Language: Spanish
References: 0
Page: 345-354
PDF size: 276.75 Kb.

ABSTRACT

Mortality in public insured populations measures the impact of health care interventions and the coverage of preventive programs directed toward health priorities. The population insured by the Instituto Mexicano del Seguro Social (IMSS) belongs to the formal productive sector of the economy; therefore, it is more financially solvent, with a higher educational and socioeconomic status compared to the rest of the country. For these particular reasons, the health profile as well as the morbidity and mortality patterns differs from the other sectors of Mexican society. There are three sources of information that provide mortality data in the IMSS: the national governmental statistical center (INEGI), the institutional mortality information system (SISMOR) and the hospital discharge data base. An overall 35 % of deaths occurring in Mexico correspond to the IMSS. Cardiovascular diseases, cancer and diabetes are the leading causes of death. More than one half of deaths occurred in the elderly population, and 51.7 % were men. Of these deaths registered in hospitals, 33 % are due to diabetes and cancer alone. The mortality rates in hospitals varied from northeastern Mexico city (41.8 x 1000 discharges) to 16.8 in Quintana Roo in the south. The services with the highest mortality rates are Infectology and Internal Medicine. The most important causes of death in the hospital scenario are cerebral hemorrhage, AIDS, and alcoholic liver cirrhosis.