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Salud Pública de México

versão impressa ISSN 0036-3634

Resumo

GARCIA-PENA, Carmen et al. Variability in case fatality rate risk due to Covid-19 according to health services provider in Mexico City hospitals. Salud pública Méx [online]. 2022, vol.64, n.2, pp.119-130.  Epub 13-Mar-2023. ISSN 0036-3634.  https://doi.org/10.21149/12995.

Objective:

To describe differences in Case Fatality Rate (CFR) for Covid-19 among healthcare subsystems in Mexico City between March and December 2020.

Materials and methods:

This is a retrospective secondary data analysis from the National Epidemiological Surveillance System data of Covid-19 cases. Information about health provider institutions was retrieved from the Catalogue of Health Establishments (CLUES). Logistic regressions were fitted to determine the association between health subsystems and mortality associated to Covid-19. The analyses were divided between hospitalized and ambulatory patients.

Results:

The probability of dying from Covid-19 was higher among those treated at Instituto Mexicano del Seguro Social (IMSS) (Hospitalized:OR=5.11, Ambulatory:OR=36.57), Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) (Hospitalized:OR=2.10, Ambulatory:OR=9.19), Secretaría de Salud (SS) (Hospitalized:OR=1.94, Ambulatory:OR=5.29) or other public institutions (Hospitalized: OR=1.70, Ambulatory: OR=9.56) than in those treated in private institutions.

Conclusions:

Differences in healthcare quality and access between health subsystems are profound. It is imperative to increase the capacity and quality of the different health subsystems to improve health outcomes.

Palavras-chave : Mexico; health systems; inequality; Covid-19; mortality.

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