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Salud Pública de México
versión impresa ISSN 0036-3634
Resumen
FIGUEROA-LARA, Alejandro y GONZALEZ-BLOCK, Miguel A. Cost-effectiveness analysis of an alternative for the provision of primary health care for beneficiaries of Seguro Popular in Mexico. Salud pública Méx [online]. 2016, vol.58, n.5, pp.569-576. ISSN 0036-3634. https://doi.org/10.21149/spm.v58i5.8247.
Objective:
To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular.
Materials and methods:
A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources.The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies. Sensitivity analysis was performed using Monte Carlo simulations.
Results:
The private provider is dominant in the quality and cost-effective detection of decreased vision.
Conclusions:
Strategic purchasing of private providers of primary care has shown promising results as an alternative to improving quality of health services and reducing costs.
Palabras llave : cost-effectiveness; Seguro Popular; primary health-care; quality; diabetes; Hidalgo; Mexico.