Abstract
This chapter discusses the Mexican health system. We first describe the general characteristics of Mexico and the health conditions of the Mexican population, with emphasis in noncommunicable diseases, which are now the main cause of death and disability. The following section is devoted to the description of the basic structure of the system: its history; its main institutions; the population coverage; the health benefits of those affiliated to the different health institutions; its financial sources; the availability of physical, material, and human resources for health; the delivery of personal and public health services; the stewardship functions displayed by the Ministry of Health; and other actors. This part also discusses the role of citizens in the monitorization and evaluation of the health system, as well as the levels of satisfaction with the rendered health services. In part three, the most recent innovations and its impact on the performance of the health system are discussed. Salient among them are the System of Social Protection in Health and the Popular Health Insurance. The chapter concludes with a discussion of the most recent health initiatives and reforms, and a brief analysis of the short- and middle-term challenges faced by the Mexican health system.
President of the University of Miami and former Minister of Health of Mexico (2000–2006)
Senior researcher, Center for Health Systems Research, National Institute of Public Health, Mexico
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References
Central Intelligence Agency. The World Factbook. North America: Mexico. Available at: https://www.cia.gov/library/publications/the-world-factbook/geos/mx.html. Accessed 14 Oct 2013.
Chhabara R. Making the most of the Mexican pharma market. Available at: http://social.eyeforpharma.com/marketing/making-most-mexican-pharma-market. Accessed 17 Oct 2013.
CNNExpansión. Mexicanos adquieren pocos seguros: AMIS. Available at: http://www.cnnexpansion.com/economia/2009/05/18/aseguradoras-suman-el-17-de-pib. Accessed 15 Oct 2013.
Comisión Federal de Protección contra Riesgos Sanitarios. Home Page. Available at: http://www.salud.gob.mx/unidades/cofepris/notas_principal/rimonabant.html. Accessed 15 Oct 2013.
Comisión Nacional de Arbitraje Médico. Home Page. Available at: http://www.conamed.gob.mx/main_2010.php. Accessed 15 Oct 2013.
Comisión Nacional de Protección Social en Salud. Sistema de Protección Social en Salud. Informe de Resultados 2010. Available at: http://www.seguro-popular.salud.gob.mx/images/pdf/informes/Informe_Resultados_SPSS_2010.pdf. Accessed 15 Oct 2013.
Comisión Nacional de Protección Social en Salud. Sistema de Protección Social en Salud. Informe de Resultados 2012. Available at. http://www.seguro-popular.salud.gob.mx/images/pdf/informes/InformeResultados-2-SPSS-2012.pdf. Accessed 15 Oct 2013.
Crónica. Tiene México el mayor número de beneficiarios en salud: FCH. Available at: http://www.cronica.com.mx/notas/2010/541852.html. Accessed 15 Oct 2013.
Dirección General de Evaluación del Desempeño, Secretaría de Salud, México. Misión. Available at: http://www.dged.salud.gob.mx/contenidos/dged/mision_vision.html. Accessed 15 Oct 2013.
Dirección General de Evaluación del Desempeño, Secretaría de Salud, México. Observatorio del Desempeño Hospitalario 2011. Mexico City: Secretaría de Salud. pp. 1–28.
Dirección General de Información en Salud, Secretaría de Salud, México. Misión, visión y objetivo. Available at: http://www.dgis.salud.gob.mx/acercade/misionvision.html. Accessed 15 Oct 2013.
Frenk J, Sepúlveda J, Gómez-Dantés O. Evidence based health policy: three generations of reform in Mexico. Lancet. 2003;362(9396):1667–171.
Frenk J, Knaul F, Gómez-Dantés O, et al. Fair financing and universal social protection. The structural reform of the Mexican health system. Mexico City: Secretaría de Salud; 2004.
Frenk J, González-Pier E, Gómez-Dantés O, et al. Comprehensive reform to improve health system performance in Mexico. Lancet. 2006;368:1524–34.
Gakidou E, Lozano R, González-Pier E, et al. Assessing the effect of the 2001–06 Mexican health reform: an interim report card. Lancet. 2006;368:1920–35.
Ham-Chande R. Diagnóstico socio-demográfico del envejecimiento en México. In: Consejo Nacional de Población, México. Mexico City: CONAPO; 2012b. p. 141–55.
Instituto Mexicano del Seguro Social. Gasto en subrogaciones y servicios integrales 2012 (unpublished report).
Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición 2012. Cuernavaca: INSP; 2013.
King G, Gakidou E, Imai K, et al. Public policy for the poor? A randomized assessment of the Mexican universal health insurance programme. Lancet. 2009;373:1447–54.
Knaul FM, Arreola-Ornelas H, Méndez-Carniado O, et al. Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico. Lancet. 2006;368:1828–41.
Knaul FM, Arreola-Ornelas H, Méndez O, Wong R. Financiamiento y sistema de salud en México: evolución en la desigualdad en la carga financiera entre población afiliada a la seguridad social y afiliados al Seguro Popular. Mexico City: Fundación Mexicana para la Salud; 2011.
