Costo-efectividad de una alternativa para la prestación de servicios de atención primaria en salud para los beneficiarios del Seguro Popular de México

Abstract

Objective. To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular. Materials and methods. A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources. The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies. Sensitivity analysis was performed using Monte Carlo simulations. Results. The private provider is dominant in the quality and cost-effective detection of decreased vision. Conclusions. Strategic purchasing of private providers of primary care has shown promising results as an alternative to improving quality of health services and reducing costs.