1. Seguro Popular: Mexican Health Care in the Spotlight
Universidad Autonoma del Estado de Hidalgo
Pachuca, Mexico
Ruth Penny & Amanda Huerta

2. Pachuca (city) Hidalgo (state) Mexico (country)
Clinical Observation Locations
For more detail
Universidad Autonoma del Estado de Hidalgo (UAEH) –
Health Sciences Campus Simulation Lab
Hospital del Niño –Pediatric Oncology
Hospital General – Internal Medicine
Outpatient Geriatric Centers

3. Why We chose Pachuca Spanish Nursing Practice Mexico
We both majored in Spanish prior to nursing
As DNP students we see lots of patients from Latin America but the majority are from Mexico
Experienced Mexican health care system for a greater understanding of health literacy of our patients

4. Health Care for Civilians in Mexico
Different kinds of care available in Pachuca
IMSS
Instituto Mexicano de Seguro Social—the social services including health insurance provided to those who are employed outside of the government
ISSSTE
Instituto de Seguridad y Servivios Sociales de los Trabajadores del Estado – services provided to employees of the state
Seguro Popular
The health care servies provided to the uninsured and unemployed in Mexico

5. Hospital Del Niño DIF Pediatric Oncology Inpatient Oncology
Outpatient Chemotherapy
Oncology Procedures
Completed rotation primarily in contact with staff nurses and a social worker that gave me broad overview of patient flow, patient care, health care insurance coverage

6. Highlights in Hospital Del Niño DIF
Meeting the patients
Observing Procedures
Observing General Surgery (last day)

7. Educating the Next Generation in Health Care
Objective Structured Clinical Examinations (OSCE)
for Mexican Medical Students.
Case Studies
Clinical Judgement
Performance
Read
Observe
Perform
Observing the training of medical professionals at ICSA (Health Science Campus)

8. CLEMPS SIMULATION LABORATORY

9. General Hospital of Pachuca
Internal Medicine
This hospital receives patients from all social grades and all states.

10. Nursing Homes in Pachuca

11. Seguro Popular for Pediatric Oncology
Bird’s eye view
Only covers protocol treatment for oncology. Does not cover costs associated for adverse reactions to chemo
Coverage
Population
Uninsured adults and children under 5
Contact
Social worker inpatient described role in getting coverage for patients
Access
Patients often have to travel hundreds of miles to get access to SP facilities for care
If patients are unable to pay for costs associated with adverse events, non profit organizations help
Cost

12. Paying out for Health Care with Seguro Popular
Hospital Del Niño (Anel Rosales)
Causes
Causes
Seguro Popular GC
Gastos
Catastroficos SM
Servicio Medico
Pays for:
Pays for:
Pays for:
Complications of disease once diagnosis is made
Emergencies & diagnoses requiring
long treatment
Health care for children under 5

13. Summary Roles Reform Resources Health Care Differences Resources:
Patients in Mexico rely heavily on governmental provision and when it is unable to pay, the families seek out help from non governemental charities
Roles
Resources
Roles:
Nursing staff in Mexico were unfamiliar with graduate level education for nurses especially with APRN certification

14. How we changed OUR PHILOSOPHY OUR MISSION OUR KEYS OUR FACILITIES
We have gained better insight into how patients experience health care coverage and health literacy in Mexico
To take this insight into practice as students and as APRN health care providers
OUR KEYS
OUR FACILITIES
Learning new cultural insights and Spanish vocabulary in the process, we can now address our patients in a more informed and culturally appropriate way
Now we need to consider how our facilities in the US are accessible in a culturally appropriate manner for our patients from Mexico and Latin America. This includes a system that can incorporate feedback from individuals experiencing our health care system

15. THANK YOU! FOR YOUR ATTENTION
We are thankful to the staff of the OIP at KUMC, Professor Martha Baird, the staff of UAEH’s International Office, the Medical & Nursing Staff at UAEH, as well as the Cllinical staff at HDND, HG, and the geriatric care centers