<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342016000200142</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Utilization of hospital services for cancer care in Mexico]]></article-title>
<article-title xml:lang="es"><![CDATA[Utilización de los servicios hospitalarios para la atención del cáncer en México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Ávila]]></surname>
<given-names><![CDATA[Juan Eugenio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacio-Mejía]]></surname>
<given-names><![CDATA[Lina Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-González]]></surname>
<given-names><![CDATA[Leonel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Carmona]]></surname>
<given-names><![CDATA[Evangelina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espín-Arellano]]></surname>
<given-names><![CDATA[Lucino Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Niño]]></surname>
<given-names><![CDATA[Julián Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mohar-Betancourt]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Ávila]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Información para Decisiones en Salud Pública ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Salud Pública  ]]></institution>
<addr-line><![CDATA[Cuernavaca ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>2</numero>
<fpage>142</fpage>
<lpage>152</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342016000200142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342016000200142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342016000200142&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective: To analyze the utilization of hospital services for cancer care by location, sex, age group and care institution in Mexico from 2004-2013.  Materials and methods: Time series study from 2004-2013, based on administrative records of hospital discharges for cancer in the health sector, including the private sector.  Results: The utilization rate increased significantly from 290 to 360 per 100 000 inhabitants. A total of 62% of hospital discharges related to malignant tumors were concentrated in eight types of cancer. Leukemia, breast and colorectal cancers almost doubled in the period. While lung cancer showed a decline among men, it increased among women. A total of 63.1% of cancer patients were women, and 81% of cases occurred in the public sector. From 2011, the Ministry of Health was the main provider of hospital services for cancer care.  Conclusions: Increases in utilization were mainly found in the Ministry of Health, quite possibly as a result of the implementation of universal insurance.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo: Analizar la utilización de servicios hospitalarios para la atención del cáncer según localización, sexo, grupo de edad e institución de atención en México de 2004 a 2013.  Material y métodos: Estudio de serie de tiempo de 2004-2013, de registros administrativos de egresos hospitalarios por cáncer del sector salud, incluyendo el sector privado.  Resultados: La tasa de utilización incrementó significativamente de 290 a 360 por 100000 habitantes. El 62% de egresos hospitalarios por tumores malignos se concentró en ocho tipos. La leucemia, cáncer de mama y de colon y recto casi se duplicaron en el periodo. El cáncer de pulmón muestra un descenso en hombres mientras que en las mujeres sigue aumentando; 63.1% fueron mujeres. El 81% ocurrió en el sector público. A partir de 2011 la Secretaría de Salud fue el principal productor de servicios hospitalarios para la atención del cáncer.  Conclusiones: El aumento en la utilización se dio principalmente en la Secretaría de Salud muy posiblemente como resultado de la implementación del Seguro Popular.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[neoplasm]]></kwd>
<kwd lng="en"><![CDATA[utilization]]></kwd>
<kwd lng="en"><![CDATA[health services]]></kwd>
<kwd lng="en"><![CDATA[patient discharge]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="es"><![CDATA[neoplasia]]></kwd>
<kwd lng="es"><![CDATA[utilización]]></kwd>
<kwd lng="es"><![CDATA[servicios hospitalarios]]></kwd>
<kwd lng="es"><![CDATA[egreso hospitalario]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<collab>U.S. Department of Health &amp; Human Services</collab>
<source><![CDATA[Healthcare Cost and Utilization Project (HCUP)]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Understanding and enhancing the value of hospital discharge data Medical care research and review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schoenman]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Sutton]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Elixhauser]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Love]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[MCRR]]></source>
<year>2007</year>
<volume>64</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>449-68</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The health care costs of breast cancer the case of the Mexican Social Security Institute]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Knaul]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Arreola-Ornelas]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Velazquez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Dorantes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mendez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Avila-Burgos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2009</year>
<volume>51</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>s286-95</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<collab>Secretaría de Salud</collab>
<source><![CDATA[Manual de Indicadores para Evaluación de Servicios Hospitalarios]]></source>
<year>2013</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Dirección General de Evaluación del Desempeño, Secretaría de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Secretaría de Salud México]]></article-title>
<collab>Dirección General de Información y Evaluación del Desempeño</collab>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2000</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>158-87</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hospital discharge statistics from public hospital of the National Health System, 2003]]></article-title>
<collab>Dirección General de Información y Evaluación del Desempeño. Secretaría de Salud. México</collab>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2004</year>
<volume>46</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>464-87</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<collab>Secretaría de Salud</collab>
<source><![CDATA[Norma Oficial Mexicana NOM-035-SSA3-2012, En materia de información en salud, México]]></source>
<year>2012</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="">
<collab>Dirección General de Información en Salud</collab>
<source><![CDATA[Cubos dinámicos de Egresos Hospitalarios. Sector Salud (SSa, IMSS, IMSS-Oportunidades, ISSSTE, PEMEX, SEDENA, SEMAR, Otros). Instituciones Públicas morbilidad. 2000 a 2014]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Clasificación internacional de enfermedades CIE 10]]></source>
