Objective:

To analyze the access to health Services with equity in the case of México from an institutional approach showed in life expectancy at birth.

Materials and methods:

It is an econometric model using the Panel methodology with instrumental variables, for this purpose five variables were considered to determine the influence of the institutional variables considered with equity access in Mexico.

Results:

It was found that the inequity of access to health services in the years of life at birth is determined in a negative way by illiteracy, poverty, the lack of coverage by a health institution, while the education gets positively impact on the life expectancy at birth, increasing their performance, these variables are related directly with the State institutions.

Conclusion:

A Given the institutional arrangement in the dual Mexican institutions significantly influence life expectancy at birth based on the labor market recognizing only to those in the formal sector and excluding those in the informal sector. Inequality is therefore based on the institutional arrangement that emanates from the Constitution and the Organization of given health system that only provides health services to the minority group - formal - creating a structure ad hoc.

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