Quality (78) Quality of care for patients with myocardial infarction

2 July, 2021

[Note from HIFA moderator (Neil): The original message is in Spanish and is shown below.]

[Google translation]

Dear members of the HIFA community,

I share with you an article [*see note below] in which I had the opportunity to collaborate, on the Gaps between the supply and demand of acute myocardial infarction treatment in Mexico. The results obtained undoubtedly show the areas of opportunity that exist in terms of the quality of services to attend to this condition, understanding this concept as something multifactorial.

Best regards,

HIFA profile: Paulina Pacheco Estrello is an Independent consultant, Mexico. Professional interests: Health Systems Quality of Healthcare; Universal Health Coverage; HR development; Philanthropic activities. She is a member of the WHO-HIFA Catalyst Group on Learning for quality health services. https://www.hifa.org/projects/learning-quality-health-services Email: pacheco.paulina AT gmail.com

[*Note from HIFA moderator (Neil PW): The original message had an attacht but HIFA does not carry attachments. The paper is freely available here: https://www.saludpublica.mx/index.php/spm/article/view/11032

CITATION: Pérez-Cuevas R et al. Gaps between supply and demand of acute myocardial infarction treatment in Mexico. Salud Publica Mex. 2020. https://doi.org/10.21149/11032


Objective. To analyze acute myocardial infarction (AMI) admissions and in-hospital mortality rates and evaluate the competence of the Ministry of Health (MOH) hospitals to provide AMI treatment.

Materials and methods. We used a mixed-methods approach: 1) Joinpoint analysis of hospitalizations and in-hospital mortality trends between 2005 and 2017; 2) a nation-wide cross-sectional MOH hospital survey.

Results. AMI hospitalizations are increasing among men and patients aged >60 years; women have higher mortality rates. The survey included 527 hospitals (2nd level =471; 3rd level =56). We identified insufficient competence to diagnose AMI (2nd level 37%, 3rd level 51%), perform pharmacological perfusion (2nd level 8.7%, 3rd level 26.8%), and mechanical reperfusion (2nd level 2.8%, 3rd level 17.9%).

Conclusions. There are wide disparities in demand, supply, and health outcomes of AMI in Mexico. It is advisable to build up the competence with gender and age perspectives in order to diagnose and manage AMI and reduce AMI mortality effectively.

[Original message in Spanish below]

Estimados integrantes de la comunidad HIFA,

Les comparto un artículo en el que tuve la oportunidad de colaborar, sobre las Brechas entre la oferta y la demanda del tratamiento de infarto agudo al miocardio en México. Los resultados obtenidos sin duda muestran las áreas de oportunidad que se tienen en cuanto a la calidad de los servicios para atender dicho padecimiento, entendiendo dicho concepto como algo multifactorial.

Saludos cordiales,

HIFA profile: Paulina Pacheco Estrello es consultora independiente, México. Intereses profesionales: Sistemas de salud Calidad de la atención sanitaria; Cobertura de salud universal; Desarrollo de recursos humanos; Actividades filantrópicas. Correo electrónico: pacheco.paulina AT gmail.com