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2024, Number 4

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Salud Mental 2024; 47 (4)

The Mental Health Provider Shortage in the Mexican Public Sector: 2023 estimates of psychiatrists and psychologists

Barrón-Velázquez E, Mendoza-Velásquez JJ, Mercado-Lara A, Quijada-Gaytán JM, Flores-Vázquez JF

Language: English
References: 31
Page: 179-187
PDF size: 579.04 Kb.


ABSTRACT

Introduction. Mental health has historically been overlooked in public policies in Mexico, with up to 80% of people with mental health and substance-related disorders in Mexico lacking adequate care. Objective. To characterize the mental health provider (psychiatrists and psychologists) shortage in the Mexican public sector. Method. Descriptive study. Data from SINERHIAS (Ministry of Health of Mexico) up to the first half of 2023 were analyzed. Results. A total of 1,504 psychiatrists worked in the public sector (1.1 per 100,000 population). The Health Ministry (Secretaría de Salud; Spanish acronym SS) employed 55.9%, IMSS 25.9%, ISSSTE 7.2%, while 1.0% were affiliated to other public institutions. There were 8,668 psychologists in the public sector (6.9 per 100,000 population), of which the SS employed 78.9%, IMSS 6.3%, ISSSTE 2.4%, while 12.3% worked at other public institutions. Thirty-four per cent of psychiatrists were in Mexico City, while 21 states, accounting for 70% of the population, had one psychiatrist or fewer per 100,000 population. Hospital units employed 83.3% of psychiatrists. Discussion. Mexico has an insufficient number of mental health providers at public institutions, with disparities between states and most providers affiliated to hospital units. Conclusion. There is an acute mental health provider shortage in the Mexican public sector, together with limited resources for community mental health care, affecting the treatment of mental health and substance use disorders.


REFERENCES

  1. Berenzon Gorn, S., Saavedra Solano, N., Medina-Mora Icaza, M. E., AparicioBasaurí, V., & Galván Reyes, J. (2013). Evaluación del sistema de salud mentalen México: ¿hacia dónde encaminar la atención? Revista Panamericana de SaludPública, 33(4), 252-258. https://doi.org/10.1590/S1020-49892013000400003

  2. Burvill, P. (1992). Looking beyond the 1:10,000 ratio of psychiatrists to population.Australian & New Zealand Journal of Psychiatry, 26(2), 265-269.

  3. Byrne, M., & Branley, A. (2012). How many psychologists do we need? The IrishPsychologist, 38(5), 136-138.

  4. Carbonell, Á., Navarro-Pérez, J.-J., & Mestre, M.-V. (2020). Challenges and barriersin mental healthcare systems and their impact on the family: A systematicintegrative review. Health & Social Care in the Community, 28(5), 1366-1379.https://doi.org/10.1111/hsc.12968

  5. Consejo Nacional de Evaluación de la Política de Desarrollo Social [CONEVAL].(2021). Nota técnica sobre la carencia por acceso a los servicios de salud, 2018-2020. Retrieved from https://www.coneval.org.mx/Medicion/MP/Documents/MMP_2018_2020/Notas_pobreza_2020/Nota_tecnica_sobre_la_carencia_por_acceso_a_los_servicios_de_salud_2018_2020.pdf

  6. Consejo Nacional de Población [CONAPO]. (2023). Bases de datos de laConciliación Demográfica 1950 a 2019 y Proyecciones de la población deMéxico 2020 a 2070. Retrieved from https://www.gob.mx/conapo/documentos/bases-de-datos-de-la-conciliacion-demografica-1950-a-2019-y-proyeccionesde-la-poblacion-de-mexico-2020-a-2070

  7. Díaz-Castro, L., Cabello-Rangel, H., Medina-Mora, M. E., Berenzon-Gorn, S.,Robles-García, R., & Madrigal-de León, E. Á. (2020). Mental health care needsand use of services in Mexican population with serious mental disorders. SaludPública de México, 62(1), 72-79.

  8. Espinola-Nadurille, M., Vargas Huicochea, I., Raviola, G., Ramirez-Bermudez, J., &Kutcher, S. (2010). Mental Health Care Reforms in Latin America: Child andAdolescent Mental Health Services in Mexico. Psychiatric Services, 61(5), 443-445. https://doi.org/10.1176/ps.2010.61.5.443

  9. FCRS. (1962). The CPA Brief to the Royal Commission. Canadian PsychiatricAssociation Journal, 7(3), 109-111.

  10. Heinze, G., Bernard-Fuentes, N., Carmona-Huerta, J., Chapa, G. del C., & Guízar-Sánchez, D. P. (2019). Physicians specializing in psychiatry of Mexico: Anupdate 2018. Salud Mental, 42(1), 13-24. https://doi.org/10.17711/sm.0185-3325.2019.003

  11. Institute for Health Metrics and Evaluation. (2019). GBD Compare. Institute forHealth Metrics and Evaluation. Retrieved from http://vizhub.healthdata.org/gbd-compare

