Abstract：
OBJECTIVE:To evaluate the access to health services and the process of care provided to children under five years old who died from acute diarrhea (AD). MATERIAL AND METHODS:In four states of Mexico, a cross-sectional study was carried out. Deaths from AD that occurred in the lapse of one year were included. Information about clinical characteristics of the illness, process of care and access to the health facilities were obtained through verbal autopsy. Descriptive analysis and comparison of data between rural and urban communities were performed. RESULTS:Five-hundred and fifty three deaths were analysed. Most of the children were not enrolled in a public care health system. The main children's characteristics were the following: residence in rural communities; age less than one year; died at home or had short illness duration. Geographic and economic access barriers were identified in rural areas. Oral rehydration salts were provided as a part of household treatment in about 75% of children. 20% of them received non-medical care, specially from traditional healers. Primary medical care was provided to 60% of cases; the drawbacks of the process were related to a high rate of medication prescription, lack or referral to hospital, and lack of recommendation for a new visit in presence of alarm signs. Public physicians and those from rural communities prescribed oral rehydration therapy in a greater proportion. CONCLUSIONS:The problem of access to health services in rural communities was confirmed. However, low quality of care provided by primary level physicians was found in both rural and urban areas. We propose the creation of clinical teaching centers to improve the quality of the process of medical care as a strategy to decrease mortality due to AD.
journal_name
Salud Publica Mexjournal_title
Salud publica de Mexicoauthors
Reyes H,Tomé P,Gutiérrez G,Rodríguez L,Orozco M,Guiscafré Hsubject
Has Abstractpub_date
1998-07-01 00:00:00pages
316-23issue
4eissn
0036-3634issn
1606-7916journal_volume
40pub_type
杂志文章abstract：:Violence against women by partners (VAWP) has been systematically studied in Mexico in the past 15 years. The aim of this paper is to reflect on the contributions on this topic in Mexico. The discussion focuses on the magnitude of this phenomenon, stressing its theoretical, methodological, and technical implications; ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：10.1590/s0036-36342006000800012
更新日期：2006-01-01 00:00:00
abstract：:The Aedes aegypti was almost eradicate from The Americas in the early sixties but reinfested the Region a few years later, and dengue transmission has become a major health problem. The Americas have been affected by dengue epidemics since the 1970s and hemorrhagic fever is becoming a threat for millions of people liv...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:The effectiveness of vaccines and immunization in the prevention of infectious diseases is one of the greatest successes in medicine. In recent years, with access to cutting edge genomic and proteomic technology, it is possible to accelerate the development of new and improved vaccines with better immunogenicity and s...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：10.1590/s0036-36342009000900012
更新日期：2009-01-01 00:00:00
abstract：:This paper discusses the transition of the organized social response in health with emphasis on local health systems. After reviewing a few basic definitions (health system, local health system, health care system, institutional system of health services), the author discusses the health transition (transition of the ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：
更新日期：1991-11-01 00:00:00
abstract：OBJECTIVE:To describe the external causes of death and mortality trends due to injuries and poisoning in Mexican adolescents, from 1979 to 1997. MATERIAL AND METHODS:This is a descriptive study of deaths occurring in Mexico from 1979 to 1997. Data were abstracted, coded, and entered in electronic format, by Instituto ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To describe the epidemiologic pattern of acute pesticide poisoning (APP) in a general hospital in Merida, Yucatan, Mexico. MATERIAL AND METHODS:From 1994 to 1998, 33 patients 13 years of age or older with diagnosis of APP were studied. Descriptive statistics were used to analyze information. RESULTS:Males w...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVE:This study aimed to search the literature for intervention programs in primary care with a multiprofes-sional character, specifically directed at the robust elderly, and with viable and cost-effective interventions. MATERIALS AND METHODS:The search strategies were applied in Cochrane, Lilacs, Pubmed, Scopus,...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：10.21149/spm.v57i3.7566
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:To estimate the risk of psychiatric disorders across three family generations. MATERIAL AND METHODS:The research design corresponds to a "family history study" and is based upon a household survey conducted in 1995, on a representative sample of Mexico City's adult population aged 18 - 65 years (n=1932). Bri...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342005000100005
更新日期：2005-01-01 00:00:00
abstract：:Cervical cancer morbidity and mortality have decreased substantially during the last 50 years mostly due to successful organized or opportunistic screening with Pap cytology in high and middle income countries. In many low income countries Pap cytology screening is yet to be effectively implemented or has failed to re...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,评审
doi：10.1590/s0036-36342003000900011
更新日期：2003-01-01 00:00:00
abstract：Objective::To identify factors associated with susceptibility, tobacco use and addiction in young people from 13 to 15 years of age, to determine conditions of risk and identify possible correlates to the development of public policies on smoking in Costa Rica. Materials and methods::Information available from the fou...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/7765
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To estimate the prevalence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection in groups of individuals at different risks of sexually transmitted infections (STI). MATERIAL AND METHODS:Between January 1992 and December 1993, a cross-sectional multicentric study was carried out at the Inst...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,多中心研究,评审
doi：
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To study cutaneous leishmaniasis (CL), in the Calakmul municipality of the Campeche State, during two years. MATERIALS AND METHODS:Individuals with skin lesions were evaluated. Aspirates taken from the lesions were cultured, PCR was performed to diagnose the Leishmania species. RESULTS:The culture detected ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/spm.v57i1.7403
