Hospitalization and mortality in Mexico due to breast cancer since its inclusion in the catastrophic expenditures scheme

Salud Publica Mex. 2016 Apr;58(2):187-96. doi: 10.21149/spm.v58i2.7788.

Abstract

Objective: To compare trends in hospital discharges and mortality due to breast cancer (BC) in Mexico from 2004 to 2012 by insurance condition before and after incorporating BC comprehensive treatment into the System of Social Protection in Health (Sistema de Protrección Social en Salud, SPSS) in 2007.

Materials and methods: Data on BC hospital discharges and mortality reported in women aged 25 years and over were obtained from the National Health Information System. Mortality rates were adjusted by age and state.

Results: At the national level, a growing tendency in hospital discharges was observed, mainly for women without social security, while mortality rate remained constant. Mortality rates by state show that lower marginalization index corresponded to higher mortality.

Conclusions: A differential behavior was observed among women according to insurance condition, partly due to the inclusion of BC treatment in the SPSS.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / economics
  • Breast Neoplasms / mortality*
  • Catastrophic Illness / economics
  • Catastrophic Illness / mortality
  • Female
  • Geography, Medical
  • Hospitalization / statistics & numerical data*
  • Humans
  • Insurance Coverage / statistics & numerical data
  • Insurance, Major Medical / economics*
  • Insurance, Major Medical / statistics & numerical data
  • Medically Uninsured / statistics & numerical data
  • Mexico / epidemiology
  • Middle Aged
  • Mortality / trends
  • Patient Discharge / statistics & numerical data
  • Patient Discharge / trends
  • Retrospective Studies
  • Social Marginalization
  • Social Security / economics
  • Social Security / statistics & numerical data