Rodríguez Aguilar, Román
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Preferred name
Rodríguez Aguilar, Román
Official Name
Rodríguez Aguilar, Román
Alternative Name
Rodríguez-Aguilar, Román
Rodríguez-Aguilar, R.
Aguilar, R.R.
Rodriguez-Aguiler, R.
Rodríguez, R.
Roman, R.A.
Main Affiliation
ORCID
Scopus Author ID
56717663000
Researcher ID
AAO-6158-2020

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Publication

Maternal mortality in Mexico, beyond millennial development objectives: An age-period-cohort model

2018 , Rodríguez Aguilar, Román , Massimo Ciccozzi

The maternal mortality situation is analyzed in México as an indicator that reflects the social development level of the country and was one of the millennial development objectives. The effect of a maternal death in the related social group has multiplier effects, since it involves family dislocation, economic impact and disruption of the orphans' normal social development. Two perspectives that causes of maternal mortality were analyzed, on one hand, their relationship with social determinants and on the other, factors directly related to the health system. Evidence shows that comparing populations based on group of selected variables according to social conditions and health care access, statistically significant differences prevail according to education and marginalization levels, and access to medical care. In addition, the Age-Period-Cohort model raised, shows significant progress in terms of a downward trend in maternal mortality in a generational level. Those women born before 1980 had a greater probability of maternal death in relation to recent generations, which is a reflection of the improvement in social determinants and in the Health System. The age effect shows a problem in maternal mortality in women under 15 years old, so teen pregnancy is a priority in health and must be addressed in short term. There is no clear evidence of a period effect. ©Massimo Ciccozzi, National Institute of Health, The author.

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Gasto catastrófico en salud en México y sus factores determinantes, 2002-2014

2017 , Rodríguez Aguilar, Román , Rivera-Peña, Gustavo

Objetivo: Evaluar la protección financiera del aseguramiento público de salud mediante el análisis del porcentaje de hogares con gasto catastrófico en salud (HGCS) en México y su relación con la condición de pobreza, el tamaño de la localidad, la entidad federativa, la condición de aseguramiento y los rubros de gasto en salud. Método: Se utilizó la Encuesta Nacional de Ingreso y Gasto de los Hogares 2002-2014 para estimar el porcentaje de HGCS. Mediante un modelo probit se identificaron los factores asociados a la ocurrencia de gasto catastrófico. El análisis se realizó con Stata-SE 12. Resultados: En 2014 había un 2.08% de HGCS (1.82-2.34%; N = 657,474). El modelo probit estimado clasificó correctamente el 98.2% de los HGCS (Pr(D)≥0.5). Los factores que incidieron en el gasto catastrófico fueron la afiliación, la presencia de enfermedades crónicas, el gasto en hospitalización, la condición rural y que el hogar estuviera por debajo de la línea de pobreza alimentaria. Conclusiones: El porcentaje de HGCS disminuyó en los últimos años, mejorando la protección financiera en salud. Esta disminución pareciera haberse estancado, manteniendo inequidades en el acceso a servicios de salud, sobre todo en población rural, sin afiliación a alguna institución de salud, por debajo de la línea de pobreza alimentaria y con enfermedades crónicas. ©2017 Gaceta Médica de México, Los autores.

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Catastrophic health spending in Mexico and its determinants, 2002-2014

2017 , Rodríguez Aguilar, Román , Rivera-Peña, Gustavo

Objective: To assess the financial protection of public health insurance by analyzing the percentage of households with catastrophic health expenditure (HCHE) in Mexico and its relationship with poverty status, size of locality, federal entity, insurance status and items of health spending. Method: Mexican National Survey of Income and Expenditures 2002-2014 was used to estimate the percentage of HCHE. Through a probit model, factors associated with the occurrence of catastrophic spending are identified. Analysis was performed using Stata-SE 12. Results: In 2014 there were 2.08% of HCHE (1.82-2.34%; N = 657,474). The estimated probit model correctly classified 98.2% of HCHE (Pr (D) ≥ 0.5). Factors affecting the catastrophic expenditures were affiliation, presence of chronic disease, hospitalization expenditure, rural condition and that the household is below the food poverty line. Conclusions: The percentage of HCHE decreased in recent years, improving financial protection in health. This decline seems to have stalled, keeping inequities in access to health services, especially in rural population without affiliation to any health institution, below the food poverty line and suffering from chronic diseases. ©2017 Gaceta Médica de México, Los autores.

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