Health Care Policy in Mexico and Compression Morbidity
Post on 23-Feb-2016
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Health Care Policy in Mexico and Compression MorbidityGERN 474 – Maria Claver & Casey GoellerAlma Madrid, Lisa Medrano, Kim-Anh Pham, Michelle Prado, Lorrie Russell.
Some Definitions
• Health Care– The maintaining and restoration of health by the
treatment and prevention of disease especially by trained and licensed professionals.
Definitions cont…
• Compression of Morbidity– Term used to describe one of the goals of health
aging and longevity. – Morbidity is the presence or rate or incidence of
the disease or medical condition. – Refers to the burden that an illness or health
conditions causes. – Compression refers to the concept of pushing all
the morbidity of one’s life into as small a time period as possible. • Minimize number of years that a person spends
suffering while maximizing the total number of years.
Compression of Morbidity
• Compression of Morbidity is the goal of living disease and illness free for as long as possible.
• Morbidity in Mexico is largely an environmental problem. • Lack of clean water• Airborne diseases• Obesity, HIV/AIDs, Violence/War
• Scarcity of resources • Facilities• Natural fresh water
Health Care for Older Adults in Mexico
• Health care provided for older adults include:
• Preventive care: vaccinations, health education/literature etc. • Health promotion programs: nutrition, sexuality, exercise etc. • Specialists: Rheumatologist, Geriatrics, Alzheimer’s care etc. • Rx coverage• No co-pays for office visits/surgiers• Hospitalization• X-Rays• Laboratory• Basic dental services• Low cost funeral services
Health Care Coverage
• Social Security Institutions cover almost half of Mexico’s population– 40% is covered through institutions.– 5 % use private sectors.– 11% no access to health system facilities.
• About 50% of population is aged 65 or older. – Reported to have no health care coverage.
Health Care System in Mexico
• General revenues to pay for health care for middle and low income groups.
• Upper income families use private insurances. • Coverage by government is determined by
participation in formal labor market. – Discrimination towards agricultural, domestic, small
commercial industry workers. • Access based on two factors:
– Level of urbanization. – Population forms part of the social security system.
Health Care System in Mexico
• Composed of institutions fostered to social security. • Private sector/health insurance.• La Cruz Roja (Red Cross) – provides urgent care and
emergency services.• Defensa Nacional (National Defense) – members of
national defense (present, retired & family members) have their own health care program.
• Secretary of Health, SESA & IMSS-Oportunidades – provide service that have no social security & unemployed funded by federal & state government.
A Closer Look at Institutions
• IMSS– All workers with salaries & their families, retired & actively
working, also entity to cover issues/accidents similar to workers comp. (LARGEST)
• ISSSTE– All government agency workers, at all levels federal, state,
city. (2ND LARGEST)• PEMEX
– Workers and family members of PEMEX petroleum. (3RD LARGEST)
Health Care System Contribution to Morbidity• Greatest damage to health care is concentrated in
older adults & non-transferable diseases.• 84% of deaths are the result of non transferable
diseases. • 53% of those concentrate on older adults over the
age of 65.
Causes of Death (65+ yrs old)
• Diabetes• Hearth Disease• Cerebral-Vascular Disease (Stroke)• Obstructive Pulmonary Disease• Hypertension• Cancer• Adults ages 65+ have a higher prevalence of
alcoholism and smoking.
Women are at greater risk of dying from diabetes.Men are at greatest risk of dying from obstructive pulmonary
disease and cirrhosis.
Health Care Inequalities
• Health is more precarious and access to health services is limited in certain states:– Southeastern states, rural areas, indigenous communities.
• Delivering quality of care is heterogeneity among principal health care service providers.
Office Wait Time
• IMSS – 90 minutes
• ISSTE– 80 minutes
• SESA– 70 minutes
• PEMEX– 50 minutes
• Private– 30 minutes
Affects of Waiting
• Patients tend to miss appointments • Time with Dr. is reduced (no time for questions or
explanations). • Other contributions
– Cancelation of surgeries due to impacted schedules– Waiting lists for surgeries are up to 6 months– Lack of hospitals with ICU– Lack of personal physicians– Travel time for office visits
Conclusion
• Mexico’s health care system made of institutions by the government.
• Health care contribution to morbidity is concentrated on older adults
• Health care inequalities contribute to morbidity. • No health care program is perfect.
– Size of country, population, environment influences and what works for one country does not mean it will work for another.
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