Hortensia Reyes-Morales
Biographic Data
| ID | 1784217 |
|---|---|
| NAME | Hortensia Reyes-Morales |
| GIVEN NAMES | Hortensia |
| FAMILY NAME | Reyes-Morales |
| SIGNATURE | REYES-MORALES H |
| AFFILIATIONS | Instituto Nacional de Salud Pública |
| ORCID | 0000-0002-9763-4143 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 6 |
| WORKS AS AUTHOR | 22 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Life expectancy and healthy-adjusted life expectancy in Mexico by social security status
OBJECTIVE: Mexican health system is organized around social security (SS) entitlement, dividing the population into insured and uninsured groups, which represents a potential source of health inequity. The objective is to analyze life expectancy (LE) and healthy-adjusted life expectancy (HALE) between both populations. METHOD: Ecological study was conducted at national and state levels for 2020, disaggregated by sex. LE and HALE for both populati…
Metropolitan inequalities in health system resources and Covid-19 adjusted life expectancy among older adults in Mexico
Introduction: The mortality and morbidity consequences of the COVID-19 outbreak were concentrated among older adults. The health system response was critical to mitigating its negative effects, particularly through the redistribution of healthcare resources across territories. The objective of this study was to analyze inequities in the distribution of health resources in Mexico in relation to life expectancy (LE) and COVID-19 adjusted life expec…
Multiple deprivations as drivers of suboptimal basic child vaccination in Latin America and the Caribbean
In LACs, geographic inequalities and multiple deprivations increase the risk of suboptimal BCV. These countries should prioritize efforts to vaccinate children whose mothers lack access to one or more key health services, especially those from poor families
Measuring empowerment to address chronic diseases in mexico
The PAM-13 Mexico is a reliable instrument to measure empowerment of persons to address chronic diseases. The validity of PAM-13 needs to be researched against a wider set of health care variables and with diverse populations
Hospital accreditation in Mexico fails to improve the quality of healthcare
Healthcare quality in low- and middle-income countries poses a significant challenge, contributing to heightened mortality rates from treatable conditions. The accreditation of health facilities was part of the former health reform in Mexico, proposed as a mechanism to enhance healthcare quality. This study assesses the performance of hospital accreditation in Mexico, utilizing indicators of effectiveness, efficiency, and safety. Employing a long…
Local Health Service Response to Covid-19 in Mexico
BACKGROUND: The main goal of a health system is to maintain or improve people's health. The COVID-19 pandemic showed the fragility of health systems worldwide. In Mexico, the pandemic affected the performance of the health system, along with the presence of contextual conditions such as its segmentation and high prevalence of chronic diseases. AIMS: To analyze from an approach to the functions of the health system, the service delivery, human res…
Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México
Objetivo. Explorar la percepción de los profesionales de enfermería respecto a los facilitadores y las barreras para la implementación de funciones ampliadas de enfermería en una entidad federativa de México. Métodos. Estudio cualitativo de tipo descriptivo con enfoque fenomenológico. Durante el 2022 se realizaron 18 entrevistas semiestructuradas a tres tipos de informantes: a) jefaturas estatales de enfermería, b) jefaturas jurisdiccionales de e…
Health Needs Assessment
Health needs assessment is a relevant tracer of planning process of healthcare programs. The objective is to assess the health needs of chronic kidney disease (CKD) secondary to type 2 diabetes mellitus (T2 DM) in a population without social security in Mexico. The study design was a statistical simulation model based on data at the national level of Mexico. A stochastic Markov model was used to simulate the progression from diabetes to CKD. The …
Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services
The objective of this work was to validate the content of a scale formulated in Spanish for older adults in Mexico, with the aim of comprehensively measuring the access of this population group to outpatient primary-care services. To this end, we carried out a methodological content-validity study in four stages: (1) construction of the scale; (2) evaluation of item legibility; (3) quantitative content evaluation by two groups of judges selected …
Local health systems resilience in managing the Covid-19 pandemic
The concept of resilience was applied to the public health field to investigate the way health systems are impacted by health crises, what conditions allow them to mitigate the blow and how they reorganize once the crisis is over. In 2020, the COVID-19 pandemic caused by the SARS-CoV-2 virus represented a global challenge demanding immediate response to an unprecedented health crisis. Various voices drew attention to the intensity of the crisis i…
