Comision Nacional de Proteccion Social en Salud

Mexico City, Mexico

Comision Nacional de Proteccion Social en Salud

Mexico City, Mexico
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Rizzoli-Cordoba A.,Hospital Infantil Of Mexico Federico Gomez | Vargas-Carrillo L.I.,Sistema Nacional para el Desarrollo Integral de la Familia | Vasquez-Rios J.R.,Hospital Infantil Of Mexico Federico Gomez | Reyes-Morales H.,Hospital Infantil Of Mexico Federico Gomez | And 5 more authors.
Boletin Medico del Hospital Infantil de Mexico | Year: 2017

Background Early education program (EEP) was created to support parents with 1 to 3 year olds living in poverty situation in Mexico, and includes education and child daycare for 8 h five days per week. The objective of this study was to evaluate the association between length of stay in EEP and the level of development in children. Methods Cross sectional, population-based study conducted in two Mexican states. All children aged between 12 to 48 months enrolled in EEP from November 2014 to January 2015 were included. Child Development Evaluation (CDE) test was used to screen early development in every child. Normal early development prevalence odds ratio (OR) was calculated adjusted by gender, impairment and state, using as a reference those children with less than 30 days in the program. Results The study included 3,387 children from 177 EEP nurseries, from which 53% were male; age by group was divided in 12-24 months (22.3%), 25-36 months (37.6%) and 37-42 months (40.1%). Normal development adjusted OR by age was 1.9 (CI95%: 1.30-2.78) for 6-11 months, 2.36 (CI95%: 1.60-3.50) for 12-17 months, 2.78 (CI95%: 1.65-4.65) for 18-23 months and 3.46 (CI95%: 2.13-5.60) for >24 months. By area of development, a greater probability of having a normal result for language and social areas was observed after 6 months in the program, and for motor (both gross and fine) and knowledge areas after 12 months. Conclusion The length of the stay in the EEP after 6 months significantly and progressively increases the probability of normal development regardless of gender and age. © 2017 Hospital Infantil de México Federico Gómez


Perez-Cuevas R.,Banco Interamericano de Desarrollo | Vladislavovna Doubova S.,Instituto Mexicano del Seguro Social | Jasso-Gutierrez L.,Hospital Infantil Of Mexico Federico Gomez | Flores-Hernandez S.,Instituto Nacional Of Salud Publica | And 4 more authors.
Boletin Medico del Hospital Infantil de Mexico | Year: 2014

Background: In Mexico there is an important gap of information regarding the quality of care for neonates with necrotizing enterocolitis (NEC). This study aimed at evaluating the quality of care for neonates with NEC affiliated with the program Medical Insurance Century XXI (MIC-XXI), which is a branch of Seguro Popular. Methods: From December 2011 to March 2012, a cross-sectional study took place in 61 hospitals of the Ministry of Health located in 22 Mexican states. A set of 16 quality indicators based on a literature review served for the evaluation. Results: We reviewed 262 medical records of neonates with NEC. More than half were male and born by caesarean section; 55.8% were premature, 55.3% had low birth weight and 12.2% died. Regarding the quality of care, 72.5% were breastfed before being diagnosed with NEC. Most cases had abdominal radiography (90%), 75.0% had diagnosis of NEC according to Bell’s criteria, but only 30% had reported symptoms that met the criteria for the recorded stage. Suspension of enteral feeding and administration of antibiotics reached 95.8% and 93.9%, respectively. Twenty six neonates underwent surgery, of which 34% had reported radiographic findings. Conclusion: A wide margin exists to improve the quality of care of neonates with NEC in Mexican Hospitals. © 2013, Boletín Médico del Hospital Infantil de México.


Gomez-Dantes O.,Instituto Nacional Of Salud Publica | Sesma S.,Comision Nacional de Proteccion Social en Salud | Becerril V.M.,Instituto Nacional Of Salud Publica | Arreola H.,Fundacion Mexicana para la Salud
Salud Publica de Mexico | Year: 2011

This paper describes the Mexican health system. In part one, the health conditions of the Mexican population are discussed, with emphasis in those emerging diseases that are now the main causes of death, both in men and women: diabetes, ischaemic heart disease, cerebrovascular diseases and cancer. Part two is devoted to the description of the basic structure of the system: its main institutions, the population coverage, the health benefits of those affiliated to the different heath institutions, its financial sources, the levels of financial protection in health, the availability of physical, material and human resources for health, and the stewardship functions displayed by the Ministry of Health and other actors. This part also discusses the role of citizens in the monitorization and evaluation of the health system, as well as the levels of satisfaction with the rendered health services. In part three the most recent innovations and its impact on the performance of the health system are discussed. Salient among them are the System of Social Protection in Health and the Popular Health Insurance. The paper concludes with a brief analysis of the short- and middle-term challenges faced by the Mexican health system.


