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Table 1 Health service users' (HSU) experiences in access and use according to the institution of care and overall perception of quality of care

From: Ambulatory health service users' experience of waiting time and expenditure and factors associated with the perception of low quality of care in Mexico

Variable

All institutions

HSU of public institutions (MOH)

HSU of social security institutions (SSI)

HSU of private institutions (PrivI)

p value*

 

n = 11,959

n = 4,500

n = 3,730

n = 3729

 

Access

     

Travel time

20

(10-30)

15

(10-30)

20

(10-30)

15

(10-30)

<0.001

Waiting time

30

(10 - 60)

30

(10-90)

40

(15 - 120)

15

(5 - 30)

<0.001

Expenditure on medicines**+

$200

($120 - $400)

$150

($75 - $300)

$250

($100 - $500)

$250

($150 - $416)

<0.001

Expenditure on laboratory+ tests

$300

($150 - $500)

$205

($120-$400)

$300

($150-$500)

$320

($198-$600)

<0.001

Expenditure on consultation+

$100

($25 - $250)

$32.5

($20 - $80)

$120

($45-$400)

$150

($50-$300)

<0.001

Structure

     

% of HSU with prescription filled

66.3

64.2

90.3

45.6

<0.001

% HSU paying for their medicines

45.8

36.8

6.6

89.0

<0.001

% HSU which had their laboratory tests

75.6

71.8

77.1

77.6

<0.001

% HSU which paid for their laboratory tests

32.22

40.54

5.51

63.46

0.006

% HSU which paid for their consultation

36.7

27.0

2.4

87.1

<0.001

Process

     

Duration of consultation

20

(15 - 30)

20

(10 - 30)

15

(10 - 25)

20

(15 - 30)

<0.001

% HSU who received a prescription

86.5

82.3

86.1

92.7

<0.001

% HSU who received a prescription for laboratory tests

24.7

19.7

34.2

22.4

<0.001

Results

     

% HSU who reported improved health status after their consultation

77.6

75.4

70.4

87.1

<0.001

% HSU who perceived the overall quality of care low

18.34

18.1

28.3

8.7

<0.001

  1. Values are medians or percentages, percentile 25-75 in parentheses; *p value of Kruskal Wallis differences between the three types of services; **Expenditure reported in Mexican pesos of 2006; +out of those HSU who paid