Table 3

Reasons for using ambulatory health services of different providers and perception of quality, Mexico 2012*

DAPPsSocial SecurityMinistry of HealthPrivate doctorsp Value corrected by survey design effect
Observations1778384045692612
Sample13.893035.720.41
(%)1 504 7462 912 3902 602 1442 128 578
Weighted16.4531.8428.4523.27
(%)Estimation (95% CI)
Main reasons for using specific healthcare services
 Having insurance1.5 (0.7 to 2.2)88.5 (86.8 to 90.2)59.4 (57.0 to 61.8)2.7 (1.9 to 3.6)0.00
 Convenient to home32.5 (29.1 to 36.0)6.3 (5.1 to 7.4)25.2 (23.3 to 27.2)16.6 (14.4 to 18.8)0.06
 Inexpensive33.6 (30.0 to 37.2)10.2 (8.6 to 11.9)22.1 (20.2 to 24.0)4.7 (3.7 to 5.8)0.00
 Familiar with the doctor8.1 (5.5 to 10.7)2.1 (1.4 to 2.7)2.7 (1.8 to 3.6)29.1 (26.2 to 31.9)0.00
 User likes care provided16.0 (12.9 to 19.1)6.0 (5.0 to 7.1)8.2 (7.1 to 9.4)28.2 (25.7 to 30.8)0.00
 Short waiting time26.5 (23.5 to 29.6)2.3 (1.6 to 3.0)2.8 (2.1 to 3.4)22.1 (19.7 to 24.5)0.68
 Other18.7 (16.0 to 21.4)4.8 (3.7 to 5.9)10.2 (8.7 to 11.8)24.2 (21.6 to 26.7)0.00
Quality of healthcare
Number of prescribed medicines
 01.6 (0.9 to 2.8)10.3 (9.0 to 11.8)11.1 (9.8 to 12.5)5.4 (4.2 to 6.8)0.00
 18.3 (6.7 to 10.3)10.7 (9.4 to 12.3)12.0 (10.8 to 13.3)9.9 (8.3 to 11.6)
 222.9 (20.3 to 25.7)25.2 (23.2 to 27.3)32.2 (30.2 to 34.3)29.1 (26.7 to 31.6)
 ≥367.2 (64.2 to 70.1)53.8 (51.6 to 55.9)44.7 (42.5 to 47.0)55.7 (52.8 to 58.6)
Percentage of users who received information about their diagnosis90.3 (87.8 to 92.3)84.3 (82.5 to 85.9)84.5 (82.9 to 85.9)92.7 (90.9 to 94.1)0.00
Percentage of users who received information about prescribed medications92.3 (90.0 to 94.0)85.5 (83.8 to 87.0)86.8 (85.3 to 88.2)93.7 (92.1 to 95.0)0.00
Perception about the quality of healthcare services
 Good/very good88.8 (86.4 to 90.8)77.7 (75.5 to 79.7)83.1 (81.4 to 84.7)93.2 (91.5 to 94.5)0.00
 Regular10.2 (8.2 to 12.5)16.7 (14.9 to 18.6)13.4 (12.0 to 14.9)5.7 (4.6 to 7.1)
 Bad/very bad1.1 (0.6 to 1.9)5.7 (4.6 to 7.0)3.5 (2.8 to 4.5)1.1 (0.5 to 2.4)
Users who will return to the same place for healthcare90.1 (87.3 to 92.4)81.8 (79.8 to 83.7)87.7 (86.1 to 89.1)93.4 (91.8 to 94.7)0.00
Reasons for not returning
Inconsiderate healthcare providers4.7 (2.3 to 9.7)32.0 (27.1 to 37.3)25.4 (20.0 to 31.7)9.1 (3.9 to 19.8)0.00
Disagree with the diagnosis or treatment16.4 (10.4 to 25.0)18.9 (14.6 to 24.1)15.7 (12.1 to 20.1)23.7 (14.6 to 36.1)0.44
Lack of health improvement27.9 (17.1 to 41.9)18.7 (14.6 to 23.8)16.9 (12.6 to 22.3)32.0 (21.5 to 44.6)0.03
High cost of healthcare services9.8 (4.4 to 20.5)0.5 (0.1 to 1.6)1.4 (0.7 to 2.6)19.7 (11.3 to 32.2)0.00
Failure to provide or incomplete provision of prescribed medications3.3 (1.2 to 8.6)20.6 (16.1 to 25.9)20.8 (16.0 to 26.5)0.2 (0.0 to 1.3)0.00
Failure to provide information about the health problem and treatment11.4 (5.9 to 21.1)14.0 (10.8 to 18.0)8.6 (5.1 to 14.1)4.0 (1.9 to 8.1)0.04
Long waiting time2.4 (0.8 to 7.1)40.5 (34.6 to 46.7)31.7 (25.9 to 38.1)2.2 (0.8 to 6.2)0.00
Other reasons5.3 (2.6 to 10.6)11.1 (7.9 to 15.3)8.4 (5.8 to 12.2)2.3 (0.9 to 6.0)0.01
Waiting time (in minutes) median of (IQR)†10.0 (5.0–25.0)30.0 (15.0 to 90.0)60.0 (15.0 to 120)10.0 (5.0 to 30.0)0.00
  • *Difference estimates performed considering the effect of the survey design.

  • †p Value estimated from quantile regression models.

  • DAPPs, doctors’ offices adjacent to private pharmacies.