Quantifying Disparities in the Continuum of Care for Maternal Health Attributable to Age Discrimination in Mexico, 1994–2018
Early Contraception and Continuity of Maternal Health Care in Primiparous Adolescents and Young Adults from Low- and Middle-Income Countries
Condiciones de empleo y precariedad laboral de los médicos de México
El objetivo fue describir las características socioeconómicas y condiciones de empleo del personal médico en México. Estudio transversal con base en la Encuesta Nacional de Ocupación y Empleo (ENOE) de México, de los 4 trimestres de 2019 y el primer trimestre de 2020. Incluimos a todos los médicos con estudios universitarios concluidos. La variable precariedad laboral acumulada fue construida como la suma de cinco variables binarias relacionadas …
Socioeconomic factors and inequality in the distribution of physicians and nurses in Mexico
OBJECTIVE: To describe the human resources for health and analyze the inequality in its distribution in Mexico. METHODS: Cross-sectional study based on the National Occupation and Employment Survey (ENOE in Spanish) for the fourth quarter of 2018 in Mexico. Graduated physicians and nurses, and auxiliary/technician nurses with completed studies were considered as human resources for health. States were grouped by degree of marginalization. Densiti…
Health care trajectories and barriers to treatment for patients with end-stage renal disease without health insurance in Mexico
Mexico urgently needs to implement public policies related to CKD that are primarily directed at its prevention but should also implement policies directed at slowing its progression, reducing its complications, and providing funding for uninsured patients who require RRT. These policies must be based on the perspectives of human rights and equality, and the perspectives of patients, their families and the general population should be included in…
Measuring and analysing social efficiency in the production of maternal health services in Mexico, 2008–15
‘Social efficiency’ (SE) denotes the capacity of health systems to ensure equitable access to quality health services at no financial risk to users. Mexico and other low- and middle-income countries have rarely studied the performance of their health systems from an SE perspective. We propose a metric for assessing SE in the production of maternal health services in the public sector among populations without social security, analysing contextual…
Socioeconomic inequalities in survival of children with acute lymphoblastic leukemia insured by social security in Mexico
We did not find evidence of socioeconomic inequalities in the survival of children with ALL associated with family income, educational and occupational level of parents. However, we found a relevant gradient related social security protection: the longer children's life insured by social security, the higher their probability of surviving ALL was. These results add evidence of the effectiveness of social security, as a mechanism of wealth redistr…
Aging in rural, indigenous communities
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in…
A social health services model to promote active ageing in Mexico
The objective of the study was to design and evaluate a pilot programme aimed at promoting the active ageing of older adults at the Mexican Institute of Social Security. The study was conducted in three stages: (a) design; (b) implementation; and (c) before–after evaluation through analysis of changes in functional status, occupational functioning and health-related quality of life. To overcome the limitations of the study design, we evaluated th…
Nutritional quality of foods and beverages on child-care centre menus in Mexico
Objective The purpose of the present study was to assess the nutritional quality of foods and beverages listed on menus serving children in government-sponsored child-care centres throughout Mexico. Design For this cross-sectional menu assessment, we compared (i) food groups and portion sizes of foods and beverages on the menus with MyPlate recommendations and (ii) macronutrients, sugar and fibre with Daily Reference Intake standards. Setting Men…
Necesidades de salud en áreas urbanas marginadas de México
The health needs of people living in Mexico's marginalized urban areas proliferate in the context of a young population with weak ties and little support from family and health services. They face crisis and disease--infant malnutrition, high-risk pregnancy, and addictions--the byproducts of disparities in social progress. The rate of chronic conditions was similar to that of the general population of Mexico
Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease
Aging in rural, indigenous communities
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in…
Condiciones de empleo y precariedad laboral de los médicos de México
El objetivo fue describir las características socioeconómicas y condiciones de empleo del personal médico en México. Estudio transversal con base en la Encuesta Nacional de Ocupación y Empleo (ENOE) de México, de los 4 trimestres de 2019 y el primer trimestre de 2020. Incluimos a todos los médicos con estudios universitarios concluidos. La variable precariedad laboral acumulada fue construida como la suma de cinco variables binarias relacionadas …
