2012, Number 6
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Gac Med Mex 2012; 148 (6)
The Mexican health system: does it require a transformation?
Chertorivski WS, Fajardo DG
Language: Spanish
References: 16
Page: 502-508
PDF size: 92.88 Kb.
ABSTRACT
National health systems represent an organized social response that enables countries to improve, maintain and enhance
the health status of their citizens. These evolve and are transformed according to changes in the biological, economic,
political and social components of health.
In Mexico there is currently a segmented health system, consisting of a bismarckian model of social security and a
social protection in health model. The latter developed to comply with the fourth constitutional article by which health is
no longer described as a right linked to the employment status of the individual. Given this reality at least three alternatives
seem to emerge for the future: the permanence of a mixed health system with social security and social protection institutions
with a similar weight within the national health system, the extension of social security as the main mechanism of access
to health care within the system, or its opposite, the extension of social protection as a mechanism for widespread access.
Given the challenges we face, it is desirable to establish a unified health system, the aim should be that health care is
universally protected, as currently happens, but is guaranteed through a much more efficient and based in primary care
health care system.
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