IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0212841.html
   My bibliography  Save this article

Adherence of Mexican physicians to clinical guidelines in the management of breast cancer: Effect of the National Catastrophic Health Expenditure Fund

Author

Listed:
  • Carmelita E Ventura-Alfaro
  • Leticia Ávila-Burgos
  • Gabriela Torres-Mejía

Abstract

Aim: To assess the adherence of physicians to the Medical-Care Guidelines for Malignant Breast Tumors in Mexico, before and after the allocation of federal subsidies from the Catastrophic Health Expenditure Fund (FPGC by its Spanish initials) to accredited hospitals, a strategy implemented with the view of offering free treatment to women with breast cancer (BC). Material and methods: Based on a cross-sectional design, we gathered information on 479 BC patients who had been attended to at in four FPGC-accredited hospitals. Analysis centered on those treated within either three years before or three years after the accreditation of their attending hospitals. The four hospitals analyzed were located in the North, South, West and Center of the country. Information on all medical procedures performed during treatment was drawn from hospital medical records. Information on the socio-demographic characteristics of the patients was obtained by means of face-to-face interviews conducted in their homes. Results: Adherence of physicians to the Guidelines grew by 12.8 percent (from 43.4 to 56.2 percent) after FPGC accreditation (p

Suggested Citation

  • Carmelita E Ventura-Alfaro & Leticia Ávila-Burgos & Gabriela Torres-Mejía, 2019. "Adherence of Mexican physicians to clinical guidelines in the management of breast cancer: Effect of the National Catastrophic Health Expenditure Fund," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-13, March.
    • Handle: RePEc:plo:pone00:0212841
    DOI: 10.1371/journal.pone.0212841
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0212841
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0212841&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0212841?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Li-Chu Chien, 2011. "Diagnostic plots in beta-regression models," Journal of Applied Statistics, Taylor & Francis Journals, vol. 38(8), pages 1607-1622, July.
    2. Andréa Rocha & Alexandre Simas, 2011. "Influence diagnostics in a general class of beta regression models," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 20(1), pages 95-119, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Alejandra Tapia & Victor Leiva & Maria del Pilar Diaz & Viviana Giampaoli, 2019. "Influence diagnostics in mixed effects logistic regression models," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 28(3), pages 920-942, September.
    2. Pablo Mitnik & Sunyoung Baek, 2013. "The Kumaraswamy distribution: median-dispersion re-parameterizations for regression modeling and simulation-based estimation," Statistical Papers, Springer, vol. 54(1), pages 177-192, February.
    3. Guillermo Martínez-Flórez & Roger Tovar-Falón, 2021. "New Regression Models Based on the Unit-Sinh-Normal Distribution: Properties, Inference, and Applications," Mathematics, MDPI, vol. 9(11), pages 1-19, May.
    4. Patrícia L. Espinheira & Alisson Oliveira Silva, 2020. "Residual and influence analysis to a general class of simplex regression," TEST: An Official Journal of the Spanish Society of Statistics and Operations Research, Springer;Sociedad de Estadística e Investigación Operativa, vol. 29(2), pages 523-552, June.
    5. Edilberto Cepeda-Cuervo & Vicente Núñez-Antón, 2013. "Spatial Double Generalized Beta Regression Models," Journal of Educational and Behavioral Statistics, , vol. 38(6), pages 604-628, December.
    6. J. M. Muñoz-Pichardo & J. L. Moreno-Rebollo & R. Pino-Mejías & M. D. Cubiles Vega, 2019. "Influence measures in beta regression models through distance between distributions," AStA Advances in Statistical Analysis, Springer;German Statistical Society, vol. 103(2), pages 163-185, June.
    7. Zhou, Haiming & Huang, Xianzheng, 2022. "Bayesian beta regression for bounded responses with unknown supports," Computational Statistics & Data Analysis, Elsevier, vol. 167(C).
    8. Zhao, Weihua & Lian, Heng & Zhang, Riquan & Lai, Peng, 2016. "Estimation and variable selection for proportional response data with partially linear single-index models," Computational Statistics & Data Analysis, Elsevier, vol. 96(C), pages 40-56.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0212841. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.