Terrés SAM

Language: Spanish
References: 12
Page: 209-216
PDF size: 95.51 Kb.

ABSTRACT

After five years of Free Trade Agreement under NAFTA involving Mexico, Canada and USA several changes have happened in our country evolving on political, economical, cultural and social changes transforming in consequence the Mexican Health Care System in several manners. Health must be considered as a universal value and a human right and in consequence can not be treated as a simple commercial matter. Asymmetry of Mexico on one hand and Canada & USA on the other represent a formidable challenge, in this order NAFTA’S impact has to be analyzed from three different perspectives. From the Mexican point of view the situation has been stained by the economical crisis. Even now, when the official position insists on the presence of healthy indicators on macroeconomics, there is an obvious disproportion among the offer and demand of medical services and this megatrend is growing. Contrary to what was expected, foreign investment has been quite slow and the participation of the private on the social sector has not shown significative advances waiting perhaps for the new millenium. The Mexican Ministry of Health is under a decentralizing process; The National System of Laboratory Accreditation SINALP is expanding and is also under a transformation process; American Laboratories now located on several cities of Mexico haven’t been as successful as projected when trying to obtain samples from Physician’s office to central labs; CONAMED The National Commission of Medical Referee is attending cases of unsatisfied patients and respective families; The National Academy of Medicine is certifying more and better specialists through the National Boards; National Insurance Companies and Private Hospitals are waiting for improvements on Insurance Laws in order to do more business. Surviving on a highly competitive environment will depend on training highly qualified human resources, accreditation quality of medical services, scientific research of health problems and a better application of technology.

REFERENCES

1. Terrés SAM. Implications of informatics on health problems of Mexico. Baylor University Medical Center Proceedings. 1989; 2: 19-23.

2. Terrés SAM; Impacto del Tratado de Libre Comercio en el hospital ABC. Anales Médicos del Hospital ABC 1992; 37: 154-156.

3. Terrés SAM. Impacto del Tratado de Libre Comercio en patología clínica. Rev Mex Pat Clin 1992; 39: 193-194.

4. Frenk J. Economía y Salud. México. Fundación Mexicana para la Salud; 1994.

5. Freeman P, Gómez Dantés O, Frenk J. Health systems in an era of globalization. Challenges and Opportunities for North America. A Conference Summary. Academia Nacional de Medicina. México; 1995.

6. Greenberg HM, Raymond SU. Beyond the crisis. Preserving the capacity for excellence in health care and medical science. Ann NY Acad Sci; 1994.

7. Hammer M, Champy J. Reengineering the corporation. NY Harper Collins Publishers Inc; 1993.

8. Macario S. El Costo del Miedo, La Devaluación de 1994/1995. Grupo Editorial Iberoamérica, México; 1995

9. Terrés SAM. Importancia de la informática en la reingeniería de los laboratorios clínicos mexicanos. Rev Mex Pat Clin 1995; 42: 104-111.

10. Terrés SAM. Reingeniería y mejora continua de la calidad en el laboratorio clínico. Rev Mex Pat Clin 1997; 3: 140-144.

11. Terrés SAM. Medicina del tercer milenio. Rev Med IMSS 1998; 36: 245-252.

12. Terrés SAM. Importancia de la patología clínica y de la biología molecular en el futuro de la medicina. Rev Med IMSS 1998; 38: 341-343.