Besides the lack of workforce, the geographical distribution of physicians in Mexico is unequal, as rural localities have a significantly lower density of health professionals overall. While physician density in Mexico City and other large metropolitan areas is elevated, other, less densely populated localities have deficits in health workers and consequently, enormous variations in health care use and health indicators. In addition, more specialised units such as secondary and tertiary hospitals tend to concentrate higher density of health professionals compared to primary care units (Lucio-García et al., 2017, Nigenda et al., 2016).

References:

Lucio-García, C. A., Recaman, A. L., Arredondo, A., Lucio-García, C. A., Recaman, A. L., & Arredondo, A. (2018). Evidencias sobre la inequidad en la distribución de recursos humanos en salud. Horizonte Sanitario, 17(1), 77–82. https://doi.org/10.19136/hs.a17n1.1984

Nigenda, G., Alcalde-Rabanal, J., González-Robledo, L. M., Serván-Mori, E., García-Saiso, S., & Lozano, R. (2016). Eficiencia de los recursos humanos en salud: Una aproximación a su análisis en México. Salud Publica de Mexico, 58(5), 533–542. https://doi.org/10.21149/spm.v58i5.8243