Assessing quality across healthcare subsystems in Mexico

Andrea Puig, José A. Pagán, Rebeca Wong

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Recent healthcare reform efforts in Mexico have focused on the need to improve the efficiency and equity of a fragmented healthcare system. In light of these reform initiatives, there is a need to assess whether healthcare subsystems are effective at providing high-quality healthcare to all Mexicans. Nationally representative household survey data from the 2006 Encuesta Nacional de Salud y Nutrición (National Health and Nutrition Survey) were used to assess perceived healthcare quality across different subsystems. Using a sample of 7234 survey respondents, we found evidence of substantial heterogeneity in healthcare quality assessments across healthcare subsystems favoring private providers over social security institutions. These differences across subsystems remained even after adjusting for socioeconomic, demographic, and health factors. Our analysis suggests that improvements in efficiency and equity can be achieved by assessing the factors that contribute to heterogeneity in quality across subsystems.

Original languageEnglish (US)
Pages (from-to)123-131
Number of pages9
JournalJournal of Ambulatory Care Management
Issue number2
StatePublished - Apr 2009
Externally publishedYes


  • Healthcare subsystem assessment
  • Mexico
  • Quality

ASJC Scopus subject areas

  • Health Policy


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