A5012995575- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Health and Lifestyle Studies
- Child and Adolescent Health
- Chronic Disease Management Strategies
- Health and Medical Education
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Global Public Health Policies and Epidemiology
- Child Nutrition and Water Access
- Childhood Cancer Survivors' Quality of Life
- Diabetes Management and Education
- Cancer survivorship and care
- Aging, Health, and Disability
- Palliative Care and End-of-Life Issues
- Maternal and Neonatal Healthcare
- COVID-19 and healthcare impacts
- Healthcare cost, quality, practices
- Public Health and Social Inequalities
- Obesity, Physical Activity, Diet
- Pregnancy and preeclampsia studies
- Birth, Development, and Health
- Maternal and fetal healthcare
Inter-American Development Bank
2016-2025
Instituto Nacional de Salud Pública
2012-2019
University of the West Indies
2019
Mexican Social Security Institute
2003-2016
Hospital Infantil de México Federico Gómez
2009-2016
Centro Medico Nacional Siglo XXI
1995-2016
World Health Organization
2014-2015
The University of Western Australia
2015
Bank of Mexico
2013-2014
Secretaria de Salud
2009
Abstract Declines in health service use during the Coronavirus Disease 2019 (COVID-19) pandemic could have important effects on population health. In this study, we used an interrupted time series design to assess immediate effect of 31 services two low-income (Ethiopia and Haiti), six middle-income (Ghana, Lao People’s Democratic Republic, Mexico, Nepal, South Africa Thailand) high-income (Chile Korea) countries. Despite efforts maintain services, disruptions varying magnitude duration...
The COVID-19 pandemic has disrupted health systems around the world. objectives of this study are to estimate overall effect on essential service use and outcomes in Mexico, describe observed predicted trends services over 24 months, number visits lost through December 2020.
Objective We aimed to determine the prevalence and risks of late fetal deaths ( LFD s) early neonatal END in women with medical obstetric complications. Design Secondary analysis WHO Multicountry Survey on Maternal Newborn Health WHOMCS ). Setting A total 359 participating facilities 29 countries. Population 308 392 singleton deliveries. Methods reported perinatal indicators determined death presence severe maternal complications (haemorrhagic, infectious, hypertensive disorders, other...
Objective To generate a global reference for caesarean section ( CS ) rates at health facilities. Design Cross‐sectional study. Setting Health facilities from 43 countries. Population/Sample Thirty eight thousand three hundred and twenty‐four women giving birth 22 countries model building 10 045 875 testing. Methods We hypothesised that mathematical models could determine the relationship between clinical‐obstetric characteristics . These generated probabilities of be compared with observed...
To analyze acute myocardial infarction (AMI) admissions and in-hospital mortality rates evaluate the competence of Ministry Health (MOH) hospitals to provide AMI treatment.We used a mixed-methods approach: 1) Joinpoint analysis hos-pitalizations trends between 2005 2017; 2) nation-wide cross-sectional MOH hospital survey.AMI hospitalizations are increasing among men patients aged >60 years; women have higher mortal-ity rates. The survey included 527 (2nd level =471; 3rdlevel =56). We...
Abstract Background Malnutrition in children can be a consequence of unfavourable socioeconomic conditions. However, some families maintain adequate nutritional status their despite living poverty. The aim this study was to ascertain whether family-related factors are determinants stunting young Mexican extreme poverty, and these differ between rural or urban contexts. Methods A case-control conducted one poverty level areas Mexico. Cases comprised stunted aged 6 23 months. Controls were...
Objective To evaluate factors associated with COVID-19 preventive health behaviors among adults in Mexico City and the State of Mexico. Methods findings We conducted a cross-sectional survey from June to October 2020 through structured, internet-based questionnaire non-probabilistic sample >18 years living The independent variables included sociodemographic clinical factors; literacy; access information; perception risk measures’ effectiveness. dependent variable was behaviors, defined as...
A population-based case control study was conducted to ascertain whether the process of primary care can be a determinant infant mortality due Acute Respiratory Infection (ARI). Cases were 118 infants who died from ARI, individually matched with suffered an ARI episode and recovered. Information gathered through interviewing mothers. Study variables assembled into five subsets: children's characteristics; mothers' access medical services; care, and; sociodemographic variables. An index per...
Social networks play a key role in caring for older adults. A better understanding of the characteristics different social types (TSNs) given community provides useful information designing policies to care this age group. Therefore study has three objectives: 1) To derive TSNs among adults affiliated with Mexican Institute Security; 2) describe main each TSN, including instrumental and economic support they receive their satisfaction network; 3) determine association between functional...
In 2006, the Mexican government launched Fund for Protection Against Catastrophic Expenditures (FPGC) to support financially healthcare of high cost illnesses. This study aimed at answering question whether FPGC improved coverage cancer care and measure survival affiliated children with cancer.A retrospective cohort (2006-2009) was conducted in 47 public hospitals. Information adolescents analyzed. The estimated accordance expected number incident cases those registered FPGC. analyzed by...
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Several low and middle-income countries are implementing electronic health records (EHR). In the near future, EHRs could become an efficient tool to evaluate healthcare performance if appropriate indicators developed. The aims of this study are: a) develop quality care (QCIs) for type 2 diabetes (T2DM) in Mexican Institute Social Security (IMSS) system; b) determine feasibility constructing QCIs using IMSS EHR data; c) (QC) provided patients with T2DM.We used a three-stage mixed methods...
This study evaluated primary care attributes of patient-centered associated with the public perception good quality in Brazil, Colombia, Mexico and El Salvador. We conducted a secondary data analysis Latin American survey on perceptions experiences healthcare systems. The examined were access, coordination, provider-patient communication, provision health-related information emotional support. A double-weighted multiple Poisson regression robust variance model was performed. included between...
The aim of the study was to measure survival children with acute lymphoblastic leukemia (ALL) under Mexico's public health insurance for population treated Seguro Popular. A retrospective cohort using claims data from Popular program, covering cancer treatment 2005 2015 conducted. Overall 5-year national and state-specific ALL across Mexico who initiated this program estimated. From 2015, 8,977 Under financing scheme, annual number doubled 535 in 1,070 2015. estimates overall 61.8% (95%CI...
In 2022, the Mexican Institute of Social Security (IMSS) launched "Comprehensive Women-Centered Maternal Health Care Model" (AMIIMSS program) to improve maternal healthcare. This research evaluated childbirth care quality, comparing outcomes between IMSS and private hospitals with high low adherence AMIIMSS program, assessed whether type healthcare provider delivery, content care, occurrence obstetric violence were associated perceived quality after controlling for other relevant demographic...
Mexico has the highest adult overweight and obesity prevalence in Americas; 23.8% of children <5 years old are at risk for 9.7% already or obese. Creciendo Sanos was a pilot intervention to prevent among preschoolers Instituto Mexicano del Seguro Social (IMSS) clinics. We randomized 4 IMSS primary care clinics either 6 weekly educational sessions promoting healthful nutrition physical activity usual care. recruited 306 parent-child pairs: 168 intervention, 138 Children were 2-5 with WHO body...