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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2019, Number 1

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Salud Mental 2019; 42 (1)

Physicians specializing in psychiatry of Mexico: An update 2018

Heinze G, Bernard-Fuentes N, Carmona-Huerta J, Chapa GC, Guízar-Sánchez DP

Language: English
References: 54
Page: 13-23
PDF size: 557.57 Kb.


ABSTRACT

Introduction. In 2016, there were 4,393 psychiatrists in Mexico, with an estimated rate of 3.68 per 100,000 inhabitants. It is essential to keep this information updated in order to achieve the overall objectives of mental health care. Objective. Estimate the total number of psychiatrists and paidopsychiatrists in Mexico in 2018; identify their geographical distribution, and compare the results with those obtained in 2011 and 2016. Method. Comparative, longitudinal study. Various sources were consulted to update the number of psychiatrists and paidopsychiatrists in 2018 and to determine their sociodemographic characteristics. These characteristics were compared with those found in 2011 and 2016. Results. A total of 4,999 specialists in psychiatry practiced their specialty in Mexico in 2018, 365 of whom are child and adolescent psychiatrists. A rate of 3.71 psychiatrists per 100,000 inhabitants was obtained for a population of 124,737,789. Regarding pedopsychiatric specialists, if we consider a population of 37,714,991 inhabitants under 16, the corresponding rate is .96 child and adolescent psychiatrists per 100,000 minors. These specialists are unevenly distributed throughout the country. Approximately 60% of all psychiatrists and child and adolescent psychiatrists practice in the three largest cities in Mexico. Discussion and conclusion. Although the national rate of psychiatrists was increased in comparison with 2016, it is still lower than that recommended by the World Health Organization (WHO). The geographical distribution of psychiatrists is uneven due to centralization and economic factors as happens in many countries in the world.


REFERENCES

  1. Anda, R. F., Brown, D. W., Felitti, V. J., Bremner, J. D., Dube, S. R., & Giles, W. H. (2007). Adverse childhood experiences and prescribed psychotropic medications in adults. American Journal of Preventive Medicine, 32(5), 389- 394. doi: 10.1016/j.amepre.2007.01.005

  2. Benjet, C. & Scott, K. (2016). How to understand and reduce the high prevalence of psychiatric disorders. Salud Mental, 39(6), 285-286. doi: 10.17711/sm.0185- 3325.2016.032

  3. Berenzon, S., Saavedra, N., Medina-Mora, M. E., Aparicio, V., & Galván, J. (2013). Evaluación del sistema de salud mental en México: ¿hacia dónde encaminar la atención? Washington: Revista Panamericana de Salud Pública, 33(4), 252-8.

  4. Borges, G., Wang, P. S., Medina-Mora, M. E., Lara, C., & Chiu, W. T. (2007). Delay of first treatment of mental and substance use disorders in Mexico. American Journal of Public Health, 97(9), 1638-43. doi: 10.2105/AJPH.2006.090985

  5. Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000). Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med, 160(21), 3278-3285. doi: 10.1001/archinte.160.21.3278

  6. Comisión Interinstitucional Para La Formación De Recursos Humanos Para La Salud (CIFRHS). (2018). Reporte por año del Examen Nacional de Residencias Médicas. México: CIFRHS. (Access date: October 1, 2018). Retrieved from: http://www.cifrhs.salud.gob.mx

  7. Congreso de Colombia. (2013). Ley 1616, por medio del cual se expide la ley de salud mental y se dictan otras disposiciones. Bogotá: Congreso de Colombia. (Access date: October 1, 2018). Retrieved from: http://www.defensoria.gov.co/public/ Normograma%202013_html/Normas/Ley_1616_2013.pdf

  8. Consejo Nacional de Población (CONAPO). (2010). Proyecciones Población 2010- 2030. México: CONAPO. (Access date: June 15, 2018). Retrieved from: http:// www.conapo.gob.mx/es/CONAPO/Proyecciones_Datos

