos ... [et al.]
MeSH term(s)	Reproductive Health Services/economics
Keywords	Mexico
Language	Spanish
Size	106 p. :, col. ill., col. map ;, 28 cm.
Edition	1. ed.
Publisher	Secretaría de Salud ; Instituto Nacional de Salud Pública
Publishing place	México, D.F ; Cuernavaca, Morelos, México
Document type	Book
ISBN	9786077530626 ; 607753062X ; 9786074600865 ; 6074600864
Database	Catalogue of the US National Library of Medicine (NLM)

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Book: Cuentas en salud reproductiva y equidad de género

Ávila Burgos, Leticia

estimación 2011 y comparativo 2003-2011

2013

Author's details	Leticia Ávila Burgos [and 3 others]
MeSH term(s)	Reproductive Health Services/economics
Keywords	Mexico
Language	Spanish
Size	105 pages :, illustrations
Edition	Primera edición.
Document type	Book
ISBN	9786074604429 ; 9786075111261 ; 6074604428 ; 6075111263
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Quality of family planning services in Mexico: The perspective of demand.

Torres-Pereda, Pilar / Heredia-Pi, Ileana B / Ibáñez-Cuevas, Midiam / Ávila-Burgos, Leticia

PloS one

2019 Volume 14, Issue 1, Page(s) e0210319

Abstract: Introduction: Family planning (FP) is one of the key services provided by health care systems. Extending beyond matters of sexual and reproductive health, its area of influence impacts directly on the development of individuals and nations. After 60 ... ...

Abstract	Introduction: Family planning (FP) is one of the key services provided by health care systems. Extending beyond matters of sexual and reproductive health, its area of influence impacts directly on the development of individuals and nations. After 60 years of intense FP activities in Mexico, and in light of recent restructuring of health service supply and financing, services need to be assessed from a user perspective. Objective: Based on a comprehensive conceptual framework, this article assesses the quality of the FP services provided by the Mexican Ministry of Health (MoH). Analysis considers not only accessibility and availability but also the users' perceptions of the care process, particularly as regards the interpersonal relations they experience with staff and the type of information they are provided. Material and methods: This study used a descriptive, qualitative design based on maximum variation sampling in six Mexican states. It included visits to 12 clinics in urban and rural areas. Thematic analysis was performed on 86 semi-structured interviews administered to FP service users. Results: While access was described by users as "easy," their experiences revealed normalized barriers. One of our key findings referred to inverse availability, meaning that the contraceptive methods available were generally not the ones preferred by users, with their selection therefore being shaped by shortage of supplies. Challenges included disrespect for the free choice of FP users and coercion during consultations for contraception post obstetric event. Finally, information provided to users left considerable room for improvement. Conclusions: After six decades of FP service supply, results indicate a series of quality issues that may lie at the heart of the unmet demand reported in the literature. Based on a comprehensive conceptual scheme, the present study analyzes the quality of services, highlighting areas for improvement that should be considered by the MoH in future efforts.
MeSH term(s)	Adolescent ; Adult ; Contraception/methods ; Counseling ; Family Planning Services/economics ; Family Planning Services/standards ; Family Planning Services/supply & distribution ; Female ; Health Planning ; Health Services Accessibility ; Humans ; Male ; Mexico ; Middle Aged ; Pregnancy ; Professional-Patient Relations ; Program Evaluation ; Quality of Health Care ; Sex Education ; Young Adult
Language	English
Publishing date	2019-01-30
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0210319
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Government expenditure on health and maternal mortality in México: A spatial-econometric analysis.

Pérez-Pérez, Eduardo / Serván-Mori, Edson / Nigenda, Gustavo / Ávila-Burgos, Leticia / Mayer-Foulkes, David

The International journal of health planning and management

2019 Volume 34, Issue 2, Page(s) 619–635

Abstract: Objective: To assess the relationship between government expenditure on maternal health (GE) and maternal mortality (MM) in Mexican poor population between 2000 and 2015 in the 2457 Mexican municipalities.: Methods: Using administrative data, we ... ...

Abstract	Objective: To assess the relationship between government expenditure on maternal health (GE) and maternal mortality (MM) in Mexican poor population between 2000 and 2015 in the 2457 Mexican municipalities. Methods: Using administrative data, we performed the analysis in three stages: First, we tested the presence of selection bias in MM. Next, we assessed the presence of spatial dependence in the incidence and severity of MM. Finally, we estimated a spatial error model considering the correction of estimates for the spatial dependence and selection bias assessed before. Results: MM and GE were not randomly distributed throughout the Mexican territory; the most socially vulnerable municipalities exhibited the highest levels of MM severity but the lowest levels of GE and available human and physical resources for maternal health; the incidence of MM was independent of GE; elasticity of GE-severity in MM was -4% (P < 0.01). Conclusions: Resource allocation for maternal health must move towards a more comprehensive vision, and efforts to achieve an effective delivery of universal health services must improve, particularly regarding the most vulnerable municipalities.
MeSH term(s)	Adult ; Financing, Government/economics ; Financing, Government/statistics & numerical data ; Health Expenditures ; Health Services Accessibility/economics ; Health Services Accessibility/statistics & numerical data ; Humans ; Incidence ; Maternal Health/economics ; Maternal Health/statistics & numerical data ; Maternal Health Services/economics ; Maternal Health Services/statistics & numerical data ; Maternal Mortality ; Mexico/epidemiology ; Models, Econometric ; Models, Statistical ; Resource Allocation ; Socioeconomic Factors ; Spatial Analysis ; Young Adult ; Female
Language	English
Publishing date	2019-01-07
Publishing country	England
Document type	Journal Article
ZDB-ID	632786-2
ISSN	1099-1751 ; 0749-6753
ISSN (online)	1099-1751
ISSN	0749-6753
DOI	10.1002/hpm.2722
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: Cuentas en salud reproductiva y equidad de género 2004

Ávila Burgos, Leticia

análisis comparativo 2003-2004

2006

Institution	Instituto Nacional de Salud Pública (Mexico) Mexico. / Secretaría de Salud
Author's details	preparado por Leticia Ávila Burgos ... [et al.]
MeSH term(s)	Reproductive Health Services/economics
Keywords	Mexico
Language	Spanish
Size	101 p. :, ill. ;, 27 cm.
Edition	1. ed.
Publisher	Secretaría de Salud ; Cuernavaca ; Instituto Nacional de Salud Pública
Publishing place	México, D.F
Document type	Book
ISBN	9789707213227 ; 9707213221 ; 9789709874075 ; 9709874071
Database	Catalogue of the US National Library of Medicine (NLM)

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