Chronic Disease Expenditure Data from Mexico's Largest Healthcare Providers

Financial burden estimates for nine prevalent chronic diseases in Mexico, excluding cancer, based on the 2012 National Health and Nutrition Survey. The study calculates annual expenditure per patient and total financial burden for the Ministry of Health and the Mexican Institute of Social Security. Chronic kidney disease was the most expensive condition, with annual costs per patient exceeding US$8,966.

Use Cases

• Analyze the financial burden of chronic kidney disease, arterial hypertension, type 2 diabetes, and chronic ischemic heart disease, which accounted for over 85% of total costs.
• Compare annual unit costs per patient between the Ministry of Health and the Mexican Institute of Social Security for nine chronic diseases.
• Estimate the proportion of total institutional health expenditure represented by the financial burden of the nine analyzed chronic diseases (8% for MoH, 25% for IMSS).
• Model healthcare costs by multiplying reported quantities of services consumed (e.g., consultation, drugs, hospitalization) by official unit costs.

Strengths

• Focuses on nine of the most prevalent chronic diseases in Mexico, providing a broader economic view beyond just diabetes or hypertension.
• Cost estimates are derived from patient-reported service consumption and official unit costs, not hypothetical models.
• Provides institution-specific expenditure data for the two largest public health providers in the country, the MoH and IMSS.
• Quantifies the total financial burden for the nine diseases at US$ 1.42 billion for MoH and US$ 3.96 billion for IMSS.

Limitations

• Underlying consumption data is from a single survey year (2012), making the cost estimates potentially outdated for current economic analysis.
• Excludes cancer from the analysis of prevalent chronic diseases, limiting the scope of the total financial burden assessment.
• Relies on patient-reported service consumption, which may be subject to recall bias.

Provenance

Source

Mexican National Health and Nutrition Survey 2012 (ENSANUT), official institutional reports for unit costs, and published literature for prevalence.

Collection Method

Annual expenditure calculated by multiplying patient-reported quantity of health services consumed by official unit costs for each service.

Time Range

Based on survey and cost data from 2012.

Freshness

Data is based on the 2012 survey, with the study published in 2020.

Geography

Mexico, specifically focusing on patients served by the Ministry of Health (MoH) and the Mexican Institute of Social Security (IMSS).