Evidence map›Paper›PMID 29966002›Full record

ArticlePloS one2018

Old principles, persisting challenges: Maternal health care market alignment in Mexico in the search for UHC.

Roxana Rodríguez-Franco, Edson Serván-Mori, Octavio Gómez-Dantés, David Contreras-Loya, Carlos Pineda-Antúnez

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Government Expenditure on Maternal Health and Family Planning Services for Adolescents in Mexico, 2003-2015.International journal of environmental research and public health · 2020
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Roxana Rodríguez-FrancoNational Institute of Public Health, Cuernavaca, Morelos, Mexico.
Edson Serván-MoriNational Institute of Public Health, Cuernavaca, Morelos, Mexico.ORCID 0000-0001-9820-8325
Octavio Gómez-DantésNational Institute of Public Health, Cuernavaca, Morelos, Mexico.
David Contreras-LoyaUniversity of California, Berkeley, California, United States of America.
Carlos Pineda-AntúnezNational Institute of Public Health, Cuernavaca, Morelos, Mexico.
Instituto Nacional de Salud Pública · MXUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study is to analyze the alignment of supply and demand for antenatal care (ANC) in Mexico based on the definition of access provided by Donabedian: the "degree of adjustment" between resources and needs. Alignment was studied in the teenage and adult population of Mexico that lacked conventional social security between 2008 and 2015, a period of expanding financial resources for health and public health insurance coverage. Spatial econometric methods were used to analyze data from the Ministry of Health on the supply and demand for ANC in 2,314 municipalities (94% of all municipalities in Mexico). During this period, the relative weight of ANC demand among adolescents increased 37% while the production of antenatal consultations for adolescent and adult women remained unchanged. Bivariate spatial analyses of correlation between supply and demand for ANC services yielded a minimal spatial correlation, or lack of territorial correspondence, between supply and demand among women in both age groups. Spatial econometric analysis confirmed a non-significant association between supply and demand for ANC services. Our findings suggest the existence of misalignment between supply and demand for these services. This requires a reassessment of the management and delivery of ANC services at the local level in order to increase effective coverage and improve the overall performance of the health system.

Indexed as

AdolescentAdultAlgorithmsChildFemaleGeographyHumansMaleMaternal Health ServicesMental HealthMexicoMiddle AgedModels, TheoreticalPregnancyPrenatal CareYoung Adult

Identifiers

PMID29966002
PMCPMC6028103
OpenAlexW2809988693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.