[Equity in charges for hospital medical services: the case of recovery charges in the Health Department]. / Equidad en el cobro por servicios médicos hospitalarios: el caso de las cuotas de recuperación en la Secretaría de Salud.
Salud Publica Mex
; 32(4): 449-64, 1990.
Article
em Es
| MEDLINE
| ID: mdl-2263985
In this paper the authors stated the performance of the National System of Charges for Medical Services of the Mexican Ministry of Health. The study focus the analysis on 1,776 charges on hospitals at a secondary level of attention. It includes a presentation of the background of the System, and it's regulations, major problems and irregularities. The main founding were: a) irregularities on the classification for payment of the patients according to social class. The 67 per cent of users were classified in the upper class section; b) additional charges of 109 per cent on deconcentrated states; c) fees don't established on information on costs. The authors recommended: 1) Establishment of cost units on regional basis; 2) standarization of procedures of socioeconomic classification, exemption o payment and disminution of discretional procedures; 3) programmed adjustment on fees; 4) Monitoring of the system; 5) integration to the System of the third level of attention and the descentralized states and; 6) solution to budget problems.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Métodos de Controle de Pagamentos
/
Economia Hospitalar
/
Honorários Médicos
Tipo de estudo:
Health_economic_evaluation
Aspecto:
Equity_inequality
País/Região como assunto:
Mexico
Idioma:
Es
Revista:
Salud Publica Mex
Ano de publicação:
1990
Tipo de documento:
Article
País de publicação:
México