The Commodification of Health Services: an Alternative for the Marginalized Population of Mexico City

Ciencia e Saude Coletiva

article

Guerrero, Flor Mireya López¹  Flores-Espinosa, Miguel Angel¹ 

[1] National Autonomous University of Mexico

关键词: Private health services;    Access;    Poor population;   

DOI  :  10.1590/1413-81232023284.14012022

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

The Doctor’s Office Adjacent to Pharmacies (DAP) model has grown exponentially in Mexico. Its proliferation is due to two factors. The first is the high cost of medical consultations in private hospitals, and the second is that public health services are insufficient. To gauge the importance this model has acquired, it is necessary to analyze the pattern of distribution and operation of this type of doctors’ offices and determine whether they are responding to the unmet demand of a population that is socio-territorially marginalized from health infrastructure. A database was created with updated, geo-referenced information on the precise location of DAP throughout Mexico City and its metropolitan area. Information was obtained on the location, condition and type of franchise, and the infrastructure of each establishment. The analysis found that the distribution pattern of DAP satisfies an unmet need in areas with the highest demand for health services. This situation occurs particularly in areas inhabited by the most marginalized population.

【 授权许可】

CC BY