Skip to main content
NCBI home page
Atencion Primaria logoLink to Atencion Primaria
. 2013 Apr 5;25(7):475–478. [Article in Spanish] doi: 10.1016/S0212-6567(00)78547-7

Evaluación de la accesibilidad en los servicios de salud

Evaluation of accessibility to health services

E Villarreal Ríos a,*, J González Rocha b, AM Salinas Martínez a, ME Garza Elizondo a, G Núñez Rocha a, MG Uribe Martínez b
PMCID: PMC7679494  PMID: 10851752

Abstract

Objective

To assess health care access integrating the availability of resources, medical institution and the patient point of view.

Setting

Nuevo León, México.

Measurements and main results

A random sample of patients were interviewed about their perceptions on different barriers, which also were assessed for the Institution utilizing the corresponding indicator. Availability of resources were also measured for every primary and secondary medical care unit of the greatest Mexican health care system in Nuevo León.

It was observed a 70% access; 70% for primary care and 73% for secondary care. Availability of human resources was an important factor but barriers as observed by the Institution were the most important (waiting time and traveling cost). Barriers were rated different by the Institution and the patient.

Conclusions

The combination of institutional barriers, patient barriers and resources for assessing health care access is discussed.

Bibliografía

  • 1.Donabedian A. Fondo de Cultura Económica; México, DF:: 1988. Los espacios de la salud: aspectos fundamentales de la organización de la atención médica. Biblioteca de la salud. [Google Scholar]
  • 2.Flores G., Vega L.R. Barriers to health care access for Latino children: a review. Fam Med. 1998;30(3):196–205. [PubMed] [Google Scholar]
  • 3.Palomar Rodríguez J., Más Castillo A., Parra Hidalgo P., Rodríguez Martínez M.P. Accesibilidad de los servicios de salud en la región de Murcia. Aten Primaria. 1996;17(8):507–511. [PubMed] [Google Scholar]
  • 4.Flores G., Abreu M., Olivar M.A., Kastner B. Access barriers to health care for Latino children. Arch Pediatr Adolesc Med. 1998;152(11):1119–1125. doi: 10.1001/archpedi.152.11.1119. [DOI] [PubMed] [Google Scholar]
  • 5.Woloshing S., Schwartz L.M., Katz S.J., Welch H.G. Is language a barrier to use of preventive services? J Gen Intern Med. 1997;12(8):472–477. doi: 10.1046/j.1525-1497.1997.00085.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Malmgren J.A., Martin M.L., Nicola R.M. Health care access of proverty-level older adults in subsidized public housing. Public Health Rep. 1996;111(3):260–263. [PMC free article] [PubMed] [Google Scholar]
  • 7.Frenk J., Durán Arenas L., Vázquez Segovia A., García C., Vázquez D. Los médicos en México. Salud Pública de México. 1995;37(1):19–30. [PubMed] [Google Scholar]
  • 8.Instituto Mexicano del Seguro Social; Monterrey Nuevo León:: 1996. Anuario Estadístico y Diagnostico Situacional de Oferta, Demanda y Servicios Médicos en la Delegación Regional Nuevo León, Coordinación Delegacional de Planeación Médica. [Google Scholar]
  • 9.Daniels N. Equity of acces to health care: some conceptual and ethical issues. Health and Society. 1982;60(1):51–81. [PubMed] [Google Scholar]
  • 10.Van Doorslar E., Wagstaff A. Equity in the delivery of health care: some international comparisons. J Health Economics. 1992;11:126–133. doi: 10.1016/0167-6296(92)90013-q. [DOI] [PubMed] [Google Scholar]
  • 11.Price M. The consequences of health service privatization for equality and equity in health care in South Africa. Soc Sci Med. 1988;27(7):703–716. doi: 10.1016/0277-9536(87)90330-3. [DOI] [PubMed] [Google Scholar]
  • 12.Frenk J. El concepto y la medición de la accesibilidad. Salud Pública de México. 1985 sep-oct:438–452. [PubMed] [Google Scholar]
  • 13.Blazer D.G., Landerman L.R., Fillenbaum G., Horner R. Health services access and use among older adults in North Carolina: urban vs rural residents. AM J Public Health. 1995;85(10):1384–1390. doi: 10.2105/ajph.85.10.1384. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Bakemeier R.F., Krebs L.U., Murphy J.R., Shen Z., Rayals T. Attitudes of Colorado health professionals toward breast an cervical cancer screening in Hispanic women. J Natl Cancer Inst Monogr. 1995;18:95–100. [PubMed] [Google Scholar]
  • 15.York R., Grant C., Gibeau A., Beecham J., Kessler J. A review of problems of universal access to prenatal care. Nurs Clin North Am. 1996;31(2):279–292. [PubMed] [Google Scholar]

Articles from Atencion Primaria are provided here courtesy of Elsevier

RESOURCES