Objective:

This paper studies the determinants of the quality assessment of public and private health services using the Monterrey Metropolitan Area (AMM) as a case study

Material and Methods:

This is a quantitative-exploratory study that uses the information from the citizen perspective study “Asi Vamos 2018” and whose design allows representativeness at the state, municipal, and gender levels in the relevant population, two statistical methods are used (factor analysis and a Tobit regression model) to identify which characteristics are valued in the perception of quality for each health service, distinguishing between public and private institutions. Subsequently, it is analyzed how service variables determine this quality evaluation.

Results:

The estimations suggest significant differences in the determinants of quality between health services: while for IMSS users the most important characteristics evaluated are the quality of installations, “access to more dates for medical attention”, and “access to medicines” for Seguro Popular and private services users it is the “hospital managerial personnel attitude”.

Conclusion:

Users apply different criteria to evaluate the alternatives on health service to which they have access, and therefore this discrepancy is fundamental when comparing the quality offered by different suppliers.

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