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2008, Number S3

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salud publica mex 2008; 50 (S3)

Public policy, structures of the state and the advocacy of the right to health protection

Ruelas-Barajas E, Gay-Molina JG
Full text How to cite this article

Language: Spanish
References: 7
Page: 343-347
PDF size: 141.26 Kb.


Key words:

tobacco, public policy, civil rights, Mexico.

ABSTRACT

Not always public policies for the advocacy of citizen rights meet their goal, among other things, because between their formulation and their implementation there is a lack of appropriate structures to generate, articulate and execute these policies. This has been the case of Mexico regarding the advocacy of the rights of non smokers. Very few has been achieved in this matter in the past. This article lists some of the potential causes of the lack of implementation of public policies. At the same time, explores the highly dynamic nature of the health care system at the present and towards the future. The magnitude of the challenges faced by the health care system requires concerted actions of many actors, not only from the very health care system but also from outside. Thus, public policies have to be considered not just at the governmental level but at the state level. Therefore, the main argument of this paper is that given the need to respond to complex challenges to protect the health of the population and their rights in a very complex context, there is a need to formulate and implement state policies that require the intervention of the appropriate state structures to make sure that the design and execution leads to the expected achievements. One such structure at the state level, among others, is the General Health Council, an organization established in 1841, that was incorporated within the Mexican Constitution in 1917, depending directly from the President of Mexico as Head of State. This Council has been reinforced to improve its assigned role to better participate, along other state structures, in the formulation and implementation of public policies such as those for the advocacy of citizen rights.


REFERENCES

  1. Lavis JN. A political science perspective on evidence-based decision making. En: Lemieux-Charles L, Champagne F. Using knowledge and evidence in health care. Toronto: University of Toronto Press, 2004:70-85.

  2. Champagne F, Lemieux-Charles L, McGuireW. Towards a broader understanding of the use of knowledge and evidence in health care. En: Lemieux-Charles L, Champagne F. Using knowledge and evidence in health care. Toronto: University of Toronto Press. 2004:3-17.

  3. Podestá J. Problematización de las políticas públicas desde la óptica regional. Última Década 2001;15:163-175.

  4. Doern B, Aucoin P. Public policy in Canada. Toronto, Ont.: Gage Publishing Limited, 1979.

  5. Constitución Política de los Estados Unidos Mexicanos. Artículo 73, Fracción XVI. México, 2007.

  6. Ley General de Salud. Artículo 4. México, 2007

  7. Consejo de Salubridad General. Acuerdo por el que se emite recomendación a fin de proteger la salud de los no fumadores por la exposición involuntaria al humo de tabaco. Diario Oficial de la Federación 28 de mayo. México: Secretaría de Gobernación, 2004.




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salud publica mex. 2008;50