<?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>S0036-36342016000600639</article-id>
<article-id pub-id-type="doi">10.21149/spm.v58i6.7920</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Monitoreo de la desigualdad en protección financiera y atención a la salud en México: análisis de las encuestas de salud 2000, 2006 y 2012]]></article-title>
<article-title xml:lang="en"><![CDATA[Monitoring of inequality in financial protection and healthcare in Mexico: an analysis of health surveys 2000, 2006 and 2012]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Saisó]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa-de la Peña]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Balandrán]]></surname>
<given-names><![CDATA[Dulce Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Evaluación y Encuestas ]]></institution>
<addr-line><![CDATA[Cuernavaca Morelos]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaría de Salud Dirección General de Calidad y Educación en Salud ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,aff3  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>6</numero>
<fpage>639</fpage>
<lpage>647</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342016000600639&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342016000600639&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342016000600639&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo: Analizar la tendencia en desigualdades en protección financiera y acceso a servicios de salud en México entre 2000 y 2012, usando medidas de brecha y de gradiente.  Material y métodos: Análisis de las encuestas nacionales de salud de 2000, 2006 y 2012, estimando las brechas absoluta y relativa en indicadores de protección financiera y de acceso a servicios de salud y el índice de desigualdad de la pendiente, utilizando como indicador socioeconómico el ingreso imputado, así como las diferencias en resultados por sexo, ámbito de residencia y condición étnica.  Resultados: Entre 2000 y 2012 se ha eliminado la desigualdad en protección financiera relacionada con condición socioeconómica de forma paralela a la disminución general de la carencia en protección financiera, en tanto que persiste la desigualdad en indicadores de acceso a servicios de salud, tanto por nivel socioeconómico como por otros estratificadores sociales.  Conclusiones: La reforma de 2003 se ha traducido en la eliminación de la desigualdad en protección financiera; no obstante, persiste la desigualdad en el acceso a los servicios de salud. Se requiere reenfocar acciones hacia la eliminación de las barreras relacionadas con la calidad de los servicios de salud, que promuevan el acceso efectivo a la salud en México.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective: To analyze trends in inequality in financial protection and healthcare in Mexico between 2000 and 2012, using simple and complex measures.  Materials and methods: Analysis of national health surveys 2000, 2006 and 2012, generating estimates of absolute and relative gaps and the slope index of inequality using imputated income as socioeconomic measure, and differences by sex, rural/urban residence, and ethnic background.  Results: Between 2000 and 2012, socioeconomic inequality in financial protection vanished, while it remains in healthcare access, with larger barriers to access healthcare among those in the lowest socioeconomic condition. These results are consistent with the differences by urban/rural residence and ethnic background.  Conclusions: The health reform in 2003, aiming to increase health insurance, resulted in the virtual elimination of socioeconomic inequality in financial protection, but there is still inequality in access to healthcare. Actions to eliminate access barriers related to quality of health services are urgent to promote effective access to healthcare.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[desigualdades en salud]]></kwd>
<kwd lng="es"><![CDATA[seguro de salud]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[health inequalties]]></kwd>
<kwd lng="en"><![CDATA[health insurance]]></kwd>
<kwd lng="en"><![CDATA[health services accessibility]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
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