Lozano R, Soliz P, Gakidou E, et al. Benchmarking of performance of Mexican states with effective coverage. Lancet. 2006;368:1729–41.
Massachusetts Office of International Trade and Investment. Mexican pharmaceutical industry. Available at: http://www.moiti.org/pdf/Mexican%20Pharmaceutical%20Industry.pdf. Accessed 15 Oct 2013.
Moïse P, Docteur E. Las políticas de precios y reembolsos farmacéuticos en México, OCDE, 2007. Salud Publica Mex. 2008;50(suplemento 4):s504–10.
Murray CJL, Frenk J. A framework for assessing the performance of health systems. Bull WHO. 2000;78(6):717–31.
National Center for Health Technology Excellence. Mission. Available at: http://www.cenetec.salud.gob.mx/descargas/folletoingles.pdf. Accessed 15 Oct 2013.
OECD. OECD Health Data 2013. How does Mexico compare. Available at: http://www.oecd.org/els/health-systems/Briefing-Note-MEXICO-2013.pdf. Accessed 16 Oct 2013.
OECD. OECDiLibrary. Pharmaceutical expenditure. Available at: http://www.oecd-ilibrary.org/social-issues-migration-health/pharmaceutical-expenditure_pharmexp-table-en. Accessed 17 Oct 2013.
OECDiLibrary. Health: key tables from OECD. Practising nurses. Available at: http://www.oecd-ilibrary.org/social-issues-migration-health/practising-nurses_nursepract-table-en. Accessed 16 Oct 2013.
Organization for Economic Cooperation and Development., OECD StatExtracts. Available at: http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT. Accessed 15 Oct 2013.
Partida V. Veinticinco años de transición epidemiológica en México. In: CONAPO. La situación demográfica de México 1999. Mexico City: CONAPO; 1999.
Reyna-Bernal A, Hernández-Esquivel JC. Poblamiento, desarrollo rural y medio ambiente. Retos y prioridades de la política de población. In: CONAPO. La situación demográfica de México 2006. Mexico City: CONAPO; 2006.
Ruelas E. Citizen’s quality councils: an innovative mechanism for monitoring and providing social endorsement of healthcare providers’ performance. Healthcare Papers. 2006;6(3):33–7.
Secretaría de Salud. Programa Nacional de Salud 2001–2006. La democratización de la salud en México. Hacia un sistema universal de salud. Mexico City: Secretaría de Salud; 2001. p. 33.
Secretaría de Salud. Programa Nacional de Salud 2007–2012. Mexico City: Secretaría de Salud; 2007.
Sistema Nacional de Información en Salud, México. Información por temas. Available at: http://sinais.salud.gob.mx/estadisticasportema.html. Accessed 15 Oct 2013.
Soberón G. El cambio estructural en la salud. Salud Publica Mex. 1987;29(2):127–40.
The World Bank. Gini index. Available at: http://data.worldbank.org/indicator/SI.POV.GINI. Accessed 14 Oct 2013.
The World Bank. Data. GDP growth (annual %). Available at: http://data.worldbank.org/indicator/NY.GDP.MKTP.KD.ZG. Accessed 14 Oct 2013.
UNDP. International human development indicators. Mexico. Available at: http://hdrstats.undp.org/en/countries/profiles/MEX.html. Accessed 14 Oct 2013.
World Health Organization. World health report 2000. Health systems: improving performance. Geneva: WHO; 2000.
World Health Organization. Non-communicable diseases. Country profiles 2011. Geneva: WHO; 2012. p. 124.
World Health Organization. World Health Statistics 2013. Geneva: WHO; 2013.
World Health Organization. National health accounts. Mexico. Available at: http://apps.who.int/nha/database/StandardReport.aspx?ID=REP_WEB_MINI_TEMPLATE_WEB_VERSION&COUNTRYKEY=84027. Accessed 15 Oct 2013.
World Health Organization. National health accounts. Available at: http://www.who.int/nha/en. Accessed 15 Oct 2013.
Ham-Chande R. Diagnóstico socio-demográfico del envejecimiento en México. In: Consejo Nacional de Población, México. Mexico City: CONAPO; 2012a. p. 141–55
Further Reading
Three publications by 2000 the same authors were particularly useful for the development of this chapter:
Frenk J, Gómez-Dantés O. Para entender el sistema de salud. Mexico City: Nostra Editores; 2008.
Gómez-Dantés O. Mexico. In: Johnson JA, Stoskopf CH, editors. Comparative health systems. Global perspectives. Boston: Jones and Bartlett Publishers; 2009. p. 337–47.
Gómez-Dantés O, Sesma S, Becerril V, et al. The health system of Mexico. Salud Publica Mex. 2011;53(suppl 2):S220–32.
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Frenk, J., Gómez-Dantés, O. (2016). Health System in Mexico. In: van Ginneken, E., Busse, R. (eds) Health Care Systems and Policies. Health Services Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-6419-8_13-1
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DOI: https://doi.org/10.1007/978-1-4614-6419-8_13-1
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