  9. Cougle, J. R., Timpano, K. R., Sachs-Ericsson, N., Keough, M. E., & Riccardi, C. J. (2010). Examining the unique relationships between anxiety disorders and childhood physical and sexual abuse in the National Comorbidity Survey-Replication. Psychiatry Research, 177(1-2), 150-155. doi: 10.1016/j. psychres.2009.03.008

  10. Cutajar, M. C., Mullen, P. E., Ogloff, J. R., Thomas, S. D., Wells, D. L., & Spataro, J. (2010). Schizophrenia and other psychotic disorders in a cohort of sexually abused children. Archives of General Psychiatry, 67(11), 1114-1119. doi: 10.1001/archgenpsychiatry.2010.147

  11. Danese, A., Moffitt, T. E., Harrington, H., Milne, B. J., Polanczyk, G., Pariante, C. M., Poulton, R., & Caspi, A. (2009). Adverse childhood experiences and adult risk factors for age-related disease: depression, inflammation, and clustering of metabolic risk markers. Archives of Pediatrics & Adolescent Medicine, 163(12), 1135-43. doi: 10.1001/archpediatrics.2009.214

  12. De la Fuente, J. R. & Heinze-Martin, G. (2014). La enseñanza de la Psiquiatría en México. Salud Mental de México, 37(6), 523-530. doi: 10.17711/SM.0185- 3325.2014.063

  13. Di Matteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med, 160(14), 2101- 2107. doi:10.1001/archinte.160.14.2101

  14. Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study. Pediatrics, 111(3), 564-572.

  15. Elices, M., Pascual, J. C., Carmona, C., Martín-Blanco, A., Feliu-Soler, A., Ruiz, E., Goma-i-Freixanet, M., Pérez, V., & Soler, J. (2015). Exploring the relation between childhood trauma, temperamental traits and mindfulness in borderline personality disorder. BMC Psychiatry, 15, 180. doi: 10.1186/s12888-015-0573-z

  16. Gobierno de Chile Ministerio de Salud. (2017). Plan Nacional de Salud Mental. Chile: Gobierno de Chile Ministerio de Salud. (Access date: September 8, 2018). Retrieved from: http://www.eutimia.com/ops/Plan-de-salud-Mental-en-Chile.pdf

  17. Gómez-Dántes, H., Fullman, N., Lamadrid-Figueroa, H., Cahuana-Hurtado, L., Darney, B., Avila-Burgos L., … Lozano R. (2016). Dissonant health transition in the states of Mexico, 1990-2013: a systematic analysis for the global burden of disease study 2013. Lancet, 388(10058), 2386-2402. doi: 10.1016/S0140- 6736(16)31773-1

  18. Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67(2), 113-123. doi: 10.1001/archgenpsychiatry.2009.186

  19. Heinze, G., Chapa, G. C., & Carmona-Huerta, J. (2016). Los especialistas en psiquiatría en México: año 2016. Salud Mental de México, 39(2), 69-76. doi: 10.17711/SM.0185-3325.2016.003

  20. Heinze, G., Chapa, G. C., Santisteban, J. A., & Vargas, I. (2012). Los especialistas en psiquiatría en México: su distribución, ejercicio profesional y certificación. Salud Mental de México, 35(4), 279-285.

  21. Heinze, G., Olmedo-Canchola, V. H., Bazán-Miranda, G., Bernard-Fuentes, N., & Guízar-Sánchez, D. (2018). Los médicos especialistas en México. México: Gaceta Médica Mexicana, 154(3), 342-351. doi: 10.24875/gmm.18003770

  22. Hernández-Bringas, H. H. & Flores-Arenales, R. (2011). El suicidio en México. Papeles de Población. (Access date: August 8, 2018). Retrieved from: http:// www.redalyc.org/articulo.oa?id=11219270004. ISSN 1405-7425.

