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Salud Pública de México
versão impressa ISSN 0036-3634
Resumo
FLORES-HERNANDEZ, Sergio et al. Indigenous condition in health services: comparison of quality of care 2012-2018 for poor population. Salud pública Méx [online]. 2019, vol.61, n.6, pp.716-725. Epub 21-Abr-2021. ISSN 0036-3634. https://doi.org/10.21149/10562.
Objective:
To compare the perception of the quality of ambulatory care in users of health services in 2012 and 2018, by indigenous and non-indigenous condition.
Materials and methods:
With information from two population surveys (Encuesta Nacional de Salud y Nutrición [Ensanut] 2012 and Ensanut 100k) the quality of care was analyzed based on indicators of structure, process, health outcome and care satisfaction.
Results:
Between 2012 and 2018, the use of private health services increased; favorable opinion about the conditions of the site, and perception of short waiting times decreased among non-indigenous people. In public health services, the supply of medicines remained high, the laboratory and Rx tests in the same care unit and pharmacology treatment explanation decreased, particularly among non-indigenous patients. Perception of health improvement and satisfaction of care was adequate.
Conclusion:
An ambulatory care model aimed to response needs and expectations of the most vulnerable population, mainly the indigenous population, is a priority.
Palavras-chave : quality of healthcare; indigenous population; ambulatory care; poverty; vulnerable populations.