Resumo

JASSO-GUTIERREZ, Luis et al. Niches of opportunity for improving health care of children covered by "Medical Insurance for a New Generation". Bol. Med. Hosp. Infant. Mex. [online]. 2012, vol.69, n.6, pp.442-449. ISSN 1665-1146.

Background. The focus of the program "Medical Insurance for a New Generation" (SMNG) is to offersocial and economic protection and to eliminate costs for those families who lack medical insurance coverage. The objective was to identify niches of opportunity in the program to improve health care for children funded by the SMNG. Methods. With information provided by the SMNG, nine "performance indicators" were calculated and described in the rules of operation of the SMNG and a "documentary review" was carried out in accordance with the National Council of Social Development Policy Evaluation. Results. Three of the "performance indicators" were poor. The "documentary review" revealed some faults in the quality of completing the database of 6,440 children and 128 accredited hospitals. Of these, only 51.9% were admitted in the first 24 h of birth. Overall mortality was 4.43%, with differences according to federal entities from 0.0% to 18.8%. There was a predominance of intrauterine hypoxia, necrotizing enterocolitis and diaphragmatic hernia. From 108 diseases, 41 represented 90.9% of all children admitted. Conclusions. It is necessary to improve the efficiency of three of the "performance indicators:" in regard to the "documentary review" it will be required to expand information and the quality of the clinical information contained in the database; promote more timely admission of children to the hospital; and analyze mortality differences among the federal entities.

Palavras-chave : performance indicators; documentary review; Medical Insurance for a New Generation; newborn morbidity; newborn mortality.

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