Francisco Garrido-Latorre

Secretaría de Salud, Ciudad de México, Mexico City, Mexico

Are you Francisco Garrido-Latorre?

Claim your profile

Publications (35)31.23 Total impact

  • Source
    Octavio Gómez-Dantés · Michael R. Reich · Francisco Garrido-Latorre
    [Show abstract] [Hide abstract]
    ABSTRACT: Accepted Author Version. Not yet edited or proofed. Please see disclaimer on the article abstract page.
    Full-text · Article · Jun 2015
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: A retrospective evaluation of waiting times for elective procedures was conducted in a sample of Mexican public hospitals from the following institutions: the Mexican Institute for Social Security (IMSS), the Institute for Social Security and Social Services for Civil Servants (ISSSTE) and the Ministry of Health (MoH). Our aim was to describe current waiting times and identify opportunities to redistribute service demand among public institutions. Materials and methods: We examined current waiting times and productivity for seven elective surgical and four diagnostic imaging procedures, selected on the basis of their relative frequency and comparability with other national health systems. Results: Mean waiting time for the seven surgical procedures in the three institutions was 14 weeks. IMSS and ISSSTE hospitals showed better performance (12 and 13 weeks) than the MoH hospitals (15 weeks). Mean waiting time for the four diagnostic procedures was 11 weeks. IMSS hospitals (10 weeks) showed better average waiting times than ISSSTE (12 weeks) and MoH hospitals (11 weeks). Conclusion: Substantial variations were revealed, not only among institutions but also within the same institution. These variations need to be addressed in order to improve patient satisfaction.
    Full-text · Article · Feb 2015 · Salud publica de Mexico
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Waiting times for surgical and diagnostic procedures in public hospitals in Mexico. Salud Publica Mex 2015:57:29-37. Abstract Objective. A retrospective evaluation of waiting times for elective procedures was conducted in a sample of Mexican public hospitals from the following institutions: the Mexican Institute for Social Security (IMSS), the Institute for Social Security and Social Services for Civil Servants (ISSSTE) and the Ministry of Health (MoH). Our aim was to describe cur-rent waiting times and identify opportunities to redistribute service demand among public institutions. Materials and methods. We examined current waiting times and produc-tivity for seven elective surgical and four diagnostic imaging procedures, selected on the basis of their relative frequency and comparability with other national health systems. Re-sults. Mean waiting time for the seven surgical procedures in the three institutions was 14 weeks. IMSS and ISSSTE hospitals showed better performance (12 and 13 weeks) than the MoH hospitals (15 weeks). Mean waiting time for the four diagnostic procedures was 11 weeks. IMSS hospitals (10 weeks) showed better average waiting times than ISSSTE (12 weeks) and MoH hospitals (11 weeks). Conclusion. Substantial variations were revealed, not only among institu-tions but also within the same institution. These variations need to be addressed in order to improve patient satisfaction.
    Full-text · Article · Jan 2015

