A Novel Private–Public Hybrid Model for Treatment of Congenital Heart Disease in Mexico. Issue 2 (March 2019)

• Record Type: Journal Article
• Authors: Palacios-Macedo, Alexis; Mery, Carlos M.; Cabrera, Antonio G.; Bastero, Patricia; Tamariz-Cruz, Orlando; Díliz-Nava, Héctor; García-Benítez, Luis; Pérez-Juárez, Fabiola; Araujo-Martínez, Aric; Mier-Martínez, Moisés; March, Almudena; Castañuela, Violeta; Fraser, Charles D.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 10:Issue 2(2019)
• Page Start: 206
• Page End: 213
• Publication Date: 2019-03
• Subjects: congenital heart defects -- health economics and organizations -- public health -- health-care expenditures; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118818370
• Languages: English
• ISSNs: 2150-1351

Abstract

Mortality after surgery for congenital heart disease (CHD) in Mexico is significantly higher than in high-income countries due to structural, medical, and financial factors. In Mexico, public hospitals have a large volume of patients but inadequate quality control systems, whereas private hospitals, although having higher quality control systems, have an insufficient number of patients to build programs of excellence. We describe the creation of a novel hybrid private–public program in Mexico that leverages the advantages of both sectors while establishing an integrated multidisciplinary unit that has allowed us to improve the quality of care for patients with CHD.