  23. Institute for Health Metrics and Evaluation (IHME). (2018). Data Visualizations. Seattle: IHME. (Access date: March 15, 2018). Retrieved from: http://www. healthdata.org/results/data-visualizations/

  24. Instituto Nacional de Estadística y Geografía (INEGI). (2017). Panorama de los Médicos en México. México: INEGI.

  25. Instituto Nacional de Estadística y Geografía (INEGI). (2018). Estadísticas a propósito del día mundial para la prevención del suicidio. México. INEGI. (Access date: September 7, 2018). Retrieved from: http://www.beta.inegi.org. mx/contenidos/saladeprensa/aproposito/2018/suicidios2018_Nal.pdf

  26. Kohn, R. (2013). La brecha de tratamiento en la Región de las Américas. Washington: OPS. (Access date: October 21, 2018). Retrieved from: http://www.paho.org/ hq/index.php?option=com_docman&task=doc_view&gid=23177&Itemid=270 &lang=es CD53/8

  27. Lewis, T., McElroy, E., Harlaar, N., & Runyan, D. (2016). Does the impact of child sexual abuse differ from maltreated but non-sexually abused children? A prospective examination of the impact of child sexual abuse on internalizing and externalizing behavior problems. Child Abuse & Neglect, 51, 31-40. doi: 10.1016/j.chiabu.2015.11.016

  28. Medina-Mora, M., Borges, G., Benjet, C., Lara, C., & Berglund, P. (2007). Psychiatric disorders in Mexico: Lifetime prevalence in a nationally representative sample. British Journal of Psychiatry, 190(6), 521-528. doi: 10.1192/bjp.bp.106.025841

  29. Medina-Mora, M. E., Borges, G., Lara, C., Benjet, C., Blanco, J., Fleiz, C., Villatoro, J., Rojas, E., & Zambrano J. (2005). Prevalence, service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: Results from the Mexican National Comorbidity Survey. Psychological Medicine, 35(12),1773-1783. doi: 10.1017/S0033291705005672

  30. Organización Panamericana de la Salud (OPS). (2014a). Plan de Acción en Salud Mental 2014-2020. Washington: OPS.

  31. Organización Panamericana de la Salud (OPS). (2014b). Informe regional sobre la mortalidad por suicidio. Washington: OPS. (Access date: September 18, 2018). Retrieved from: http://www.paho.org/hq/index.php?option=com_ docman&task=doc_download&gid=5047

  32. Organización Panamericana de la Salud (OPS). (2015). Atlas Regional de Salud Mental, Diciembre 2015. Washington: OPS.

  33. Organización Panamericana de la Salud (OPS). (2011). Plan de acción para reducir el consumo nocivo de alcohol. 51º Consejo Directivo de la OPS, 63ª sesión del Comité Regional de la OMS para las Américas; del 26 al 30 de septiembre del 2011. Washington: OPS. (Access date: September 17, 2018). Retrieved from: http://www.paho.org/hq/index.php?option=com_ content&view=article&id=5723 &Itemid=4139&lang=es.

  34. Peng, Y., Zhou, S., Chen, Z., & Cai, R. (2011). Childhood abuse, attachment, and adolescent cluster-B personality disorder tendency. Chinese Journal of Clinical Psychology, 19(1), 63-65.

  35. Pinedo Acosta Contadores-Noticias. (2011). Cuesta a empresas mala salud mental. México: Contadores-Noticias. (Access date: October 17, 2018). Retrieved from: http://www.pinedoacosta-manup.com/noticias/?p=967

  36. Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007). No health without mental health. Lancet, 370(9590), 859-877. doi: 10.1016/S0140-6736(07)61238-0

  37. Rodríguez, J., Kohn, R., & Aguilar, S. (2009). Epidemiología de los trastornos mentales en América Latina y el Caribe. Washington: Organización Panamericana de la Salud. (Access date: October 11, 2018). Retrieved from: http://iris.paho.org/xmlui/bitstream/handle/123456789/740/9789275316320. pdf?sequence

  38. Sawyer, B. (2017). The U.S. has a lower number of psychiatrists per 100,000 population than most comparable countries. New York City: Health System Tracker. (Access date: June 18, 2018). Retrieved from: https://www. healthsystemtracker.org/chart/u-s-lower-number-psychiatrists-per-100000- population-comparable-countries-2/#item-start

  39. Scott, K. M., Smith, D. R., & Ellis, PM. (2010). Prospectively ascertained child maltreatment and its association with DSM-IV mental disorders in young adults. Archives of General Psychiatry, 67(7), 712-719.

