An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI
Background: Medical Insurance Siglo XXI (MISXXI) in Mexico provides funds for the medical and preventive care of children from households lacking any health insurance, thus seeking to reduce impoverishing due to health problems. This paper analyzes mortality of children <2 years of age affiliated...
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| Format: | Article |
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Permanyer
2014-09-01
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| Series: | Boletín Médico del Hospital Infantil de México |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1665114614000343 |
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| author | Samuel Flores-Huerta Miguel Klünder-Klünder Silvia Martínez-Valverde Onofre Muñoz-Hernández |
| author_facet | Samuel Flores-Huerta Miguel Klünder-Klünder Silvia Martínez-Valverde Onofre Muñoz-Hernández |
| author_sort | Samuel Flores-Huerta |
| collection | DOAJ |
| description | Background: Medical Insurance Siglo XXI (MISXXI) in Mexico provides funds for the medical and preventive care of children from households lacking any health insurance, thus seeking to reduce impoverishing due to health problems. This paper analyzes mortality of children <2 years of age affiliated with this program and out-of-pocket expenses attributable to this event.
Methods: An in-home survey addressed to determine the health conditions of children affiliated with MISXXI was carried out in all Mexican states. If the infant had died, information was collected with emphasis on diagnosis (death certificate), medical attention and out-of-pocket expenses. Diagnoses were classified in agreement with ICD-10.
Results: Of 9181 children, 74 died by the time during which the survey was gathered; 51% of children died before 28 days. Deaths were attributable to short gestation, low birth weight, asphyxia, or sepsis. In newborns who died before 7 days of age, 95.7% received medical care; however, among those who died between 7 and 28 days, only 58% received medical care. During the neonatal period, medical care was predominantly given in the Ministry of Health facilities. During the post-neonatal period, almost all children received medical care, predominantly in private facilities, a reason for households incurring in out-of-pocket expenditures.
Conclusions: Mortality of infants who are beneficiaries of MISXXI mainly occurs during the neonatal period; however, households incurred in out-of-pocket expenditures, especially in the post-neonatal period. It seems convenient to boost the access of users to benefits provided by this medical insurance. |
| first_indexed | 2024-12-16T16:53:10Z |
| format | Article |
| id | doaj.art-d2be64f90b7b444390886179353d95c8 |
| institution | Directory Open Access Journal |
| issn | 1665-1146 |
| language | English |
| last_indexed | 2024-12-16T16:53:10Z |
| publishDate | 2014-09-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Boletín Médico del Hospital Infantil de México |
| spelling | doaj.art-d2be64f90b7b444390886179353d95c82022-12-21T22:23:58ZengPermanyerBoletín Médico del Hospital Infantil de México1665-11462014-09-0171527127610.1016/j.bmhimx.2014.10.002An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXISamuel Flores-Huerta0Miguel Klünder-Klünder1Silvia Martínez-Valverde2Onofre Muñoz-Hernández3Community Health Research Department, Hospital Infantil de México Federico Gómez, Ministry of Health (SSA) Mexico City, MexicoCommunity Health Research Department, Hospital Infantil de México Federico Gómez, Ministry of Health (SSA) Mexico City, MexicoCenter for Social and Economic Studies on Health, Hospital Infantil de México Federico Gómez, Ministry of Health (SSA) Mexico City, MexicoResearch Director, Hospital Infantil de México Federico Gómez, Ministry of Health (SSA) Mexico City, MexicoBackground: Medical Insurance Siglo XXI (MISXXI) in Mexico provides funds for the medical and preventive care of children from households lacking any health insurance, thus seeking to reduce impoverishing due to health problems. This paper analyzes mortality of children <2 years of age affiliated with this program and out-of-pocket expenses attributable to this event. Methods: An in-home survey addressed to determine the health conditions of children affiliated with MISXXI was carried out in all Mexican states. If the infant had died, information was collected with emphasis on diagnosis (death certificate), medical attention and out-of-pocket expenses. Diagnoses were classified in agreement with ICD-10. Results: Of 9181 children, 74 died by the time during which the survey was gathered; 51% of children died before 28 days. Deaths were attributable to short gestation, low birth weight, asphyxia, or sepsis. In newborns who died before 7 days of age, 95.7% received medical care; however, among those who died between 7 and 28 days, only 58% received medical care. During the neonatal period, medical care was predominantly given in the Ministry of Health facilities. During the post-neonatal period, almost all children received medical care, predominantly in private facilities, a reason for households incurring in out-of-pocket expenditures. Conclusions: Mortality of infants who are beneficiaries of MISXXI mainly occurs during the neonatal period; however, households incurred in out-of-pocket expenditures, especially in the post-neonatal period. It seems convenient to boost the access of users to benefits provided by this medical insurance.http://www.sciencedirect.com/science/article/pii/S1665114614000343Neonatal mortalityInfant mortalityCause of deathInsurance healthHealth expenditures |
| spellingShingle | Samuel Flores-Huerta Miguel Klünder-Klünder Silvia Martínez-Valverde Onofre Muñoz-Hernández An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI Boletín Médico del Hospital Infantil de México Neonatal mortality Infant mortality Cause of death Insurance health Health expenditures |
| title | An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI |
| title_full | An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI |
| title_fullStr | An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI |
| title_full_unstemmed | An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI |
| title_short | An approximation to data on mortality and out-of-pocket expenses for medical attention of infants <2 years old affiliated with the Medical Insurance Siglo XXI |
| title_sort | approximation to data on mortality and out of pocket expenses for medical attention of infants 2 years old affiliated with the medical insurance siglo xxi |
| topic | Neonatal mortality Infant mortality Cause of death Insurance health Health expenditures |
| url | http://www.sciencedirect.com/science/article/pii/S1665114614000343 |
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