A social health services model to promote active ageing in Mexico
The objective of the study was to design and evaluate a pilot programme aimed at promoting the active ageing of older adults at the Mexican Institute of Social Security. The study was conducted in three stages: (a) design; (b) implementation; and (c) before–after evaluation through analysis of changes in functional status, occupational functioning and health-related quality of life. To overcome the limitations of the study design, we evaluated th…
Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease
Necesidades de salud en áreas urbanas marginadas de México
The health needs of people living in Mexico's marginalized urban areas proliferate in the context of a young population with weak ties and little support from family and health services. They face crisis and disease--infant malnutrition, high-risk pregnancy, and addictions--the byproducts of disparities in social progress. The rate of chronic conditions was similar to that of the general population of Mexico
Nutritional quality of foods and beverages on child-care centre menus in Mexico
Objective The purpose of the present study was to assess the nutritional quality of foods and beverages listed on menus serving children in government-sponsored child-care centres throughout Mexico. Design For this cross-sectional menu assessment, we compared (i) food groups and portion sizes of foods and beverages on the menus with MyPlate recommendations and (ii) macronutrients, sugar and fibre with Daily Reference Intake standards. Setting Men…
A social health services model to promote active ageing in Mexico
The objective of the study was to design and evaluate a pilot programme aimed at promoting the active ageing of older adults at the Mexican Institute of Social Security. The study was conducted in three stages: (a) design; (b) implementation; and (c) before–after evaluation through analysis of changes in functional status, occupational functioning and health-related quality of life. To overcome the limitations of the study design, we evaluated th…
Aging in rural, indigenous communities
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in…
Socioeconomic inequalities in survival of children with acute lymphoblastic leukemia insured by social security in Mexico
We did not find evidence of socioeconomic inequalities in the survival of children with ALL associated with family income, educational and occupational level of parents. However, we found a relevant gradient related social security protection: the longer children's life insured by social security, the higher their probability of surviving ALL was. These results add evidence of the effectiveness of social security, as a mechanism of wealth redistr…
Socioeconomic factors and inequality in the distribution of physicians and nurses in Mexico
OBJECTIVE: To describe the human resources for health and analyze the inequality in its distribution in Mexico. METHODS: Cross-sectional study based on the National Occupation and Employment Survey (ENOE in Spanish) for the fourth quarter of 2018 in Mexico. Graduated physicians and nurses, and auxiliary/technician nurses with completed studies were considered as human resources for health. States were grouped by degree of marginalization. Densiti…
Health care trajectories and barriers to treatment for patients with end-stage renal disease without health insurance in Mexico
Mexico urgently needs to implement public policies related to CKD that are primarily directed at its prevention but should also implement policies directed at slowing its progression, reducing its complications, and providing funding for uninsured patients who require RRT. These policies must be based on the perspectives of human rights and equality, and the perspectives of patients, their families and the general population should be included in…
Measuring and analysing social efficiency in the production of maternal health services in Mexico, 2008–15
‘Social efficiency’ (SE) denotes the capacity of health systems to ensure equitable access to quality health services at no financial risk to users. Mexico and other low- and middle-income countries have rarely studied the performance of their health systems from an SE perspective. We propose a metric for assessing SE in the production of maternal health services in the public sector among populations without social security, analysing contextual…
Health Needs Assessment
Health needs assessment is a relevant tracer of planning process of healthcare programs. The objective is to assess the health needs of chronic kidney disease (CKD) secondary to type 2 diabetes mellitus (T2 DM) in a population without social security in Mexico. The study design was a statistical simulation model based on data at the national level of Mexico. A stochastic Markov model was used to simulate the progression from diabetes to CKD. The …
Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services