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To describe the occurrence of hemorrhagic disease of the newborn (HDN) at a tertiary care pediatric hospital of Morelos state. MATERIAL AND METHODS:A retrospective case series study was conducted between 1997-2000 at Hospital del Niño Morelense (Morelos State Children's Hospital), in 46 newborns aged under 1...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:Pyrodinium bahamense monitoring in water and their toxins in rock oyster Striostrea prismatica in Santiago Astata and Puerto Escondido Oaxaca was performed from September 2009 to July 2010. MATERIALS AND METHODS:Pyrodinium bahamense abundance in water, and concentration and toxic profile of paralytic shellfi...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the exposure to selenium in drinking water in Los Altos de Jalisco (Jalisco State Heights). MATERIALS AND METHODS:The concentration of selenium was determined in 125 water wells, and the exposure doses to selenium were estimated for babies, children and adults. RESULTS:The estimated values of th...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342007000400011
更新日期：2007-07-01 00:00:00
abstract：:American trypanosomiasis (Chagas' disease) is becoming a relatively common condition in North America. Diagnosis at the chronic stage depends on demonstration of specific antibodies in body fluids, since parasitologic or pathologic diagnosis is uncertain at this stage. Therefore, standardization of immunodiagnostic te...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
abstract：:This article analyzes 33 risk indicators about problematic drugs use, based in epidemiological studies in representative student samples, carried out in Mexico since 1975. The indicators are distributed among the variation sources proposed by the classic epidemiological model (environment-agent-host), and are aimed to...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：OBJECTIVE:Understand what Mexican key stakeholders think about the judicialization of the right to health in Mexico. MATERIALS AND METHODS:30 semi-structured interviews were conducted at different settings in Mexico City with representatives of the judiciary, legislative power, Health Sector (HS), pharmaceutical indus...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/10491
更新日期：2020-09-23 00:00:00
abstract：OBJECTIVE:To describe de prevalence of iron deficiency (ID) and anemia in a sample of Mexican elderly population from the National Health and Nutrition Survey (Ensanut) 2012. MATERIALS AND METHODS:1 920 subjects ≥60 years of age were included. Hemoglobin, serum concentrations of ferritin and CRP were measured. The ris...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/spm.v57i5.7619
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVES:To evaluate equity in access by comparing geographic, economic, and organizational barriers as well as authorization obstacles that women encounter depending on their affiliation with the social security health system. MATERIAL AND METHODS:A retrospective survey was conducted among women undergoing breast c...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342009000800015
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:To estimate the optimum size for hemodialysis units to maximize production given capital constraints. MATERIALS AND METHODS:A national study in Mexico was conducted in 2009. Three possible methods for estimating a units optimum size were analyzed: hemodialysis services production under monopolistic market, u...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342010000400007
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:This article establishes the hypothesis that predisposing, enabling and household needs influence the complete vaccination status of children. MATERIAL AND METHODS:Data from the 2004 Bangladesh Demographic and Health Survey (N= 3530) was used. The data was analyzed using descriptive and multiple logistic reg...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342010000200005
更新日期：2010-03-01 00:00:00
abstract：:The purpose of this study was to determine if the use of "earthenware dishes" is associated with high blood lead levels in children. Measurements of lead in blood were done in 169 school-children. Of this sample 100 children were selected: 50 of them with the lowest concentration of lead in blood and 50 with the highe...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:This document summarizes the most relevant epidemiologic characteristics of infant and child mortality in Latin America. The gap in infant mortality rates between Latin America and the developed countries is wide and appears to be increasing. In the developed countries, 980 of each 1000 infants survive to the age of...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1988-05-01 00:00:00
abstract：OBJECTIVE:To develop an automated model for the operational regionalization needed in the planning of the health service networks proposed by the new Mexican health care model (Modelo Integrador de Servicios de Salud MIDAS). MATERIAL AND METHODS:Using available data for México during 2005 and 2007, a geospatial model ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342010000500011
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To analyze the participation of Mexican hospitals in the certification process (equivalent to accreditation in other countries). MATERIAL AND METHODS:Crosssectional study that analyzes results of 136 establishments audited between 2009 and 2012. Standards with an excellent rating (9.0-10.0), approving (6-8.9...
journal_title：Salud publica de Mexico
pub_type： 杂志文章,多中心研究
doi：10.21149/8421
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:To compare cancer mortality rates in Mexico from two national death registries that independently code and attribute cause of death. MATERIALS AND METHODS:We compared 5-year age-standardized total cancer and sitespecific cancer mortality rates (2010-2014) from Mexico's official death registry with a death re...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/10635
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the genetic variability of domain III of envelope (E) protein and to estimate phylogenetic relationships of dengue 4 (Den-4) viruses isolated in Mexico and from other endemic areas of the world. MATERIAL AND METHODS:A phylogenetic study of domain III of envelope (E) protein of Den-4 viruses was c...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.1590/s0036-36342002000300006
更新日期：2002-05-01 00:00:00
abstract：:The main points of encounter and/or differences between two sociomedical analytical models are discussed. Both models have substantially contributed to an integrated perspective on public health. Discussion is focused on the conceptual construction of social processes and the contribution of these social processes on ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：OBJECTIVE:To analyze the proportion of expenditure and its frequency in food and beverages consumed inside and outside of households, at national and regional level, in Mexico between 1984 and 2014. MATERIALS AND METHODS:It analyzes data of household expenditure of food and beverages taken from the National Survey of ...
journal_title：Salud publica de Mexico
pub_type： 杂志文章
doi：10.21149/8220
更新日期：2017-11-01 00:00:00
