<?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>S0036-36342016000500569</article-id>
<article-id pub-id-type="doi">10.21149/spm.v58i5.8247</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Costo-efectividad de una alternativa para la prestación de servicios de atención primaria en salud para los beneficiarios del Seguro Popular de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Cost-effectiveness analysis of an alternative for the provision of primary health care for beneficiaries of Seguro Popular in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa-Lara]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Block]]></surname>
<given-names><![CDATA[Miguel A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Coordinación de Investigación en Salud División de Gestión Tecnológica e Innovación]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escuela Militar de Graduados de Sanidad  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Anáhuac del Norte  ]]></institution>
<addr-line><![CDATA[Estado de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>5</numero>
<fpage>569</fpage>
<lpage>576</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342016000500569&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342016000500569&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342016000500569&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo: Calcular la razón costo-efectividad de servicios públicos y privados contratados por el Seguro Popular en primer nivel de atención.  Material y métodos: Se evaluó una experiencia piloto de contratación de servicios de primer nivel de atención a la salud en el estado de Hidalgo, México, midiendo, con base en una encuesta poblacional, la calidad general y la detección de disminución de visión. Se analizó la sensibilidad mediante simulaciones de Monte Carlo.  Resultados: El prestador privado es dominante en calidad y costo-efectivo para la detección de disminución de visión.  Conclusiones: La compra estratégica de prestadores privados de atención primaria es promisoria para mejorar los servicios de salud y reducir los costos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective: To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular.  Materials and methods: A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources.The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies. Sensitivity analysis was performed using Monte Carlo simulations.  Results: The private provider is dominant in the quality and cost-effective detection of decreased vision.  Conclusions: Strategic purchasing of private providers of primary care has shown promising results as an alternative to improving quality of health services and reducing costs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[costo-efectividad]]></kwd>
<kwd lng="es"><![CDATA[Seguro Popular]]></kwd>
<kwd lng="es"><![CDATA[atención primaria]]></kwd>
<kwd lng="es"><![CDATA[calidad]]></kwd>
<kwd lng="es"><![CDATA[diabetes]]></kwd>
<kwd lng="es"><![CDATA[Hidalgo]]></kwd>
<kwd lng="es"><![CDATA[Mexico]]></kwd>
<kwd lng="en"><![CDATA[cost-effectiveness]]></kwd>
<kwd lng="en"><![CDATA[Seguro Popular]]></kwd>
<kwd lng="en"><![CDATA[primary health-care]]></kwd>
<kwd lng="en"><![CDATA[quality]]></kwd>
<kwd lng="en"><![CDATA[diabetes]]></kwd>
<kwd lng="en"><![CDATA[Hidalgo]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
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