Rizzoli-Cordoba A.,Hospital Infantil Of Mexico Federico Gomez | Delgado-Ginebra I.,Hospital Infantil Of Mexico Federico Gomez | Cruz-Ortiz L.A.,Hospital Infantil Of Mexico Federico Gomez | Baqueiro-Hernandez C.I.,Hospital Infantil Of Mexico Federico Gomez | And 11 more authors.
Boletin Medico del Hospital Infantil de Mexico | Year: 2015

Background: The Child Development Evaluation (CDE) Test is a screening tool designed and validated in Mexico for the early detection of child developmental problems. For professionals who will be administering the test in primary care facilities, previous acquisition of knowledge about the test is required in order to generate reliable results. The aim of this work was to evaluate the impact of a training model for primary care workers from different professions through the comparison of knowledge acquired during the training course. Methods: The study design was a before/after type considering the participation in a training course for the CDE test as the intervention. The course took place in six different Mexican states from October to December 2013. The same questions were used before and after. Results: There were 394 participants included. Distribution according to professional profile was as follows: general physicians 73.4%, nursing 7.7%, psychology 7.1%, nutrition 6.1% and other professions 5.6%. The questions with the lowest correct answer rates were associated with the scoring of the CDE test. In the initial evaluation, 64.9% obtained a grade lower than 20 compared with 1.8% in the final evaluation. In the initial evaluation only 1.8% passed compared with 75.15% in the final evaluation. Conclusions: The proposed model allows the participants to acquire general knowledge about the CDE Test. To improve the general results in future training courses, it is required to reinforce during training the scoring and interpretation of the test together with the previous lecture of the material by the participants. © 2015 Hospital Infantil de México Federico Gómez.


Castaneda De La Lanza C.,Comision Nacional de Proteccion Social en Salud | O'Shea Cuevas G.J.,Comision Nacional de Proteccion Social en Salud | Lozano Herrera J.,Comision Nacional de Proteccion Social en Salud | Castaneda Pena G.,Comision Nacional de Proteccion Social en Salud | Castaneda Martinez C.,University of Sonora
Gaceta Mexicana de Oncologia | Year: 2015

The need for the healthcare system to respond to oncology patients, patients with non-transmittable diseases and aging population needs, has led to the development of an intervention according to the ICD-10 for symptom control in these patients. Intervention 88 is assigned to: "Care for some signs, symptoms and other factors that influence health status", and it is available in appendix 1 for drug treatment. The approach of this system allows for coverage by offering intervention to the Social Health-Protection System population in a palliative or terminal situation or requiring symptom control. © 2015 Sociedad Mexicana de Oncologiá.


Rizzoli-Cordoba A.,Hospital Infantil Of Mexico Federico Gomez | Ortega-Riosvelasco F.,Hospital Infantil Of Mexico Federico Gomez | Villasis-Keever M.A.,Hospital Of Pediatria | Pizarro-Castellanos M.,Hospital Infantil Of Mexico Federico Gomez | And 4 more authors.
Boletin Medico del Hospital Infantil de Mexico | Year: 2014

Background: The Child Development Evaluation (CDE) is a screening tool designed and validated in Mexico for detecting developmental problems. The result is expressed through a semaphore. In the CDE test, both yellow and red results are considered positive, although a different intervention is proposed for each. The aim of this work was to evaluate the reliability of the CDE test to discriminate between children with yellow/red result based on the developmental domain quotient (DDQ) obtained through the Battelle Development Inventory, 2nd edition (in Spanish) (BDI-2). Methods: The information was obtained for the study from the validation. Children with a normal (green) result in the CDE were excluded. Two different cut-off points of the DDQ were used (BDI-2): < 90 to include low average, and developmental delay was considered with a cutoff < 80 per domain. Results were analyzed based on the correlation of the CDE test and each domain from the BDI-2 and by subgroups of age. Results: With a cut-off DDQ <90, 86.8% of tests with yellow result (CDE) indicated at least one domain affected and 50% 3 or more compared with 93.8% and 78.8% for red result, respectively. There were differences in every domain (P < 0.001) for the percent of children with DDQ < 80 between yellow and red result (CDE): cognitive 36.1% vs. 61.9%; communication: 27.8% vs. 50.4%, motor: 18.1% vs. 39.9%; personal-social: 20.1% vs. 28.9%; and adaptive: 6.9% vs. 20.4%. Conclusions: The semaphore result yellow/red allows identifying different magnitudes of delay in developmental domains or subdomains, supporting the recommendation of different interventions for each one. © 2014 Hospital Infantil de México Federico Gómez.


