[EQ] Impact of insurance and supply of health professionals on coverage of treatment for hypertension in Mexico

Impact of insurance and supply of health professionals on coverage of treatment for hypertension in Mexico:
population based study

Sara N Bleich, assistant professor¹, David M Cutler, dean of social sciences², Alyce S Adams, assistant professor³, Rafael Lozano, director general of information⁴, Christopher J L Murray, director⁵

¹ Johns Hopkins School of Public Health, Baltimore, MD 21205, USA, ² Harvard University Faculty of Arts and Sciences, Cambridge, MA, ³ Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, ⁴ Secretaría de Salud, Mexico DF, Mexico, ⁵ Institute of Health Metrics and Evaluation, University of Washington, Seattle, WA

BMJ  2007;335:875 - 22 October 2007

Available online at: http://www.bmj.com/cgi/content/full/335/7625/875

Results: Rates of treatment for hypertension varied by insurance status and supply of health professionals. Hypertensive adults insured through Seguro Popular had a significantly higher probability of receiving antihypertensive treatment (odds ratio 1.50, 95% confidence interval 1.27 to 1.78) and receiving antihypertensive treatment with control of blood pressure (1.35, 1.00 to 1.82). Greater supply of health professionals in areas with coverage through Seguro Popular was a significant predictor of antihypertensive treatment after adjusting for covariates (1.49, 1.00 to 2.20).

Conclusions: Expansion of healthcare coverage to uninsured people in Mexico was associated with greater use of antihypertensive treatment and blood pressure control, particularly in areas with a greater supply of health professionals.

 

 

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