Echevarría-Zuno S

Language: Spanish
References: 8
Page: 525-532
PDF size: 94.65 Kb.

ABSTRACT

The aim of this article is to present the management and medical components within the public health institutions that can contribute to the transformation of the National Health System (NHS). It is expected that these will have an impact in the extent of the medical coverage and will improve the health care services delivered to the Mexican population. A diagnostic study revealed the existence of fragmentation in the NHS. The health institutions are vertically established and operate under isolated mechanisms of financing and administration. Additionally, it is pointed out the problematic derived from the multiplicity in the public insurance conditions among individuals and the lack of census of the insured population within the institutions.
As part of the universalization of health services, it is necessary to integrate the health care system; accordingly, a variety of mechanisms for the partial and total integration are arise, such as the exchange of the health care services and the portability and convergence of the institutions. Particularly, we listed the actions carried out by the Mexican Institute of Social Security for the integration of the NHS such as, the independent management medical areas, diagnosis-related groups (DRG), the performing evaluation of the medical units, and the preventive and curative strategies in the implemented programs. Finally, is dealt some reflections in order to improve the public health schemes.

REFERENCES

1. Dirección de Incorporación y Recaudación. IMSS, diciembre 2011.

2. Gasto en salud en México como porcentaje del PIB. OCDE Health Data 2011.

3. Cifra estimada con datos de la Dirección de Incorporación y Recaudación del IMSS.

4. OCDE Health Data 2011. Organización para la Cooperación y el Desarrollo Económicos. EUA, 2011.

5. Cifra reportada por las instituciones (ISSSTE-SPSS) al cierre 2011.

6. Coordinación de prestaciones económicas. IMSS, noviembre 2011.

7. Décima revisión de la Clasificación Internacional de Enfermedades.

8. La Encuesta de Satisfacción de Usuarios de Servicios Médicos del IMSS se integró por 38,081 entrevistas; 20,224 en primer nivel, 10,922 en segundo, y 6,935 en tercero. El levantamiento fue realizado por dos empresas independientes al Instituto, entre el 20 de junio y el 1.o de julio de 2011, teniendo un nivel de confianza del 95%.