Resource allocation equity in northeastern Mexico
Currently, the population health needs are unlimited, but allocation of financial resources is not in accordance with these needs, probably due to the lack of specific information. In this work, we propose a new approach to allocate resources with equity as a tool for decision-making in planning. Th...
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| Veröffentlicht in: | Health policy (Amsterdam) 2004-12, Vol.70 (3), p.271-279 |
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| creator | Rocha, Georgina Mayela Núñez Martı́nez, Ana Marı́a Salinas Rı́os, Enrique Villarreal Elizondo, Ma.Eugenia Garza |
| description | Currently, the population health needs are unlimited, but allocation of financial resources is not in accordance with these needs, probably due to the lack of specific information. In this work, we propose a new approach to allocate resources with equity as a tool for decision-making in planning. The grade of equity in resource allocation in decentralized management medical areas (DMMAs (AMGD, for its initials in Spanish)) was determined; these are limited geographical areas of a social security institution in three states of the northeastern region of Mexico. The areas with more health needs in the global index were DMMA no. 12 in Tamaulipas with a Z-score (ZS) of −5; area no. 3 in Coahuila with −4; and area no. 9 in Nuevo León, no. 16 and no. 17 in Tamaulipas with −2. Equity was measured according to the degree of concordance between the health needs index and the per capita health expenditure of each area: (
r = 0.19,
P > 0.05). Low concordance was found between these variables in the studied medical areas. |
| doi_str_mv | 10.1016/j.healthpol.2004.04.007 |
| format | Article |
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r = 0.19,
P > 0.05). Low concordance was found between these variables in the studied medical areas.</description><subject>Coahuila (state), Mexico</subject><subject>Community health services</subject><subject>Economic aspects</subject><subject>Equity</subject><subject>Health administration</subject><subject>Health Care Rationing - organization & administration</subject><subject>Health conditions</subject><subject>Health Expenditures - statistics & numerical data</subject><subject>Health planning</subject><subject>Health services</subject><subject>Health Services Needs and Demand</subject><subject>Medical areas</subject><subject>Medically Underserved Area</subject><subject>Mexico</subject><subject>Models, Organizational</subject><subject>Nuevo León (state), Mexico</subject><subject>Politics</subject><subject>Resource allocation</subject><subject>Tamaulipas (state), Mexico</subject><issn>0168-8510</issn><issn>1872-6054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkU1v2zAMhoViRZt2-wubT7s5kyzr6xgEW7eiQ4GiOwuyTCMKHMuV5GD595WXIDsGIEVAeki-IhH6QvCSYMK_bZcbMH3ajL5fVhjXy9mwuEILIkVVcszqD2iRSVlKRvAtuotxizNBKb9Bt4TVUipVLxB5geinYKEwfe-tSc4PBbxNLh0KNxSDDyl3ignCUPyGv876j-i6M32ET6d4j_78-P66_lk-PT_8Wq-eSlsrnsqOG8EMFpVUpiGsUaohXasq0pD83tmWcSkk4awFJiwHQaiom_lzYDGmgt6jr8e6Y_BvE8Skdy5a6HszgJ-i5lwJxmtyEWQyj4RXlytSmRvXnGdQHEEbfIwBOj0GtzPhoAnWs0S91ef563n-ejY8t3g8ZgYYwZ7TAGADmXV6r6kROB-H7P8yqXHZafZxvhJEV0LpTdrlYp9PeqdmB-1_EaftZWB1BCDvYe8g6GgdDBZaF8Am3Xp3UfE78q6ysA</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Rocha, Georgina Mayela Núñez</creator><creator>Martı́nez, Ana Marı́a Salinas</creator><creator>Rı́os, Enrique Villarreal</creator><creator>Elizondo, Ma.Eugenia Garza</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Resource allocation equity in northeastern Mexico</title><author>Rocha, Georgina Mayela Núñez ; 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In this work, we propose a new approach to allocate resources with equity as a tool for decision-making in planning. The grade of equity in resource allocation in decentralized management medical areas (DMMAs (AMGD, for its initials in Spanish)) was determined; these are limited geographical areas of a social security institution in three states of the northeastern region of Mexico. The areas with more health needs in the global index were DMMA no. 12 in Tamaulipas with a Z-score (ZS) of −5; area no. 3 in Coahuila with −4; and area no. 9 in Nuevo León, no. 16 and no. 17 in Tamaulipas with −2. Equity was measured according to the degree of concordance between the health needs index and the per capita health expenditure of each area: (
r = 0.19,
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| source | MEDLINE; RePEc; PAIS Index; Elsevier ScienceDirect Journals |
| subjects | Coahuila (state), Mexico Community health services Economic aspects Equity Health administration Health Care Rationing - organization & administration Health conditions Health Expenditures - statistics & numerical data Health planning Health services Health Services Needs and Demand Medical areas Medically Underserved Area Mexico Models, Organizational Nuevo León (state), Mexico Politics Resource allocation Tamaulipas (state), Mexico |
| title | Resource allocation equity in northeastern Mexico |
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