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[Cost-effectiveness analysis of an alternative for the provision of primary health care for beneficiaries of Seguro Popular in Mexico].

Objective:
To estimate the cost-effectiveness ratio of public and private health care providers funded by Seguro Popular.


Materials and methods:
A pilot contracting primary care health care scheme in the state of Hidalgo, Mexico, was evaluated through a population survey to assess quality of care and detection decreased of vision. Costs were assessed from the payer perspective using institutional sources.The alternatives analyzed were a private provider with capitated and performance-based payment modalities, and a public provider funded through budget subsidies. Sensitivity analysis was performed using Monte Carlo simulations.


Results:
The private provider is dominant in the quality and cost-effective detection of decreased vision.


Conclusions:
Strategic purchasing of private providers of primary care has shown promising results as an alternative to improving quality of health services and reducing costs.