  40. Secretaría de Hacienda y Crédito Público (SHCP). (2017). Paquete Económico y Presupuesto. México: SHCP. (Access date: August 5, 2018). Retrieved from: http://finanzaspublicas.hacienda.gob.mx/es/Finanzas_Publicas/Paquete_ Economico_y_Presupuesto. [Consultation date: October 2018]

  41. Secretaría de Salud. (2018). Anuario de Morbilidad 1984-2016. México: Dirección General de Epidemiología. (Access date: April 1, 2018). Retrieved from: https:// www.gob.mx/salud/acciones-y-programas/anuarios-de morbilidad-1984-2016

  42. Secretaría de Salud (SS). (2011). Ley General de Salud. Artículo 81. México: SS. (Access date: October 17, 2018). Retrieved from: http://www.salud.gob.mx/ cnts/pdfs/LEY_GENERAL_DE_SALUD.pdf

  43. Secretaría de Salud (SS). (2013). Programa de Acción Específico en Salud Mental 2013-2018. México: SS. (Access date: October 8, 2018). Retrieved from: https://www.gob.mx/cms/uploads/attachment/file/11918/Salud_Mental.pdf

  44. The Eurostat data. (2017). The European countries with the most psychiatrists. (Access date: October 20, 2018). Retrieved from: https://ec.europa.eu/eurostat/ web/products-eurostat-news/-/EDN-20171010-1?inheritRedirect=true&redirec t=%2Feurostat%2F

  45. World Health Organization (WHO). (2009). Mental health aspects of women’s reproductive health: a global review of the literature. Ginebra: WHO. (Access date: January 31, 2014). Retrieved from: http://www.who.int/reproductivehealth/ publications/general/9789241563567/en/

  46. World Health Organization (WHO). (2012). Alzheimer’s Disease Internationl. Demencia: una prioridad de salud pública. Ginebra: WHO. (Access date: October 22, 2018). Retrieved from: http://apps.who.int/iris/bitstre am/10665/98377/1/9789275318256_spa.pdf..

  47. World Health Organization (WHO). (2013a). Global Action Plan. For prevention and control of noncommunicable diseases 2013-2020. Geneva: WHO.

  48. World Health Organization (WHO). (2013b). United Nations Population Fund. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: WHO. (Access date: July 27, 20189. Retrieved from: http://www.who. int/reproductivehealth/publications/violence/9789241564625/en/

  49. World Health Organization (WHO). (2013c). Comprehensive mental health action plan 2013-2020. Ginebra: WHO. (Access date: September 10, 2018). Retrieved from: http://www.who.int/mental_health/maternal-child/child_adolescent/en/. 2013

  50. World Health Organization (WHO). 2017. Geneva: WHO.

  51. World Health Organization. (2013). Investing in Mental Health. Ginebra. (Access date: September 2, 2018). Retrieved from: http://apps.who.int/iris/bitstream/han dle/10665/87232/9789241564618_eng.pdf;jsessionid=B6DE0B1EE5232A513 C49028BCF32CFBB?sequence=1

  52. World Health Organization (WHO). (2005). Mental Health Atlas. Geneva: WHO. (Access date: September 2, 2018). Retrieved from: https://www.who.int/ mental_health/evidence/mhatlas05/en/

  53. World Health Organization (WHO). (2011). Mental Health Atlas. Geneva: WHO. (Access date: September 2, 2018). Retrieved from: https://www.who.int/ mental_health/publications/mental_health_atlas_2011/en/

  54. World Health Organization (WHO). (2014). Mental Health Atlas. Geneva: WHO. (Access date: September 2, 2018). Retrieved from: https://www.who.int/ mental_health/evidence/atlas/mental_health_atlas_2014/en/




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