<year>1992</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="">
<collab>Instituto Nacional de Estadística y Geografía</collab>
<source><![CDATA[Estadística de establecimientos particulares de salud 2004 a 2013]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Global Burden of Cancer 2013]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fitzmaurice]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Dicker]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pain]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hamavid]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Moradi-Lakeh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[MacIntyre]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
</person-group>
<source><![CDATA[JAMA Oncol]]></source>
<year>2015</year>
<volume>1</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>505-27</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[The global burden of disease: 2004 update]]></source>
<year>2008</year>
<page-range>146</page-range><publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<source><![CDATA[Base de datos de tasas específicas de fecundidad. Estimaciones del CONAPO con base en las Estimaciones de Población, 1990-2010 y, Proyecciones de Población, 2010-2050]]></source>
<year>2012</year>
<publisher-name><![CDATA[Consejo Nacional de Población CONAPO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="">
<collab>OECD</collab>
<source><![CDATA[OECD.Stat OECD2015]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Alcohol and all-cause mortality in Europe 1982-1990: a pooled cross-section time-series analysis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Her]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rehm]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Addiction]]></source>
<year>1998</year>
<volume>93</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1335-40</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="book">
<collab>OECD</collab>
<source><![CDATA[Health at Glance 2013: OECD Indicators]]></source>
<year>2013</year>
<publisher-name><![CDATA[OECD Publishing]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<collab>World Health Organization.Internacional Agency for Research on Cancer.UK CR</collab>
<source><![CDATA[World Cancer factsheet, world cancer burden 2012]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="book">
<collab>Comisión Nacional de Protección Social en Salud</collab>
<source><![CDATA[Catalogo Universal de Servicios de Salud (CAUSES)]]></source>
<year>2010</year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Secretaría de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[50 years of the Population-Based Cancer Registry of Cali, Colombia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Munoz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Knaul]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lazcano]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2014</year>
<volume>56</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>421-2</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<collab>IHME,IfHMaE</collab>
<source><![CDATA[GBD Compare Seattle,]]></source>
<year>2013</year>
<publisher-loc><![CDATA[WA ]]></publisher-loc>
<publisher-name><![CDATA[IHME, University of Washington]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="">
<collab>Secretaría de Salud, Dirección General de Epidemiología</collab>
<source><![CDATA[Anuarios de Morbilidad 2015]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Tobacco control, a strategy to reduce non-communicable diseases]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reynales-Shigematsu]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2012</year>
<volume>54</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>323-31</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Explanatory models on the utilization of health services a review and analysis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arredondo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Melendez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>1992</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>36-49</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Available resources for the treatment of breast cancer in Mexico]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mohar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bargallo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ramirez]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Lara]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Beltran-Ortega]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2009</year>
<volume>51</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>s263-9</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="book">
<collab>Secretaría de Salud</collab>
<source><![CDATA[Perfil epidemiológico de cáncer en niños y adolescentes en México]]></source>
<year>2011</year>
<publisher-loc><![CDATA[México, DF ]]></publisher-loc>
<publisher-name><![CDATA[Subsecretaría de Prevención y Promoción de la Salud, Dirección General de Epidemiología]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effect of Seguro Popular on health expenditure in Mexican households ten years after its implementation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Avila-Burgos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Servan-Mori]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Wirtz]]></surname>
<given-names><![CDATA[VJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sosa-Rubi]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Salinas-Rodriguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2013</year>
<volume>55</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>S91-9</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Análisis de la atención de las complicaciones durante el tratamiento de niños con leucemia linfoblástica aguda]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zapata-Tarres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Bol Med Hosp Infant Mex]]></source>
<year>2012</year>
<volume>69</volume>
<page-range>218-25</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moorin]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Holman]]></surname>
<given-names><![CDATA[CDJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Bmc Health Services Research]]></source>
<year>2006</year>
<volume>6</volume>
</nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effective access to health services operationalizing universal health coverage]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fajardo-Dolci]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Gutierrez]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia-Saiso]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2015</year>
<volume>57</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>180-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
