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Table 1 Description of the study population under the responsibility of PHCs and effective coverage components at national and state levels

From: Evaluation of effective coverage for type 2 diabetes in Mexican primary care health information systems: a retrospective registry analysis

 

Effective coverage dimensions

     

Need

(N = 1)

Utilization

(U)

Quality

(Q)

Effective coverage

(EC)

A

B

C

D

E

F

G

H

Health jurisdictions

MOH PHCs

Population 20 + without social security

Prevalence (%)

Population 20 + who needs medical care for T2D

Percentage of population who needed and received medical care for T2D

Percentage of population 20 + who received medical care and improved metabolic condition

EC = Q × U | N = 1

E = D*C

N

N

N

Mean

Mean

Mean

Mean

Mean

(HJ minimum-HJ maximum)

(HJ minimum-HJ maximum)

(HJ minimum-HJ maximum)

(HJ minimum-HJ maximum)

(HJ minimum-HJ maximum)

(HJ minimum-HJ maximum)

National

245

12,086

26,534,076

(5–322,557)

10.3

(6.0–16.1)

16,717

(595–47,073)

37.9

(5.3–94.2)

25.8

(1.5–82.1)

9.5

(0.2–38.6)

Aguascalientes

3

91

218,184

(3,641–103,644)

7.6

(7.3–9.2)

7,600

(2,117–9,954)

53.5

(47.6–63.6)

20.9

(16.9–23.1)

11.1

(8.0–11.5)

Baja California

3

174

449,493

(18,465–182,327)

10.6

(9.8–11.5)

17,927

(9,577–23,397)

40.7

(36.5–42.4)

23.1

(9.6–49.0)

9.0

(4.1–17.9)

Baja California Sur

4

60

117,218

(4,542–41,560)

9.8

(7.5–14.8)

4,069

(1,147–25,857)

37.7

(10.0–42.6)

36.6

(32.8–59.0)

13.7

(3.3–19.3)

Campeche

3

140

256,050

(4,678–53,819)

13.8

(12.9–14.3)

14,245

(7,798–19,549)

33.8

(29.3–43.8)

16.8

(13.9–24.6)

5.7

(4.1–8.4)

Chiapas

10

740

1,702,440

(452–113,127)

8.1

(6.0–9.8)

17,120

(4,051–28,079)

20.1

(10.0–43.9)

12.7

(1.5–32.8)

2.7

(0.2–6.9)

Chihuahua

10

255

508,213

(346–118,070)

9.9

(8.3–12.9)

10,658

(1,034–25,857)

53.5

(10.0–75.3)

27.1

(7.8–39.7)

14.3

(3.3–29.4)

Mexico City

16

223

1,348,687

(24,691–322,557)

12.2

(9.1–14.1)

18,425

(2,247–41,287)

32.4

(24.5–74.0)

40.3

(29.3–50.7)

12.8

(9.0–30.2)

Coahuila de Zaragoza

8

148

258,925

(256–45,800)

12.5

(9.8–14.1)

6,059

(595–25,857)

10.5

(6.5–46.6)

45.9

(21.7–76.6)

4.9

(1.5–14.0)

Colima

3

127

162,196

(2,834–40,542)

11.3

(10.9–11.6)

6,726

(3,803–8,540)

39.5

(24.0–47.0)

15.7

(8.6–18.3)

6.5

(2.1–8.6)

Durango

4

167

367,341

(650–108,493)

10.9

(9.8–13.1)

13,957

(3,265–25,857)

25.5

(10.0–46.3)

14.5

(4.8–32.8)

3.2

(2.2–4.4)

Guanajuato

8

443

1,565,296

(2,814–245,217)

9.8

(8.6–11.9)

20,070

(14,576–24,864)

57.5

(5.3–81.3)

44.8

(39.9–51.3)

25.8

(2.7–36.2)

Guerrero

7

951

1,293,050

(2,558–190,446)

11.2

(8.9–12.9)

25,393

(13,826–47,073)

46.4

(34.3–55.8)

14.0

(10.5–15.8)

6.4

(3.9–8.2)

Hidalgo

17

550

886,803

(1,349–50,632)

12.9

(11.9–14.3)

8,226

(1,757–13,080)

29.4

(15.3–39.5)

24.8

(15.8–35.1)

7.3

(3.4–11.9)

Jalisco

13

740

1,457,426

(979–189,524)

7.8

(6.5–9.5)

10,054

(2,545–16,797)

46.6

(15.3–93.2)

38.0

(19.4–58.3)

