Objective
In the context of aiming to achieve universal health coverage in Mexico, this study compares
access to prescribed medicines (ATPM) between Seguro Popular (SP) and non-SP
affiliated outpatient health service users.
Materials and Methods
ATPM by 6,123 users of outpatient services was analyzed using the National Health and
Nutrition Survey 2012. Adjusted bi-probit models were performed incorporating instrumental
variables.
Results
17.3% of SP and 10.1%of the non-SP population lacked ATPM. Two-thirds of all outpatient
SP and 18.5%of all outpatient non-SP received health services at Ministry of Health facilities,
among whom, 64.6 and 53.6% of the SP and non-SP population respectively reported
ATPM at these facilities. Lack of medicines in health units, chronic health problems (compared
to acute conditions) and prescription 3 medicines were risk factors for non-ATPM.
Adjusted models suggest that when using Ministry of Health services, the SP population
has a higher probability of ATMP compared to the non-SP population.
Conclusion
Given the aspirations of achieving universal health coverage in Mexico, it is important to
increase ATPM in Ministry of Health facilities thereby ensuring basic rights to health care
are met.