La condición indígena en los servicios de salud: comparación de la calidad en la atención 2012-2018 para la población en pobreza

Objective . To compare the perception of the quality of ambulatory care in users of health services in 2012 and 2018, by indigenous and non-indigenous condition. Materials and methods. With information from two population surveys (Encuesta Nacional de Salud y Nutricion [Ensanut] 2012 and Ensanut 100k) the quality of care was analyzed based on indicators of structure, process, health outcome and care satisfaction. Results . Between 2012 and 2018, the use of private health services increased; favorable opinion about the conditions of the site, and perception of short waiting times decreased among non-indigenous people. In public health services, the supply of medicines remained high, the laboratory and Rx tests in the same care unit and pharmacology treatment explanation decreased, particularly among non-indigenous patients. Perception of health improvement and satisfaction of care was adequate. Conclusion . An ambulatory care model aimed to response needs and expectations of the most vulnerable population, mainly the indigenous population, is a priority.