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Garcia Castillo M.A.,Comision Nacional de Proteccion Social en Salud | O'Shea Cuevas G.J.,Comisionado Nacional de Proteccion Social en Salud | Castaneda De La Lanza C.,Subdireccion de Planeacion | Lozano Herrera J.,Gestion de Servicios de Salud | Castaneda Pena G.,Gestion de Servicios de Salud
Gaceta Mexicana de Oncologia

Until the year 2001, Mexico's health care system was characterised by the lack of access to health services for more than half the population, a situation conditioned by the labour factor and socioeconomic status. This represented an enormous challenge for the health sector, since a universal security system needed to be built for more than 50 million Mexicans who lacked health coverage provided by official institutions. Through the Ministry of Health, the Federal Government promoted a program for financial protection in terms of health for the population with no social security, which later was the basis to offer financial protection to the population who lacked this possibility through the voluntary public health assurance option, to constitute what is currently known as Social Health Protection System. The coverage is specified in the Universal Health Services Catalogue, which was designed to include the main causes of morbidity and mortality, complemented by the Protection Fund against Catastrophic Expenses and Medical Insurance Program Siglo XXI. © 2015 Sociedad Mexicana de Oncología. Source

Rizzoli-Cordoba A.,Investigacion Hospital Infantil de Mexico Federico Gomez | Schnaas-Arrieta L.,Instituto Nacional Of Perinatologia Dr Isidro Espinosa Of Los Reyes | Carreon-Garcia J.,Secretaria de Salud | Valadez-Correa E.,Secretaria de Salud | And 4 more authors.
Boletin Medico del Hospital Infantil de Mexico

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. Source

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

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. Source

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
Salud Publica de Mexico

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. Source

Martain-Perez I.J.,La Salle University at Cuauhtemoc | Palma-Tavera J.A.,La Salle University at Cuauhtemoc | Villasis-Keever M.T.,Instituto Mexicano del Seguro Social | Reyes-Morales H.,Direccion de Investigacion | And 7 more authors.
Boletin Medico del Hospital Infantil de Mexico

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. Source

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