Hospital care direct costs due to ambulatory care sensitive conditions related to diabetes mellitus in the Mexican public healthcare system.

Background: Hospitalizations for ambulatory care sensitive conditions (ACSC) incur substantial costs on the health system that could be partially avoided with adequate outpatient care. Complications of chronic diseases, such as diabetes mellitus (DM), are considered ACSC. Previous studies have shown that hospitalizations due to diabetes have a significant financial burden.

[Quality of health information in Mexico in the OECD context: 2017-2021].

Objective: To evaluate the health information system (HIS) of Mexico according to the information reported to the Organization for Economic Co-operation and Development (OECD). The ultimate goal is to identify the improvements that should be considered.

Method: Health indicators published by the OECD (2017 to 2021) are analyzed according to 11 thematic groups.

[Comparative analysis of the accreditation of medical facilities in Canada, Chile, the Autonomous Community of Andalusia, Denmark, and MexicoAnálise comparativa da acreditação de estabelecimentos de saúde no Canadá, Chile, Comunidade Autônoma da Andaluzia, Dinamarca e México].

Objective: To compare and contrast the characteristics of the accreditation process for health care facilities in Canada, Chile, the Autonomous Community of Andalusia (Spain), Denmark, and Mexico, in order to identify shared characteristics, differences, and lessons learned that may be useful for other countries and regions.

Methods: An observational, analytical, retrospective study using open-access secondary sources on the accreditation and certification of health care facilities in 2019-2021 in these countries and regions. The general characteristics of the accreditation processes are described and comments are made on key aspects of the design of these programs.

[Not Available].

Objetivo: Comparar la calidad de atención a neonatos con sepsis neonatal, hipoxia intrauterina, prematuridad y asfixia perinatal en hospitales acreditados (HA) y no acreditados (HNA). Material y métodos. Se evaluaron 28 hospi-tales de la Secretaría de Salud en 11 estados de México; la evaluación incluyó infraestructura, equipamiento e insumos, procesos de gestión de calidad e indicadores de calidad clínica.

Avoidable Hospitalization Trends From Ambulatory Care-Sensitive Conditions in the Public Health System in México.

Objectives: To estimate and identify the variations in rates of Avoidable Hospitalization for Ambulatory Care Sensitive Conditions (AH-ACSC) in public institutions of the Mexican health system during the period 2010-2017.

Methods: Secondary analysis of the hospital discharge database of the Ministry of Health (MoH) from 2010 to 2017. AH for ACSC was calculated by age group and sex per 100,000.

[Not Available].

Objetivo. Identificar barreras, facilitadores y propuestas de mejora en la implementación de Guías de Práctica Clínica (GPC) desde la perspectiva de los profesionales de la salud. Material y métodos.

Potentially inappropriate prescribing in older adults in Mexico.

Objective: To identify and quantify potentially inappropriate prescribing (prescripción potencialmente inapropiada, PPI) and other drug prescribing problems in public health care services in a population-based study at the three existing levels of complexity in Mexico.

Methods: Descriptive analysis of the Study on Satisfaction of Users of the Social Protection System in Health 2014-2016, prescription and drug supply section, to obtain the prevalence of PPI in older adults (≥ 65 years), based on Beers, STOPP, Prescrire and BSP listings using AM (older adults) prescription indicators, one for each listing.

Results: Most older adults (67%) were prescribed at least one medication, with a mean of 2.

[Not Available].

Objetivo. Evaluar la calidad de la atención a neonatos con indicadores de proceso, en patologías seleccionadas. Ma-terial y métodos.

[Polypharmacy in Mexico: a challengefor prescription quality].

Objective: To analyze the prevalence of polypharmacy, as well as the factors that identify the groups with higher risk, in population study in Mexico.

Materials And Methods: Descriptive analysis of the Encuesta Nacional de Salud y Nutrición 2018-19 (Ensanut 2018-19), Utilization of services (medicine section) and Household questionnaires, to obtain prevalence of polypharmacy (simultaneous consumption ≥5 medicines). A logistic regression model was used to estimate the association of polypharmacy with sociodemographic and health care factors.

[Approach to the quality of care during pregnancy,delivery and postpartum in women withobstetric risk factors in Mexico].

Objective: To assess the quality of care of women with obstetric risk factors during pregnancy, childbirth, and post-partum.

Materials And Methods: We use data from The National Survey of Health and Nutrition 2018-19. Women were classified by the presence of obstetric risk factors (ORF) in their last pregnancy.

Disrespect and Abuse in Obstetric Care in Mexico: An Observational Study of Deliveries in Four Hospitals.

Introduction: To identify and describe the frequency and characteristics of disrespect and abuse practices towards women during facility-based delivery in four hospitals in two Mexican states in 2017, using a mixed method of direct observation and women's reports of health care experiences.