  • No preview · Article · Dec 2013 · Salud publica de Mexico
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To quantify the supply of essential drugs and the fully filled-in prescription level in the Units Specialized in the Treatment of Chronic Diseases (UNEMES-EC) in Mexico. Materials and methods: The supply and prescription indicators were measured in 30 of the 86 existing UNEMES-EC. The supply of drugs was recorded using a list of 17 essential drugs related to the treatment of diabetes, hypertension, overweight and obesity. The information on fully filled-in prescriptions was obtained through a questionnaire applied to 1 200 health care users. Results: Only 13.3% of these units showed a complete supply of the 17 essential drugs: Supply levels were higher in units with external drugstore service. 35% of the interviewed patients reported out-of-pocket expenditures in medicines. Conclusion: UNEMES-EC should improve their levels of drug supply and fully filled-in prescriptions to reduce out-of-pocket expenditures.
    Full-text · Article · Dec 2013 · Salud publica de Mexico
  • [Show abstract] [Hide abstract]
    ABSTRACT: To describe and quantify hospital services given by units of the Ministry of Health (MoH) to patients with social security or living in states different to those where the hospitals are located. With data from the automatized system for hospital discharges patients were classified, according to the place of living, into locals or outsiders; and, according to their insurance status, into social security beneficiaries or not beneficiaries. Frequencies of services for these groups were estimated, and characteristics of patients and services were described. 5.6% of patients of MoH hospitals were outsiders. This percentage reaches 50% in the National Institutes of Health. Only 1.7% of the patients had social security insurance. Sociodemographic and services characteristics are quite different between outsiders or social security patients and those without those attributes. Despite its segmentation, in the National Health System there is a continuous process of exchange of services between different providers.
    No preview · Article · Jun 2013 · Salud publica de Mexico
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To measure the prevalence of adverse events (AE) in surgical adult patients from the main public health institutions in Mexico. Material and Methods: A two stage retrospective medical record review was carried out. A total of 6 119 medical records were randomly selected. The medical records were evaluated by a doctor. Logistic regression was used to identify likely associated variables. Results: The AE prevalence was 4.1%. There were no significant differences by sex or institution. The patients 65 years or older who are served in big hospitals have more risk of suffering an AE. Patients with an AE remained in the hospital an average of nine more days than those without one. Conclusion: According to our results, in 2008 there were at least 128 400 AE in Mexico. It is necessary to develop further studies to investigate the main factors associated to surgical adverse events and to improve patient safety.
    No preview · Article · Jan 2011 · Salud publica de Mexico
  • [Show abstract] [Hide abstract]
    ABSTRACT: To assess health care quality provided to type-2 diabetic and hypertensive patients in primary care settings from the Mexican Ministry of Health and to evaluate whether accredited clinics providing services to the Mexican Seguro Popular performed better in terms of metabolic control of those patients compared to the non-accredited. Cross-sectional study performed on 2008. Previous year clinical measures were obtained from 5 444 diabetic and 5 827 hypertensive patient's clinical records. Adequate metabolic control (glucose <110 mg/dl for diabetes and blood pressure <140/90 mmHg for hypertension) associated factors were assessed by multiple-multilevel logistic regression methods. Patients attending accredited clinics were more likely to be controlled, however, metabolic control was not constant over time of accreditation. Additional efforts are required to monitor accredited clinics' performance in order to maintain both metabolic control and clinical assessment of patients.
    No preview · Article · Jan 2011 · Salud publica de Mexico
  • Esteban Puentes-Rosas · Karina Rincón · Francisco Garrido-Latorre
    [Show abstract] [Hide abstract]
    ABSTRACT: To introduce the Hospital Standardized Mortality Ratio (HSMR) as an alternative to assess the quality of hospital care in Mexico. Data-sets of public hospital discharges were used as source of information. The analyses were based in a logistic model to estimate the risk of hospital death adjusting by sex, age, length of stay and main diagnosis. The HSMR is estimated dividing the observed deaths by the addition of the risk for each discharge by hospital. The ISSSTE had the lowest HSMR. At state level, the best figure was obtained by the hospitals of the ISSSTE in Veracruz, while the worst performance corresponds to hospitals of the SS in Nayarit. Our results suggest that this indicator can be used as a suitable alternative to evaluate the performance of hospitals in terms of mortality.
    No preview · Article · Jan 2011 · Salud publica de Mexico
  • [Show abstract] [Hide abstract]
    ABSTRACT: To measure the prevalence of adverse events (AE) in surgical adult patients from the main public health institutions in Mexico. A two stage retrospective medical record review was carried out. A total of 6 119 medical records were randomly selected. The medical records were evaluated by a doctor. Logistic regression was used to identify likely associated variables. The AE prevalence was 4.1%. There were no significant differences by sex or institution. The patients 65 years or older who are served in big hospitals have more risk of suffering an AE. Patients with an AE remained in the hospital an average of nine more days than those without one. According to our results, in 2008 there were at least 128 400 AE in Mexico. It is necessary to develop further studies to investigate the main factors associated to surgical adverse events and to improve patient safety.
    No preview · Article · Jan 2011 · Salud publica de Mexico
  • Source
    Francisco Garrido-Latorre · Sergio López-Moreno

