Table 3.
Reasons for using ambulatory health services of different providers and perception of quality, Mexico 2012*
| DAPPs | Social Security | Ministry of Health | Private doctors | p Value corrected by survey design effect | |
|---|---|---|---|---|---|
| Observations | 1778 | 3840 | 4569 | 2612 | |
| Sample | 13.89 | 30 | 35.7 | 20.41 | |
| (%) | 1 504 746 | 2 912 390 | 2 602 144 | 2 128 578 | |
| Weighted | 16.45 | 31.84 | 28.45 | 23.27 | |
| (%) | Estimation (95% CI) |
||||
| Main reasons for using specific healthcare services | |||||
| Having insurance | 1.5 (0.7 to 2.2) | 88.5 (86.8 to 90.2) | 59.4 (57.0 to 61.8) | 2.7 (1.9 to 3.6) | 0.00 |
| Convenient to home | 32.5 (29.1 to 36.0) | 6.3 (5.1 to 7.4) | 25.2 (23.3 to 27.2) | 16.6 (14.4 to 18.8) | 0.06 |
| Inexpensive | 33.6 (30.0 to 37.2) | 10.2 (8.6 to 11.9) | 22.1 (20.2 to 24.0) | 4.7 (3.7 to 5.8) | 0.00 |
| Familiar with the doctor | 8.1 (5.5 to 10.7) | 2.1 (1.4 to 2.7) | 2.7 (1.8 to 3.6) | 29.1 (26.2 to 31.9) | 0.00 |
| User likes care provided | 16.0 (12.9 to 19.1) | 6.0 (5.0 to 7.1) | 8.2 (7.1 to 9.4) | 28.2 (25.7 to 30.8) | 0.00 |
| Short waiting time | 26.5 (23.5 to 29.6) | 2.3 (1.6 to 3.0) | 2.8 (2.1 to 3.4) | 22.1 (19.7 to 24.5) | 0.68 |
| Other | 18.7 (16.0 to 21.4) | 4.8 (3.7 to 5.9) | 10.2 (8.7 to 11.8) | 24.2 (21.6 to 26.7) | 0.00 |
| Quality of healthcare | |||||
| Number of prescribed medicines | |||||
| 0 | 1.6 (0.9 to 2.8) | 10.3 (9.0 to 11.8) | 11.1 (9.8 to 12.5) | 5.4 (4.2 to 6.8) | 0.00 |
| 1 | 8.3 (6.7 to 10.3) | 10.7 (9.4 to 12.3) | 12.0 (10.8 to 13.3) | 9.9 (8.3 to 11.6) | |
| 2 | 22.9 (20.3 to 25.7) | 25.2 (23.2 to 27.3) | 32.2 (30.2 to 34.3) | 29.1 (26.7 to 31.6) | |
| ≥3 | 67.2 (64.2 to 70.1) | 53.8 (51.6 to 55.9) | 44.7 (42.5 to 47.0) | 55.7 (52.8 to 58.6) | |
| Percentage of users who received information about their diagnosis | 90.3 (87.8 to 92.3) | 84.3 (82.5 to 85.9) | 84.5 (82.9 to 85.9) | 92.7 (90.9 to 94.1) | 0.00 |
| Percentage of users who received information about prescribed medications | 92.3 (90.0 to 94.0) | 85.5 (83.8 to 87.0) | 86.8 (85.3 to 88.2) | 93.7 (92.1 to 95.0) | 0.00 |
| Perception about the quality of healthcare services | |||||
| Good/very good | 88.8 (86.4 to 90.8) | 77.7 (75.5 to 79.7) | 83.1 (81.4 to 84.7) | 93.2 (91.5 to 94.5) | 0.00 |
| Regular | 10.2 (8.2 to 12.5) | 16.7 (14.9 to 18.6) | 13.4 (12.0 to 14.9) | 5.7 (4.6 to 7.1) | |
| Bad/very bad | 1.1 (0.6 to 1.9) | 5.7 (4.6 to 7.0) | 3.5 (2.8 to 4.5) | 1.1 (0.5 to 2.4) | |
| Users who will return to the same place for healthcare | 90.1 (87.3 to 92.4) | 81.8 (79.8 to 83.7) | 87.7 (86.1 to 89.1) | 93.4 (91.8 to 94.7) | 0.00 |
| Reasons for not returning | |||||
| Inconsiderate healthcare providers | 4.7 (2.3 to 9.7) | 32.0 (27.1 to 37.3) | 25.4 (20.0 to 31.7) | 9.1 (3.9 to 19.8) | 0.00 |
| Disagree with the diagnosis or treatment | 16.4 (10.4 to 25.0) | 18.9 (14.6 to 24.1) | 15.7 (12.1 to 20.1) | 23.7 (14.6 to 36.1) | 0.44 |
| Lack of health improvement | 27.9 (17.1 to 41.9) | 18.7 (14.6 to 23.8) | 16.9 (12.6 to 22.3) | 32.0 (21.5 to 44.6) | 0.03 |
| High cost of healthcare services | 9.8 (4.4 to 20.5) | 0.5 (0.1 to 1.6) | 1.4 (0.7 to 2.6) | 19.7 (11.3 to 32.2) | 0.00 |
| Failure to provide or incomplete provision of prescribed medications | 3.3 (1.2 to 8.6) | 20.6 (16.1 to 25.9) | 20.8 (16.0 to 26.5) | 0.2 (0.0 to 1.3) | 0.00 |
| Failure to provide information about the health problem and treatment | 11.4 (5.9 to 21.1) | 14.0 (10.8 to 18.0) | 8.6 (5.1 to 14.1) | 4.0 (1.9 to 8.1) | 0.04 |
| Long waiting time | 2.4 (0.8 to 7.1) | 40.5 (34.6 to 46.7) | 31.7 (25.9 to 38.1) | 2.2 (0.8 to 6.2) | 0.00 |
| Other reasons | 5.3 (2.6 to 10.6) | 11.1 (7.9 to 15.3) | 8.4 (5.8 to 12.2) | 2.3 (0.9 to 6.0) | 0.01 |
| Waiting time (in minutes) median of (IQR)† | 10.0 (5.0–25.0) | 30.0 (15.0 to 90.0) | 60.0 (15.0 to 120) | 10.0 (5.0 to 30.0) | 0.00 |
*Difference estimates performed considering the effect of the survey design.
†p Value estimated from quantile regression models.
DAPPs, doctors’ offices adjacent to private pharmacies.