[Health services utilization in Mexico: the perspective of individuals with XXXX ].

@entity1 @entity6 @entity33616 @entity102
AIMS: This paper reports findings of a qualitative study whose focus is health services use among individuals with @entity102 . DESIGN: Qualitative research with an ethnographic orientation. SETTING: A low income @entity33616 , Mexico. SUBJECTS: Twenty subjects selected through a theoretical sample. Measurements and main results. Open-ended interviews. The data were content-analyzed. Most @entity6 sufferers live with two or more @entity102 . Medical services use is combined with that of other healing systems. @entity1 also combine different types of health care services. Four health care use categories were found: frequent, occasional, periodical, and abandonment. Those who use health services frequently have oscillating or deteriorating illness trajectories, are supported by family members and are primarily @entity1 and elderly/retired @entity1 . Those who abandon health services have stable trajectories, they are their families primary providers, and cannot stop work to receive medical care; but some others have deteriorating illness trajectories and their symptoms do not ameliorate with consultations. CONCLUSIONS: Different factors explain patterns of health services utilization. Such patterns of use have serious implications in the health care reorganization.