    Full-text · Article · Jan 2011 · Salud publica de Mexico
  • Source
    Francisco Garrido-Latorre · Sergio López-Moreno

    Full-text · Article · Dec 2010 · Salud publica de Mexico
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE. To assess health care quality provided to type-2 diabetic and hypertensive patients in primary care settings from the Mexican Ministry of Health and to evaluate whether accredited clinics providing services to the Mexican Seguro Popular performed better in terms of metabolic control of those patients compared to the non-accredited. MATERIAL AND METHODS. Cross-sectional study performed on 2008. Previous year clinical measures were obtained from 5 444 diabetic and 5 827 hypertensive patient's clinical records. Adequate metabolic control (glucose <110 mg/dl for diabetes and blood pressure <140/90 mmHg for hypertension) associated factors were assessed by multiple-multilevel logistic regression methods. RESULTS. Patients attending accredited clinics were more likely to be controlled, however, metabolic control was not constant over time of accreditation. CONCLUSIONS. Additional efforts are required to monitor accredited clinics' performance in order to maintain both metabolic control and clinical assessment of patients.
    Full-text · Article · Dec 2010 · Salud publica de Mexico
  • Source
    Esteban Puentes-Rosas · Karina Rincón · Francisco Garrido-Latorre
    [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE. To introduce the Hospital Standardized Mortality Ratio (HSMR) as an alternative to assess the quality of hospital care in Mexico. MATERIAL AND METHODS. Data-sets of public hospital discharges were used as source of information. The analyses were based in a logistic model to estimate the risk of hospital death adjusting by sex, age, length of stay and main diagnosis. The HSMR is estimated dividing the observed deaths by the addition of the risk for each discharge by hospital. RESULTS. The ISSSTE had the lowest HSMR. At state level, the best figure was obtained by the hospitals of the ISSSTE in Veracruz, while the worst performance corresponds to hospitals of the SS in Nayarit. CONCLUSION. Our results suggest that this indicator can be used as a suitable alternative to evaluate the performance of hospitals in terms of mortality.
    Preview · Article · Dec 2010 · Salud publica de Mexico
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE. To measure the prevalence of adverse events (AE) in surgical adult patients from the main public health institutions in Mexico. MATERIAL AND METHODS. A two stage retrospective medical record review was carried out. A total of 6 119 medical records were randomly selected. The medical records were evaluated by a doctor. Logistic regression was used to identify likely associated variables. RESULTS. The AE prevalence was 4.1%. There were no significant differences by sex or institution. The patients 65 years or older who are served in big hospitals have more risk of suffering an AE. Patients with an AE remained in the hospital an average of nine more days than those without one. CONCLUSION. According to our results, in 2008 there were at least 128 400 AE in Mexico. It is necessary to develop further studies to investigate the main factors associated to surgical adverse events and to improve patient safety.
    Preview · Article · Dec 2010 · Salud publica de Mexico
  • Francisco Garrido-Latorre · Héctor Hernández-Llamas · Octavio Gómez-Dantés
    [Show abstract] [Hide abstract]
    ABSTRACT: Measure and compare the percentage of prescriptions fully dispensed to persons with and without Popular Health Insurance (SPS in Spanish) who use ambulatory and general hospital services associated with the Mexico State Health Services (SESA in Spanish), and taking into account insurance status. SESA user satisfaction was also measured with respect to access to medication. Information for the study was taken from four surveys of SESA ambulatory and hospital units that included probabilistic samples with state representativity. Samples of ambulatory units were selected by stratification according to level of care and association to the SPS service network. The findings indicate that the percentage of prescriptions fully dispensed in SESA ambulatory units has improved, reaching approximately 90%, especially among those units offering services to persons affiliated with