15.8

5.3–38.6)

Michoacán de Ocampo

8

482

1,109,399

(1,343–116,072)

10.0

(9.3–11.2)

15,833

(5,315–25,857)

38.9

(10.0–48.4)

9.0

(3.2–32.8)

3.4

(0.9–5.2)

Morelos

3

206

538,891

(3,337–73,053)

12.1

(12.0–12.5)

24,719

(10,763–28,714)

26.8

(16.3–36.0)

16.1

(10.0–17.6)

4.4

(1.6–6.1)

Mexico State

19

1,078

3,409,474

(1,464–245,434)

9.4

(8.3–11.0)

20,212

(9,163–30,035)

37.4

(10.0–73.0)

17.4

(6.0–33.4)

6.2

(1.5–16.5)

Nayarit

3

208

285,409

(3,183–54,044)

10.7

(9.7–12.2)

15,386

(8,531–26,748)

22.5

(21.2–23.2)

46.9

(42.4–53.4)

10.5

(9.8–11.3)

Nuevo León

8

431

513,227

(379–106,915)

13.2

(10.4–16.1)

10,526

(3,325–17,213)

28.3

(18.6–45.6)

43.8

(34.9–61.7)

12.3

(6.5–18.5)

Oaxaca

6

802

1,307,705

(5–53,066)

10.2

(9.2–11.7)

24,093

(10,115–36,140)

35.5

(10.0–70.5)

6.1

(1.7–32.8)

1.6

(0.6–3.3)

Puebla

10

673

1,625,491

(172–238,031)

9.1

(7.8–10.2)

17,355

(4,282–25,857)

36.0

(10.0–56.7)

43.9

(27.2–82.1)

14.9

(3.3–26.3)

Querétaro

4

252

407,080

(4,444–107,661)

7.7

(7.1–8.2)

9,450

(3,393–12,045)

71.9

(59.8–94.2)

18.3

(12.7–35.0)

13.1

(9.2–28.3)

Quintana Roo

3

185

277,187

(6,806–76,725)

8.6

(7.8–9.9)

9,210

(5,166–11,819)

79.2

(71.0–81.1)

18.3

(11.6–31.2)

15.6

(9.4–23.5)

San Luis Potosí

7

291

714,735

(722–113,474)

10.9

(9.8–12.7)

12,078

(6,835–25,857)

45.5

(10.0–51.0)

28.0

(20.3–32.8)

12.6

(3.3–14.0)

Sinaloa

6

266

531,099

(6,930–93,946)

10.8

(10.2–11.9)

10,871

(4,288–14,975)

27.6

(19.2–33.7)

26.0

(12.8–41.7)

6.8

(3.7–9.5)

Sonora

6

207

420,723

(152–88,660)

12.2

(9.8–13.2)

10,386

(2,603–25,857)

25.6

(10.0–38.1)

24.7

(14.1–32.8)

6.6

(2.5–11.2)

Tabasco

17

584

766,993

(13,685–143,183)

11.5

(9.2–13.0)

13,514

(1,779–47,073)

47.1

(31.2–76.2)

26.3

(8.9–79.0)

11.7

(5.0–26.1)

Tamaulipas

12

296

641,955

(633–82,712)

14.0

(12.8–16.0)

8,990

(2,841–13,363)

34.8

(26.4–47.3)

32.3

(13.5–76.8)

10.7

(4.1–23.2)

Tlaxcala

3

123

433,665

(1,235–33,366)

9.2

(8.7–9.5)

15,412

(7,600–20,838)

62.5

(57.9–70.3)

17.7

(17.0–19.4)

9.8

(8.3–12.1)

Veracruz

11

793

2,038,825

(597–69,718)

11.6

(9.8–12.8)

23,174

(15,434–29,281)

26.0

(10.0–30.9)

34.6

(24.2–67.9)

8.8

(3.3–14.2)

Yucatán

3

166

451,156

(149–92,967)

10.4

(9.8–11.0)

16,984

(7,845–25,857)

39.8

(10.0–49.4)

23.8

(18.6–32.8)

9.0

(3.3–9.9)

Zacatecas

7

234

469,740

(245–58,991)

10.9

(9.6–12.5)

8,775

(3,070–25,857)

40.0

(10.0–55.1)

14.7

(6.3–32.8)

5.6

(2.6–9.4)

  1. Ranges in parentheses are those at the HJ level
  2. HJ Health jurisdiction, MOH Ministry of Health, PHC Primary health center, T2D Type 2 diabetes