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Lessons learned from the first evaluation of the Medical Insurance for a New Generation: bridging research and policy.
Pérez-Cuevas, Ricardo; Chertorivski, Salomón; Cortés-Gallo, Gabriel; Rodríguez-Ortega, Evelyne; Caballero, Francisco; Muñoz-Hernández, Onofre.
Afiliação
  • Pérez-Cuevas R; Centro de Estudios Económicos y Sociales en Salud, Hospital Infantil de México Federico Gómez, México. ricardo_perezcuevas@prodigy.net.mx
Salud Publica Mex ; 54 Suppl 1: S90-7, 2012.
Article em En | MEDLINE | ID: mdl-22965448
The first evaluation of the Medical Insurance for a New Generation program (SMNG) was conducted in 2009. A mixed-method approach was used to obtain a comprehensive picture of SMNG members and the program itself. The evaluation comprised: 1) Program design; 2) Social and health conditions of its members; 3); Evaluation of SMNG's performance by measuring coverage, productivity and efficiency; 4) Families health expenditures. The lessons learned for the program are that SMNG is focused on a vulnerable segment of the population with pervasive unmet health needs; prevalence of malnutrition, anemia and other conditions remains high. Further efforts are necessary to deploy the program where it is most needed, particularly in rural areas; most of its members are urban dwellers. However, more needs to be done to educate members about the importance of preventive care and to build the capability of health providers to provide high quality care. Families are still experiencing hardship to provide medical care to their children, so additional efforts are needed to decrease out-of-pocket and catastrophic expenditures. The lessons learned for the evaluation allow concluding that this first evaluation set the groundwork for better-targeted subsequent interventions and evaluations aimed at showing the impact of SMNG to bridge existing gaps in equity, access, coverage, and health status of Mexican children.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cobertura Universal do Seguro de Saúde / Seguro Saúde Tipo de estudo: Diagnostic_studies / Evaluation_studies / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Limite: Child, preschool / Humans / Infant País/Região como assunto: Mexico Idioma: En Revista: Salud Publica Mex Ano de publicação: 2012 Tipo de documento: Article País de publicação: México

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cobertura Universal do Seguro de Saúde / Seguro Saúde Tipo de estudo: Diagnostic_studies / Evaluation_studies / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Limite: Child, preschool / Humans / Infant País/Região como assunto: Mexico Idioma: En Revista: Salud Publica Mex Ano de publicação: 2012 Tipo de documento: Article País de publicação: México