SPS. Nevertheless, these percentages continue to be lower than those of ambulatory units associated with social security institutions. Percentages of prescriptions fully dispensed have also improved in SESA hospital units, but continue to be relatively low. In nearly all states, as the percentage of prescriptions fully dispensed has increased, user satisfaction with access to medication has also improved. In 2006 more than 50% of the states had high levels of fully dispensed prescriptions among persons with SPS (> or =90%). The more significant problem exists among hospitals, since only 44% of users who received a prescription in SESA hospitals in 2006 had their prescriptions fully dispensed. This finding requires a review of SPS medication policies, which have favored highly prescribed low-cost medications at ambulatory services at the expense of higher cost and more therapeutically effective medications for hospital care, the latter having a greater impact on household budgets.
    No preview · Article · Jan 2008 · Salud publica de Mexico
  • Source
    Francisco Garrido-Latorre · Héctor Hernández-Llamas · Octavio Gómez-Dantés
    [Show abstract] [Hide abstract]
    ABSTRACT: OBJECTIVE: Measure and compare the percentage of prescriptions fully dispensed to persons with and without Popular Health Insurance (SPS in Spanish) who use ambulatory and general hospital services associated with the Mexico State Health Services (SESA in Spanish), and taking into account insurance status. SESA user satisfaction was also measured with respect to access to medication. MATERIAL AND METHODS: Information for the study was taken from four surveys of SESA ambulatory and hospital units that included probabilistic samples with state representativity. Samples of ambulatory units were selected by stratification according to level of care and association to the SPS service network. RESULTS: The findings indicate that the percentage of prescriptions fully dispensed in SESA ambulatory units has improved, reaching approximately 90%, especially among those units offering services to persons affiliated with SPS. Nevertheless, these percentages continue to be lower than those of ambulatory units associated with social security institutions. Percentages of prescriptions fully dispensed have also improved in SESA hospital units, but continue to be relatively low. In nearly all states, as the percentage of prescriptions fully dispensed has increased, user satisfaction with access to medication has also improved. CONCLUSIONS: In 2006 more than 50% of the states had high levels of fully dispensed prescriptions among persons with SPS (>90%). The more significant problem exists among hospitals, since only 44% of users who received a prescription in SESA hospitals in 2006 had their prescriptions fully dispensed. This finding requires a review of SPS medication policies, which have favored highly prescribed low-cost medications at ambulatory services at the expense of higher cost and more therapeutically effective medications for hospital care, the latter having a greater impact on household budgets.
    Full-text · Article · Jan 2008 · Salud publica de Mexico
  • Esteban Puentes-Rosas · Enrique Ruelas · Tania Martínez-Monroy · Francisco Garrido-Latorre
    [Show abstract] [Hide abstract]
    ABSTRACT: To present and discuss findings on the responsiveness of the Mexican health system. The data source was the 2002-2003 National Performance Assessment Survey. A descriptive analysis was performed and results were adjusted for user's expectations using vignette information. Final results were disaggregated by sex, provider, age, and education level. Responsiveness scores given by women and senior individuals were higher than those provided by men and young adults. Major differences were observed when provider comparisons were made. In ambulatory care, the Ministry of Health and private providers were better rated than major social security institutions. For in-patient care, private providers were better rated than public health institutions. Responsiveness of the Mexican health system requires improvements in certain areas in order to meet one of the basic goals of all health systems.
    No preview · Article · Feb 2005 · Salud publica de Mexico
  • Source
    Esteban Puentes-Rosas · Francisco Garrido-Latorre · Octavio Gómez-Dantés
    [Show abstract] [Hide abstract]