Rizzoli-Cordoba A.,Investigacion Hospital Infantil Of Mexico Federico Gomez | Rizzoli-Cordoba A.,Hospital Infantil Of Mexico Federico Gomez | Schnaas-Arrieta L.,Instituto Nacional Of Perinatologia Dr Isidro Espinosa Of Los Reyes | Liendo-Vallejos S.,Hospital Infantil Of Mexico Federico Gomez | And 11 more authors.
Boletin Medico del Hospital Infantil de Mexico | Year: 2013

Background. The "Evaluación del Desarrollo Infantil" (EDI) test was developed as an screening tool for the developmental evaluation of Mexican children younger than 5 years old. The objective of this study was to evaluate the psychometric properties of EDI as a screening tool for children with developmental problems. Methods. We carried out a cross-sectional study including patients from urban and rural areas in three locations: Mexico City, Yucatan and Chihuahua. The disease spectrum was defined according to biological risk, environmental risk or without risk for developmental problems. Patients with obvious neurological disabilities or genetic syndromes were excluded. The gold standards were the Battelle Developmental Inventory 2 (in Spanish) and Bayley-III. Each participant had two complete applications of the EDI test (all interrogated and all observed) and the gold standard (Bayley-III only in Mexico City). Developmental delay was defined as a total development quotient <90. Results. The study included 438 children <5 years old. Distribution by site includes Mexico City (n =152, 34.7%), Yucatan (n =151, 34.5%), Chihuahua (n =135, 30.8%); female gender (n =190, 43.4%). Classification by risk includes biological (n =197, 45%), environmental (n =137, 31.3%), without risk (n =104, 23.7%). With BDI-II as the gold standard, the modified version of EDI (interrogated plus observation) has a sensitivity of 0.81 (95% CI: 0.75-0.86), specificity 0.61 (95% CI: 0.54-0.67), and concordance 0.70 (95% CI: 0.66-0.74). The partial correlation between EDI areas and Bayley-III areas (n =87) was adjusted by test group: fine motor 0.468, gross motor 0.441, language 0.508, social 0.336 and adaptive 0.355 (p ≤0.001). Conclusions. The modified version of EDI has similar properties as the various developmental screening tools available in the U.S. or Latin America and could be a good screening tool in Spanish.


Machado D.G.-J.,Comision Nacional de Proteccion Social en Salud
Gaceta Medica de Mexico | Year: 2012

This text is a summary of how the health system evolves in Mexico since the first institutions to date. Primarily addresses the problems that led to the creation of the Social Protection in Health System or Seguro Popular in 2003, as well as its objectives, performance, challenges faced and strategies that have been implemented over the past eight years. Also shown are the main results that have been achieved in health since the creation of Seguro Popular: membership of vulnerable groups, universal coverage, medical coverage and impact on out of pocket expenses and catastrophic expenses. The text concludes with the current vision of the health system; which means, the objectives set out in the long run to Mexico.


Perez-Cuevas R.,Hospital Infantil Of Mexico Federico Gomez | Chertorivski S.,Comision Nacional de Proteccion Social en Salud | Cortes-Gallo G.,Seguro Medico para una Nueva Generacion | Rodriguez-Ortega E.,Hospital Infantil Of Mexico Federico Gomez | And 2 more authors.
Salud Publica de Mexico | Year: 2012

The first evaluation of the Medical Insurance for a New Generation program (SMNG) was conducted in 2009. A mixed-method approach was used to obtain a comprehensive picture of SMNG members and the program itself. The evaluation comprised: I) Program design; 2) Social and health conditions of its members; 3); Evaluation of SMNG's performance by measuring coverage, productivity and efficiency; 4) Families health expenditures. The lessons learned for the program are that SMNG is focused on a vulnerable segment of the population with pervasive unmet health needs; prevalence of malnutrition, anemia and other conditions remains high. Further efforts are necessary to deploy the program where it is most needed, particularly in rural areas; most of its members are urban dwellers. However, more needs to be done to educate members about the importance of preventive care and to build the capability of health providers to provide high quality care. Families are still experiencing hardship to provide medical care to their children, so additional efforts are needed to decrease out-of-pocket and catastrophic expenditures. The lessons learned for the evaluation allow concluding that this first evaluation set the groundwork for better-targeted subsequent interventions and evaluations aimed at showing the impact of SMNG to bridge existing gaps in equity, access, coverage, and health status of Mexican children.


PubMed | Comision Nacional de Proteccion Social en Salud
Type: Journal Article | Journal: Gaceta medica de Mexico | Year: 2012

This text is a summary of how the health system evolves in Mexico since the first institutions to date. Primarily addresses the problems that led to the creation of the Social Protection in Health System or Seguro Popular in 2003, as well as its objectives, performance, challenges faced and strategies that have been implemented over the past eight years. Also shown are the main results that have been achieved in health since the creation of Seguro Popular: membership of vulnerable groups, universal coverage, medical coverage and impact on out of pocket expenses and catastrophic expenses. The text concludes with the current vision of the health system; by which means, the objectives set out in the long run to Mexico.

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