Use of Outpatient Health Services by Mexicans Aged 15 Years and Older, According to Ethnicity

Blanca Estela Pelcastre-Villafuerte, Leticia Avila-Burgos (), Sergio Meneses-Navarro, Nadia Cerecer-Ortiz and Julio César Montañez-Hernández
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Blanca Estela Pelcastre-Villafuerte: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca 62100, Mexico
Leticia Avila-Burgos: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca 62100, Mexico
Sergio Meneses-Navarro: Centre for Health Systems Research, National Institute of Public Health-CONACyT, Cuernavaca 62100, Mexico
Nadia Cerecer-Ortiz: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca 62100, Mexico
Julio César Montañez-Hernández: Centre for Health Systems Research, National Institute of Public Health, Cuernavaca 62100, Mexico

IJERPH, 2023, vol. 20, issue 4, 1-18

Abstract: The aim of this study was to estimate the prevalence of health needs and use of outpatient services for indigenous (IP) and non-indigenous (NIP) populations aged ≥15 years, and to explore the associated factors and types of need. A cross-sectional study was conducted based on the 2018-19 National Health and Nutrition Survey. The population aged ≥15 years who had health needs and used outpatient services was identified. Logistic models were developed to explore the factors underlying the use of outpatient services. For both populations, being a woman increased the likelihood of using health services, and having health insurance was the most important variable in explaining the use of public health services. Compared to the NIP, a lower proportion of IP reported health needs during the month prior to the survey (12.8% vs. 14.7%); a higher proportion refrained from using outpatient services (19.6% vs. 12.6%); and a slightly higher proportion used public health services (56% vs. 55.4%). For the NIP, older age and belonging to a household that had received cash transfers from a social program, had few members, a high socioeconomic level, and a head with no educational lag, all increased the likelihood of using public health services. It is crucial to implement strategies that both increase the use of public health services by the IP and incorporate health-insurance coverage as a universal right.

Keywords: outpatient services; use; ethnicity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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