Methods: A cross-sectional study was performed to describe disrespect and abuse practices in obstetric care (interactions or conditions that are experienced as or intended to be humiliating or undignified) committed by healthcare providers. We included all pregnant women admitted for childbirth (vaginal and cesarean).

[Certification of medical care facilities in Mexico: analysis of the incentives for its continuity.].

Objective: To analyze the possible effect of certification models and healthcare organizations' (HOs) participation incentives in the General Health Council certification process in the 1999-2017 period.

Materials And Methods: Official printed and online documents about HOs' certification were collected. Information from instances related to the process was requested through transparency mechanisms.

[Quality of the health information system: A comparative analysis of reported indicators, OECD Mexico 2010-2016.].

Objective: To analyze quantity and quality of the information reported by Mexico to OECD in relation to health indicators.

Materials And Methods: Analysis of frequency of indicators reporting, data quality, and comparison of reported values in the OECD environment.

Results: We analyzed 191 indicators.

[Quality care indicators for neonates with selected pathologies: pilot study.].

Objective: Develop and pilot indicators of quality of care to neonates with relevant conditions in Mexico (prematurity, neonatal sepsis, perinatal asphyxia, and intrauterine hypoxia).

Materials And Methods: Own indicators were built based on key recommendations of national clinical practice guidelines and indicators found in international repositories. With previous search, selection and prioritization, the indicators were piloted within two hospitals.

Indicators for monitoring maternal and neonatal quality care: a systematic review.

Background: Research and different organizations have proposed indicators to monitor the quality of maternal and child healthcare, such indicators are used for different purposes.

Objective: To perform a systematic review of indicators for the central phases of the maternal and child healthcare continuum of care (pregnancy, childbirth, newborn care and postpartum).

Method: A search conducted using international repositories, national and international indicator sets, scientific articles published between 2012 and 2016, and grey literature.

Construction and pilot test of a set of indicators to assess the implementation and effectiveness of the who safe childbirth checklist.

Background: The World Health Organization (WHO) launched the "Safe Childbirth Checklist (SCC) Collaboration" in 2012. The SCC is designed to contribute to quality care by providing reminders of evidence-based practices for the prevention and management of the leading causes of maternal and neonatal morbidity and mortality. However, indicators to monitor the implementation and effectiveness of the SCC have not been defined.

[Results of certification audit in Mexican hospitals, a review from 2009 to 2012].

Objective: To analyze the participation of Mexican hospitals in the certification process (equivalent to accreditation in other countries).

Material And Methods: Crosssectional study that analyzes results of 136 establishments audited between 2009 and 2012. Standards with an excellent rating (9.

[Implementation of quality of care indicators for third-level public hospitals in Mexico].

Objective:: To select, pilot test and implement a set of indicators for tertiary public hospitals.

Materials And Methods:: Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of sources of information in six hospitals; pilot feasibility and reliability, and follow-up measurement.

Results:: From 143 indicators, 64 were selected and eight were prioritized.

[Quality and compliance with Clinical Practice Guidelines of Chronic Noncommunicable Diseases in primary care].

Objective:: To assess the quality and compliance of clinical practice guidelines (CPG) applicable to chronic non-communicable diseases (CNCD) in primary healthcare (CS), and views of staff on the barriers, facilitators and their use.

Materials And Methods:: 18 valued CPG with AGREEII, 3 are selected to develop indicators and assess compliance using lot quality acceptance sample (LQAS, standard 75 / 95% threshold 40 / 75% respectively, α:0. 05, β:0.

Quality agencies at the global level: characteristics and functions-a narrative review.

Purpose: To provide a comparative description of the structure, function and activities of quality agencies around the world and describe the published evidence of their impact on the health system.

Data Sources: A narrative review was conducted using the information found on websites, articles, books and gray literature in English and Spanish.

Study Selection: The search process included three complementary approaches: (i) websites of agencies, ministries of health and quality-related official institutions; (ii) evaluations, reports, audits or documents regarding quality agencies; and (iii) scientific articles and gray literature found (key word: quality agency) using Ebsco databases.

[Seguro Popular's initial evaluation of household catastrophic health spending in Mexico].

Objective: Estimating Seguro Popular de Salud's (SPS) initial outcome regarding households' catastrophic health spending (CHS). The relationship of other important factors to the CE was also estimated.

Material And Methods: A cross-sectional study, based on evaluating Seguro Popular's survey, was carried out in the Mexican states of Colima and Campeche during 2002; it was carried out during the first semester of 2005.

[Institutional factors contributing to the utilization of breast clinical examination].

Objective: To identify factors associated with utilization of breast clinical examination (BCE) and their relationship with institutional medical practice.

Material And Methods: This is a qualitative study conducted between 1996 and 1997 in medical units of Instituto Mexicano del Seguro Social (Mexican Institute of Social Security) and Secretaria de Salud (Ministry of Health). Eight focus groups were included: four groups of female users and four groups of health professionals; in total, 47 users and 29 physicians and nurses participated.