ArticleJournal of public health policy2025
Why expanding public health insurance coverage is not enough to provide effective ambulatory care: policy lessons from Mexico, 2000-2022.
Article in Journal of public health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Health financing inequality in fragmented health systems: evidence from Mexico, 2000-2023.International journal for equity in health · 2026Article
- Changes in health insurance coverage and healthcare utilization of middle-aged and older adults after the transition from Seguro Popular to INSABI.BMC health services research · 2025Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite expanding public insurance coverage and investment in public healthcare supply, the Mexican population not covered by social security has increasingly used private-sector outpatient health services over the past two decades. This is a public health policy problem because Mexico is committed to a constitutional right to health protection, which means unmet ambulatory needs must be fulfilled. This brief aims to measure the magnitude of unmet ambulatory health care needs, analyze factors that led to their growth, and formulate policy options to address them. Private services' share of total ambulatory care grew from 38 percent in 2006 to 66 percent in 2022, despite two national policy efforts to increase public coverage to nearly 50 million people. Neither policy provided adequate ambulatory coverage for its targeted population, leading to care seeking through private outpatient providers. We recommend strengthening public ambulatory care by increasing financial resources for public primary care and implementing more effective allocation to improve timeliness and quality of care.
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Registered trials
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.