  12. Instituto Nacional de Estadística y Geografía [INEGI]. (2021). Censo de Población yVivienda 2020. Retrieved from https://www.inegi.org.mx/programas/ccpv/2020/

  13. Liu, N. H., Daumit, G. L., Dua, T., Aquila, R., Charlson, F., Cuijpers, P., Druss, B.,Dudek, K., Freeman, M., & Fujii, C., Gaebel, W., Hegerl, U., Levav, I., Laursen,T. M., Ma, H., Maj, M., Medina-Mora, M. E., Nordentoft, M., Prabhakaran, D.,... Saxena, S. (2017). Excess mortality in persons with severe mental disorders:A multilevel intervention framework and priorities for clinical practice, policyand research agendas. World Psychiatry, 16(1), 30-40. https://doi.org/10.1002/wps.20384

  14. Mohammadiaghdam, N., Doshmangir, L., Babaie, J., Khabiri, R., & Ponnet,K. (2020). Determining factors in the retention of physicians in rural andunderdeveloped areas: A systematic review. BMC Family Practice, 21(1), 216.https://doi.org/10.1186/s12875-020-01279-7

  15. Pan American Health Organization [PAHO], World Health Organization [WHO], &Secretaría de Salud de México. (2011). IESM-OMS Informe Sobre el Sistemade Salud Mental en México (WHO-AIMS Report on Mental Health System inMexico). World Health Organization. Retrieved from https://extranet.who.int/mindbank/item/448

  16. Pan American Health Organization [PAHO]. (2017). Guía de intervención mhGAPpara los trastornos mentales, neurológicos y por uso de sustancias en el nivelde atención de la salud no especializada, Versión 2.0.

  17. Pan American Health Organization [PAHO]. (2023). Mental Health Atlas of theAmericas. World Health Organization. Retrieved from https://iris.paho.org/handle/10665.2/57879

  18. Riley, W. J. (2012). Health disparities: Gaps in access, quality and affordabilityof medical care. Transactions of the American Clinical and ClimatologicalAssociation, 123, 167-174.

  19. Secretaría de Economía. (2023). Psicólogos: Salarios, diversidad, industrias einformalidad laboral. Data México. Retrieved from https://www.economia.gob.mx/datamexico/es/profile/occupation/psicologos

  20. Secretaría de Hacienda y Crédito Público. (2021). Penetración del seguro en México,análisis con el componente de seguridad social. Retrieved from https://www.gob.mx/cms/uploads/attachment/file/671904/PENETRACION_DEL_SEGURO_EN_MEXICO_CON_SEGURIDAD_SOCIAL.pdf

  21. Secretaría de Salud. (2015). Constitución Política de los Estados Unidos Mexicano.Artículo 4°. Gobierno de México. Retrieved from http://www.gob.mx/salud/articulos/constitucion-politica-de-los-estados-unidos-mexicano-articulo-4

  22. Secretaría de Salud. (2022). Segundo Diagnóstico Operativo de Salud Mental yAdicciones. Health Ministry of Mexico. Retrieved from https://www.gob.mx/cms/uploads/attachment/file/730678/SAP-DxSMA-Informe-2022-rev07jun2022.pdf

  23. Secretaría de Salud. (2023a). Modelo Mexicano de Salud Mental y Adicciones(MexSaMe). (In Press).

  24. Secretaría de Salud. (2023b). Plan Sectorial de Salud Mental y Adicciones 2023-2024. Gobierno de México. Retrieved from https://iapa.cdmx.gob.mx/storage/app/uploads/public/64a/db0/d60/64adb0d605a9c649504003.pdf

  25. United Nations. (2020). The right to mental health. OHCHR. Retrieved from https://www.ohchr.org/en/special-procedures/sr-health/right-mental-health

  26. Wong, B. H.-C., Chkonia, E., Panteleeva, L., Pinchuk, I., Stevanovic, D., Tufan, A.E., Skokauskas, N., & Ougrin, D. (2022). Transitioning to community-basedmental healthcare: Reform experiences of five countries. BJPsych International,19(1), 18-21.

  27. World Health Organization [WHO], Block, M. Á. G., Morales, H. R., Hurtado, L.C., Balandrán, A., & Méndez, E. (2020). Mexico: Health system review. WHORegional Office for Europe; European Observatory on Health Systems andPolicies. Retrieved from https://apps.who.int/iris/handle/10665/334334

  28. World Health Organization [WHO]. (2014). Mental Health Atlas 2014. World HealthOrganization. Retrieved from https://www.who.int/publications-detail-redirect/mental-health-atlas-2014

  29. World Health Organization [WHO]. (2019). Global Health Observatory | By category| Health workforce. World Health Organization. Retrieved from https://apps.who.int/gho/data/node.main.HWFGRP?lang=en

  30. World Health Organization [WHO]. (2022). Human rights. World HealthOrganization. Retrieved from https://www.who.int/news-room/fact-sheets/detail/human-rights-and-health

  31. World Health Organization [WHO]. (2023). Mental health. World HealthOrganization. Retrieved from https://www.who.int/health-topics/mental-health




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