The objective of this work was to validate the content of a scale formulated in Spanish for older adults in Mexico, with the aim of comprehensively measuring the access of this population group to outpatient primary-care services. To this end, we carried out a methodological content-validity study in four stages: (1) construction of the scale; (2) evaluation of item legibility; (3) quantitative content evaluation by two groups of judges selected …
Local health systems resilience in managing the Covid-19 pandemic
The concept of resilience was applied to the public health field to investigate the way health systems are impacted by health crises, what conditions allow them to mitigate the blow and how they reorganize once the crisis is over. In 2020, the COVID-19 pandemic caused by the SARS-CoV-2 virus represented a global challenge demanding immediate response to an unprecedented health crisis. Various voices drew attention to the intensity of the crisis i…
Quantifying Disparities in the Continuum of Care for Maternal Health Attributable to Age Discrimination in Mexico, 1994–2018
Early Contraception and Continuity of Maternal Health Care in Primiparous Adolescents and Young Adults from Low- and Middle-Income Countries
Condiciones de empleo y precariedad laboral de los médicos de México
El objetivo fue describir las características socioeconómicas y condiciones de empleo del personal médico en México. Estudio transversal con base en la Encuesta Nacional de Ocupación y Empleo (ENOE) de México, de los 4 trimestres de 2019 y el primer trimestre de 2020. Incluimos a todos los médicos con estudios universitarios concluidos. La variable precariedad laboral acumulada fue construida como la suma de cinco variables binarias relacionadas …
Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México
Objetivo. Explorar la percepción de los profesionales de enfermería respecto a los facilitadores y las barreras para la implementación de funciones ampliadas de enfermería en una entidad federativa de México. Métodos. Estudio cualitativo de tipo descriptivo con enfoque fenomenológico. Durante el 2022 se realizaron 18 entrevistas semiestructuradas a tres tipos de informantes: a) jefaturas estatales de enfermería, b) jefaturas jurisdiccionales de e…
Hospital accreditation in Mexico fails to improve the quality of healthcare
Healthcare quality in low- and middle-income countries poses a significant challenge, contributing to heightened mortality rates from treatable conditions. The accreditation of health facilities was part of the former health reform in Mexico, proposed as a mechanism to enhance healthcare quality. This study assesses the performance of hospital accreditation in Mexico, utilizing indicators of effectiveness, efficiency, and safety. Employing a long…
Local Health Service Response to Covid-19 in Mexico
BACKGROUND: The main goal of a health system is to maintain or improve people's health. The COVID-19 pandemic showed the fragility of health systems worldwide. In Mexico, the pandemic affected the performance of the health system, along with the presence of contextual conditions such as its segmentation and high prevalence of chronic diseases. AIMS: To analyze from an approach to the functions of the health system, the service delivery, human res…
Multiple deprivations as drivers of suboptimal basic child vaccination in Latin America and the Caribbean
In LACs, geographic inequalities and multiple deprivations increase the risk of suboptimal BCV. These countries should prioritize efforts to vaccinate children whose mothers lack access to one or more key health services, especially those from poor families
Measuring empowerment to address chronic diseases in mexico
The PAM-13 Mexico is a reliable instrument to measure empowerment of persons to address chronic diseases. The validity of PAM-13 needs to be researched against a wider set of health care variables and with diverse populations
Life expectancy and healthy-adjusted life expectancy in Mexico by social security status
OBJECTIVE: Mexican health system is organized around social security (SS) entitlement, dividing the population into insured and uninsured groups, which represents a potential source of health inequity. The objective is to analyze life expectancy (LE) and healthy-adjusted life expectancy (HALE) between both populations. METHOD: Ecological study was conducted at national and state levels for 2020, disaggregated by sex. LE and HALE for both populati…
Metropolitan inequalities in health system resources and Covid-19 adjusted life expectancy among older adults in Mexico
Introduction: The mortality and morbidity consequences of the COVID-19 outbreak were concentrated among older adults. The health system response was critical to mitigating its negative effects, particularly through the redistribution of healthcare resources across territories. The objective of this study was to analyze inequities in the distribution of health resources in Mexico in relation to life expectancy (LE) and COVID-19 adjusted life expec…
Medicine (16 works) · Health care (12 works) · Public health (11 works) · Population (10 works) · Environmental health (9 works) · Healthcare Systems and Reforms (9 works) · Economic growth (8 works) · Nursing (8 works) · Political science (6 works) · Demography (5 works)