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Salud Pública de México
Print version ISSN 0036-3634
Abstract
PEREZ-CUEVAS, Ricardo; DOUBOVA, Svetlana V; FLORES-HERNANDEZ, Sergio and MUNOZ-HERNANDEZ, Onofre. Utilization of healthcare services among children members of Medical Insurance for a New Generation. Salud pública Méx [online]. 2012, vol.54, suppl.1, pp.s28-s41. ISSN 0036-3634.
OBJECTIVE: To describe the utilization and associated factors for preventive and curative care utilization among children affiliated to the Medical Insurance for a New Generation (SMNG). MATERIALS AND METHODS: Data from the 2009 National Survey of SMNG was analyzed. RESULTS: The analysis represented 1 316 867 children; 25% of urban and 37.5% of rural mothers that took their children to well-child visits. Covariates associated with preventive care utilization were children <12 months, low-birth weight, history of infectious or other diseases, mother >35 years, mother's literacy level of bachelor degree, housewife, attendance at >7 antenatal care visits, and living in a rural area. Curative care: 12% attended emergency room services, 5.4% were hospitalized and 66% received ambulatory care. Covariates associated with curative care utilization: child history of frequent diseases, mother living with husband/partner, mother's literacy level of bachelor degree, attendance >7 antenatal care visits and having paid work. CONCLUSION: It is needed to reinforce the programs encouraging mothers to seek preventive care regularly.
Keywords : access; use; health services; primary care; Mexico.