Abstract

GALINDO PEREZ, Carlos  and  SUAREZ LASTRA, Manuel. Health Services of ISSSTE in the Mexico City’s Metropolitan Area ¿What if we all Get Sick?. Gest. polít. pública [online]. 2018, vol.27, n.2, pp.475-499. ISSN 1405-1079.

With a hypothetical scenario of an extraordinary demand for health services in the Mexico City’s Metropolitan Area (MCMA) and under the assumption that those who live closer to a clinic or hospital will arrive first to receive care, this article presents a spatial diagnostic of the urban-metropolitan structure of the health care system of the Institute of Security and Social Services for State Workers (ISSSTE). The question is whether the health care system would be able to address the demand of patients, given an epidemiological or natural hazard emergency (or both). We thus, evaluate the spatial localization patterns and coverage capacity of clinics and hospitals of the ISSSTE, as a function of the spatial distribution of the insured population. Applying a linear programming model to determine the overall relationship of access for health services, the resulting scenario shows that 70 percent of ISSSTE insured population would not receive medical attention. Furthermore, results show that lower income people are more prone to be in that situation.

Keywords : health services; ISSSTE; insured population; linear programming; MCMA.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )