Technical Efficiency of Mexico’s Public Health System in the Delivery of Obstetric Care, during 2012–2018
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Sample
2.2. Inclusion and Exclusion Criteria
2.3. Variable of Interest and Data Source
2.4. Procedure and Data Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Type of Variable | Variable | Description | Sources |
---|---|---|---|
Dependent | Technical efficiency | Conceptual definition | Estimated |
Relationship between outputs and inputs that maximizes the level of product or minimizes costs [24] | |||
Operational definition | |||
Quotient between the sum of services produced and the resources used in their production. | |||
Independent | Inputs | Conceptual definition | |
A component of production (such as land, labor, or raw materials) | |||
Operational definition | |||
Gynecologists, exam rooms, delivery rooms, and operating rooms used by Mexican Federal health institutions to produce obstetric services during the analysis period (2012–2018). | Health Resource Base. Dynamic cubes. Human, Physical, Material and Financial Resources. 2012–2018, platform (SINAIS). Available online: http://www.dgis.salud.gob.mx/contenidos/basesdedatos/bdc_recursos_gobmx.html (accessed on 11 May 2021) | ||
Conceptual definition | |||
Outputs | The quantity of goods or services produced in a specific period. | ||
Operational definition | |||
Prenatal visits, cesareans, deliveries, and abortions produced by Mexican federal health institutions during the analysis period (2012–2018). | 1. Base of Services Provided. Dynamic cubes. 2012–2018 platform (SIS). Available online: http://www.dgis.salud.gob.mx/contenidos/basesdedatos/bdc_serviciossis_gobmx.html (accessed on 11 May 2021) 2. Base of Hospital Discharges. Dynamic cubes. 2012–2018 SAEH, platform. Available online: http://www.dgis.salud.gob.mx/contenidos/basesdedatos/bdc_egresoshosp_gobmx.html (accessed on 11 May 2021) | ||
Contextual characteristics | State gross domestic product per capita | Conceptual definition | |
The quotient between GDP, defined as “the standard measure of the value added created through the production of goods and services in a country during a certain period”, and the state population. | |||
Operational definition | |||
Calculated and published by The National Institute of Statistics and Geography of Mexico (INEGI). | INEGI. Per capita gross domestic product. Available online: https://cuentame.inegi.org.mx/economia/pibpc.aspx?tema=e (accessed on 11 May 2021) |
Institutions | Total | ||||||
---|---|---|---|---|---|---|---|
Outputs | A | B | C | D | E | F | |
Prenatal visits | 46,993,718 | 33,035,961 | 5,386,732 | 1,080,422 | 777,644 | 284,385 | 87,558,862 |
53.7% | 37.7% | 6.2% | 1.2% | 0.9% | 0.3% | ||
Deliveries | 2,945,997 | 1,065,349 | 50,389 | 4714 | 25,895 | 4468 | 4,096,812 |
71.9% | 26.0% | 1.2% | 0.1% | 0.6% | 0.1% | ||
Cesarean | 1,596,098 | 884,649 | 114,625 | 11,646 | 14,295 | 6077 | 2,627,390 |
60.7% | 33.7% | 4.4% | 0.4% | 0.5% | 0.2% | ||
Abortion | 586,055 | 270,069 | 31,145 | 2043 | 1112 | 306 | 890,730 |
65.8% | 30.3% | 3.5% | 0.2% | 0.1% | 0.0% | ||
Inputs | |||||||
Gynecologists | 4778 | 3832 | 1109 | 110 | 71 | 43 | 9943 |
48.1% | 38.5% | 11.2% | 1.1% | 0.7% | 0.4% | ||
Exam rooms | 1041 | 429 | 223 | 45 | 84 | 38 | 1860 |
56.0% | 23.1% | 12.0% | 2.4% | 4.5% | 2.0% | ||
Delivery rooms | 2794 | 393 | 150 | 24 | 44 | 27 | 3432 |
81.4% | 11.5% | 4.4% | 0.7% | 1.3% | 0.8% | ||
Cesarean sections | 1887 | 1318 | 330 | 74 | 98 | 45 | 3752 |
50.3% | 35.1% | 8.8% | 2.0% | 2.6% | 1.2% |
State | A | B | C | D | E | F | Average State TE |
---|---|---|---|---|---|---|---|
Aguascalientes | 1.000 | 1.000 | 0.233 | 0.744 | |||
Baja California | 1.000 | 1.000 | 0.154 | 0.092 | 0.067 | 0.463 | |
Baja California Sur | 0.461 | 0.486 | 0.094 | 0.088 | 0.096 | 0.245 | |
Campeche | 0.512 | 0.416 | 0.166 | 0.120 | 0.185 | 0.280 | |
Mexico City | 0.973 | 0.829 | 0.294 | 0.082 | 0.303 | 0.149 | 0.438 |
Chiapas | 1.000 | 1.000 | 0.203 | 1.000 | 0.388 | 0.116 | 0.618 |
Chihuahua | 0.606 | 0.618 | 0.109 | 0.082 | 0.354 | ||
Coahuila | 0.854 | 0.829 | 0.090 | 0.141 | 0.478 | ||
Colima | 0.791 | 1.000 | 0.063 | 0.196 | 0.513 | ||
Durango | 0.727 | 0.735 | 0.240 | 0.460 | 0.541 | ||
Guanajuato | 1.000 | 1.000 | 0.200 | 0.110 | 0.467 | 0.555 | |
Guerrero | 1.000 | 0.729 | 0.180 | 0.278 | 0.121 | 0.462 | |
Hidalgo | 0.765 | 0.555 | 0.153 | 0.092 | 0.391 | ||
Jalisco | 0.928 | 0.763 | 0.146 | 1.000 | 0.211 | 0.025 | 0.512 |
Mexico State | 1.000 | 1.000 | 0.408 | 0.000 | 0.446 | 0.571 | |
Michoacán | 0.736 | 0.629 | 0.127 | 0.223 | 0.181 | 0.379 | |
Morelos | 0.774 | 0.485 | 0.116 | 0.467 | 0.460 | ||
Nayarit | 0.634 | 0.691 | 0.343 | 0.036 | 0.426 | ||
Nuevo León | 0.922 | 1.000 | 0.210 | 0.153 | 0.466 | 0.550 | |
Oaxaca | 0.864 | 0.652 | 0.322 | 0.134 | 0.242 | 0.059 | 0.379 |
Puebla | 1.000 | 0.616 | 0.207 | 0.087 | 0.247 | 0.431 | |
Querétaro | 1.000 | 0.966 | 0.212 | 0.726 | |||
Quintana Roo | 0.756 | 0.740 | 0.145 | 0.121 | 0.011 | 0.355 | |
San Luis Potosí | 1.000 | 0.959 | 0.145 | 1.000 | 0.073 | 0.635 | |
Sinaloa | 0.590 | 0.727 | 0.152 | 0.258 | 0.242 | 0.394 | |
Sonora | 0.780 | 0.600 | 0.096 | 0.149 | 0.114 | 0.348 | |
Tabasco | 0.963 | 0.634 | 0.293 | 0.156 | 0.175 | 1.000 | 0.537 |
Tamaulipas | 0.632 | 0.757 | 0.099 | 0.120 | 0.171 | 0.099 | 0.313 |
Tlaxcala | 0.659 | 0.507 | 0.223 | 0.463 | |||
Veracruz | 0.869 | 0.474 | 0.160 | 0.193 | 0.300 | 0.157 | 0.359 |
Yucatán | 0.806 | 0.701 | 0.237 | 0.122 | 0.023 | 0.378 | |
Zacatecas | 0.628 | 0.797 | 0.154 | 0.094 | 0.418 | ||
Average Institutional TE | 0.820 | 0.747 | 0.187 | 0.303 | 0.243 | 0.160 | 0.460 |
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Aracena-Genao, B.; Leyva-Flores, R.; Santos-Luna, R.; Lara-Diaz, S.; Mejía-Avilez, A.A. Technical Efficiency of Mexico’s Public Health System in the Delivery of Obstetric Care, during 2012–2018. Healthcare 2024, 12, 653. https://doi.org/10.3390/healthcare12060653
Aracena-Genao B, Leyva-Flores R, Santos-Luna R, Lara-Diaz S, Mejía-Avilez AA. Technical Efficiency of Mexico’s Public Health System in the Delivery of Obstetric Care, during 2012–2018. Healthcare. 2024; 12(6):653. https://doi.org/10.3390/healthcare12060653
Chicago/Turabian StyleAracena-Genao, Belkis, René Leyva-Flores, Rene Santos-Luna, Saul Lara-Diaz, and Angel Argenis Mejía-Avilez. 2024. "Technical Efficiency of Mexico’s Public Health System in the Delivery of Obstetric Care, during 2012–2018" Healthcare 12, no. 6: 653. https://doi.org/10.3390/healthcare12060653