{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:44:32Z","timestamp":1792007072689,"version":"4.4.0"},"reference-count":0,"publisher":"Instituto Nacional de Salud Publica","issue":"5 (sept-oct)","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Salud Publica Mex"],"abstract":"<jats:p>Objetivo. Analizar la utilizaci\u00f3n de servicios en estados adheridos al IMSS-BIENESTAR y comparar la informaci\u00f3n con aquellos que no lo aceptaron (estados con Servicios Estatales de Salud [Sesa]) en poblaci\u00f3n sin derechohabiencia. Material y m\u00e9todos. Se emplearon datos de la Encuesta Nacional de Salud y Nutrici\u00f3n Continua 2024 para describir la cascada de atenci\u00f3n, el lugar donde se atendi\u00f3 la poblaci\u00f3n, motivos para no atenderse en el lugar que les corresponde, razones para usar los servicios donde se atendieron y factores asociados con la probabilidad de recibir atenci\u00f3n. Resultados. Comparados con los Sesa, en los estados IMSS-BIENESTAR se report\u00f3 una mayor proporci\u00f3n de tener una necesidad de salud; en ambos, la proporci\u00f3n que se atiende en sector p\u00fablico (Sesa o IMSS-BIENESTAR) es baja. No hubo diferencias en motivos de no atenci\u00f3n en lugar de correspondencia o lugar elegido, ni en la probabilidad de recibir atenci\u00f3n entre tipo de estado. Conclusiones. Los resultados muestran que no existen diferencias significativas en la mayor parte de los indicadores analizados entre estados IMSS-BIENESTAR y Sesa, y en ambos se ilustra el reto para lograr acceso efectivo ofreciendo atenci\u00f3n m\u00e9dica universal y gratuita a la poblaci\u00f3n sin derechohabiencia.<\/jats:p>","DOI":"10.21149\/17891","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:49:37Z","timestamp":1792003777000},"page":"521-528","source":"Crossref","is-referenced-by-count":0,"title":["Utilizaci\u00f3n de servicios en poblaci\u00f3n sin derechohabiencia: evaluaci\u00f3n de impacto del IMSS-BIENESTAR"],"prefix":"10.21149","volume":"68","author":[{"given":"M Arantxa","family":"Colchero-Aragon\u00e9s","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Rubio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Bautista-Arredondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8786","published-online":{"date-parts":[[2026,10,10]]},"container-title":["Salud P\u00fablica de M\u00e9xico"],"original-title":[],"link":[{"URL":"https:\/\/saludpublica.mx\/index.php\/spm\/article\/download\/17891\/12856","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/saludpublica.mx\/index.php\/spm\/article\/download\/17891\/12856","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:49:42Z","timestamp":1792003782000},"score":1,"resource":{"primary":{"URL":"https:\/\/saludpublica.mx\/index.php\/spm\/article\/view\/17891"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":0,"journal-issue":{"issue":"5 (sept-oct)","published-online":{"date-parts":[[2026,10,9]]}},"URL":"https:\/\/doi.org\/10.21149\/17891","relation":{},"ISSN":["1606-7916","0036-3634"],"issn-type":[{"value":"1606-7916","type":"electronic"},{"value":"0036-3634","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,10]]}}}