Evidence map›Paper›PMID 29965976›Full record

ArticlePloS one2018

Welfare effects of health insurance in Mexico: The case of Seguro Popular de Salud.

Rocío García-Díaz, Sandra G Sosa-Rubí, Edson Serván-Mori, Gustavo Nigenda

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rocío García-DíazDepartment of Economics, Monterrey Institute of Technology and Higher Education, Nuevo León, México.
Sandra G Sosa-RubíCenter for Health Systems Research, National Institute of Public Health, Morelos, México.ORCID 0000-0001-7394-481X
Edson Serván-MoriCenter for Health Systems Research, National Institute of Public Health, Morelos, México.
Gustavo NigendaNational School of Nursing and Obstetrics, National Autonomous University of México, México City, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study contributes with original empirical evidence on the distributional and welfare effects of one of the most important health policies implemented by the Mexican government in the last decade, the Seguro Popular de Salud (SPS). We analyze the effect of SPS on households' welfare using a decomposable index that considers insured and uninsured households' response to out-of-pocket (OOP) payments using both social welfare weights and inequality aversion. The disaggregation of the welfare index allows us to explore the heterogeneity of the SPS impact on households' welfare. We applied propensity score matching to reduce the self-selection bias of being SPS insured. Overall results suggest non-conclusive results of the impact of SPS on households' welfare. When we disaggregated the welfare index by different sub-population groups, our results suggest that households' beneficiaries of SPS with older adults or living in larger cities are better protected against OOP health care payments than their uninsured counterparts. However, no effect was found among SPS-insured households living in rural and smaller cities, which is a result that could be attributed to limited access to health resources in these regions. Scaling up health insurance coverage is a necessary but not sufficient condition to ensure the protection of SPS coverage against financial risks among the poor.

Indexed as

Health StatusAdultAgedFamily CharacteristicsFemaleHealth ExpendituresHumansInsurance CoverageInsurance, HealthMaleMedically UninsuredMexicoMiddle AgedNational Health ProgramsSocioeconomic FactorsYoung Adult

Identifiers

PMID29965976
PMCPMC6028097

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.