Health services analysis as a tool for evidence-based policy decisions: the case of the Ministry of Health and Social Security in Mexico

Kroeger, Axel and Hernandez, J. M. (2003) 'Health services analysis as a tool for evidence-based policy decisions: the case of the Ministry of Health and Social Security in Mexico'. Tropical Medicine & International Health, Vol 8, Issue 12, pp. 1157-1164.

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Abstract

OBJECTIVES To describe the strengths and weaknesses of two Mexican health care providers for poor populations [Ministry of Health (MoH) and Social Security (SS)] in order to facilitate policy decisions about the future of the two systems. METHODOLOGY In four Mexican states we conducted (i) a household interview survey in 10 724 households; (ii) a user satisfaction survey in 1319 households; (iii) a satisfaction survey of 236 health workers; (iv) in-depth interviews with 190 health workers; (v) 188 focus-group discussions with different population groups; (vi) a document analysis. RESULTS Both systems serve populations with similar characteristics of poverty. The availability of resources was better in the MoH system; SS care was better concerning process indicators (family planning, antenatal care; in-service delivery of drugs, staff productivity, user satisfaction and staff motivation), efficiency and effectiveness (reduction of morbidity and mortality). Possible explanatory factors for the better performance of the SS system were strong supervision, regular communication, joint data analysis and annual population surveys. CONCLUSION Better service organization makes a difference regarding efficiency and effectiveness. Policy-makers, deciding on which kind of health services are best for the poor, should take into account health services' analyses.

Item Type:	Article
Uncontrolled Keywords:	health systems research;health services analysis;evidence-based policy;Mexico;Latin America
Subjects:	WA Public Health > WA 100 General works WA Public Health > Preventive Medicine > WA 108 Preventive health services. Preventive medicine. Travel Medicine. WA Public Health > WA 20.5 Research (General) WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
Faculty: Department:	Groups (2002 - 2012) > Disease Control Strategy Group
Digital Object Identifer (DOI):	https://doi.org/10.1046/j.1360-2276.2003.01143.x
Depositing User:	Ms Julia Martin
Date Deposited:	06 Jun 2012 11:48
Last Modified:	06 Feb 2018 13:04
URI:	https://archive.lstmed.ac.uk/id/eprint/2580

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