    ABSTRACT: Objetivo. Describir el comportamiento de las cesáreas en México en los últimos 10 años y medir su relación con distintas variables. Material y métodos. Estudio ecológico en el que se utilizó la base de datos de nacimientos atendidos en instituciones de salud públicas y privadas que concentra la Secretaría de Salud de México. La variable dependiente fue el tipo de atención del parto. Las variables independientes fueron el producto interno bruto per cápita, el índice de desarrollo humano, el porcentaje de analfabetismo de las mujeres, el nivel de marginación y el porcentaje de médicos especialistas, entre otras. La relación entre las variables en estudio se midió con las pruebas de correlación de Pearson y de Spearman. Con los datos de 1999 se realizó un análisis de regresión lineal múltiple para identificar las principales variables asociadas con el porcentaje de cesáreas por entidad federativa. Resultados. El porcentaje de nacimientos por cesárea en el ámbito nacional se incrementó en los últimos 10 años a un ritmo ligeramente superior a 1% anual. El ritmo de crecimiento fue considerablemente mayor en la seguridad social y el sector privado. El porcentaje de cesáreas a escala nacional en 1999 fue ligeramente superior a 35%. Los valores más altos correspondieron al sector privado con 53%. Las instituciones de seguridad social presentaron un porcentaje de cesáreas de 38.2%. Las variables con valores de asociación más intensa con el porcentaje de cesáreas fueron el porcentaje de médicos que son especialistas en el estado y el producto interno bruto per cápita. Discusión. Los resultados presentados respaldan las opiniones que defienden la implantación de políticas correctivas específicas, con el fin de impulsar un descenso en la frecuencia de cesáreas. En otros contextos se han producido paraledescensos importantes con requisitos como la solicitud de una segunda opinión antes de realizar una cesárea, la definición precisa de las razones para llevarla a cabo y el monitoreo de los porcentajes individuales de cesáreas entre los obstetras de los hospitales. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.html
    Full-text · Article · Feb 2004 · Salud publica de Mexico
  • Esteban Puentes-Rosas · Octavio Gómez-Dantés · Francisco Garrido-Latorre
    [Show abstract] [Hide abstract]
    ABSTRACT: To describe the rate of caesarean sections in Mexico in the last 10 years and evaluate its relationship with several socioeconomic variables, type of health care services, and specialists' availability. The Ministry of Health's register of births was used as source of information. The dependent variable was the type of delivery (vaginal or caesarean). The independent variables were: gross domestic product, human development index, illiteracy percentage among women, social exclusion index and, gynecology and obstetrics specialists supply. Correlations between variables were evaluated using Pearson's parametric test and Spearman range test. A lineal multiple regression was used to model the national caesarean data of 1999. National caesarean percentage increased in the last 10 years at an annual rate of 1%. It was considerably higher in social security institutions and the private sector. Caesareans percentages in 1999 were slightly above 35%. The highest values were those of the private sector with 53%, followed by social security institutions, with 38.2%. The variables more strongly associated with C sections were GDP, specialists' availability and human development index. It seems reasonable to advocate for a widespread descent in caesarean sections in Mexico. Important declines in certain contexts have been witnessed by implementing measures such as a second opinion before any C-section, a precise definition of the reasons for using it, and the monitoring of individual caesarean percentage among hospital obstetricians.
    No preview · Article · Jan 2004 · Salud publica de Mexico

Publication Stats

215 Citations
31.23 Total Impact Points

Institutions

  • 2001-2015
    • Secretaría de Salud
      Ciudad de México, Mexico City, Mexico
  • 2010-2011
    • Metropolitan Autonomous University
      • Departamento de Atención a la Salud
      Mexico City, The Federal District, Mexico
  • 1999-2001
    • Instituto Nacional de Salud Pública
      Cuernavaca, Morelos, Mexico
  • 1996
    • National Institute of Nuclear Research, Mexico
      Ocoyoacac, Morelos, Mexico