SciELO - Scientific Electronic Library Online

 
vol.57 suppl.2Corrección de la mala clasificación de las muertes por sida en México: Análisis retrospectivo de 1983 a 2012Mortalidad hospitalaria en pacientes con infección por VIH: a diez años del acceso universal a TARAA en México índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Salud Pública de México

versão impressa ISSN 0036-3634

Resumo

BAUTISTA-ARREDONDO, Sergio et al. The role of supply-side characteristics of services in AIDS mortality in Mexico. Salud pública Méx [online]. 2015, vol.57, suppl.2, pp.s153-s162. ISSN 0036-3634.

Objective. To document the association between supply-side determinants and AIDS mortality in Mexico between 2008 and 2013. Materials and methods. We analyzed the SALVAR database (system for antiretroviral management, logistics and surveillance) as well as data collected through a nationally representative survey in health facilities. We used multivariate logit regression models to estimate the association between supply-side characteristics, namely management, training and experience of health care providers, and AIDS mortality, distinguishing early and non-early mortality and controlling for clinical indicators of the patients. Results. Clinic status of the patients (initial CD4 and viral load) explain 44.4% of the variability of early mortality across clinics and 13.8% of the variability in non-early mortality. Supply-side characteristics increase explanatory power of the models by 16% in the case of early mortality, and 96% in the case of non-early mortality. Conclusions. Aspects of management and implementation of services contribute significantly to explain AIDS mortality in Mexico. Improving these aspects of the national program, can similarly improve its results.

Palavras-chave : mortality; HIV; continuity of patient care; health services; Mexico.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )