2012, Number 6
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Gac Med Mex 2012; 148 (6)
Economics of health system transformation
González PE
Language: Spanish
References: 10
Page: 533-544
PDF size: 117.63 Kb.
ABSTRACT
Health conditions in Mexico have evolved along with socioeconomic conditions. As a result, today’s health system faces
several problems characterized by four overlapping transitions: demand, expectations, funding and health resources.
These transitions engender significant pressures on the system itself. Additionally, fragmentation of the health system
creates disparities in access to services and generates problems in terms of efficiency and use of available resources.
To address these complications and to improve equity in access and efficiency, thorough analysis is required in how
the right to access health care should be established at a constitutional level without differentiating across population
groups. This should be followed by careful discussion about what rules of health care financing should exist, which set
of interventions ought to be covered and how services must be organized to meet the health needs of the population.
REFERENCES
Gapminder. Gapminder world indicators. Disponible en: http://www.gapminder. org. Consultado el 20 de febrero de 2012.
OECD. Health at a Glance 2011: OECD Indicators, OECD Publishing. Disponible en: http://www.dx.doi.org/10.1787/health_glance-2011-en. Consultado el 12 de abril de 2012.
World Health Organization. Macroeconomics and health: investing in health for economic development. Report of the Commission on Macroeconomics and Health. Geneva, 2001.
Comisión Mexicana de Macroeconomía y Salud. Macroeconomía y salud: invertir en salud para el desarrollo económico. 1.a ed. México, 2006.
Secretaría de Salud. Sistema de Protección Social en Salud: elementos conceptuales, financieros y operativos. 2.a ed. México, 2006.
Consejo Nacional de Población. Envejecimiento. Disponible en http:// www.conapo.gob.mx. Consultado el 12 de abril de 2012.
González-Pier E, Gutiérrez-Delgado C, Stevens G, et al. Definición de prioridades para las intervenciones de salud en el Sistema de Protección Social en Salud de México. Salud Pública Mex. 2007;49 Suppl 1:37-52.
Health Data, 2011.OECD 2011.
Organización Mundial de la Salud. Constitución de la Organización Mundial de la Salud. Disponible en: http://www.who.int/governance/eb/ who_constitution_sp.pdf. Consultada el 12 de abril de 2012.
Organización de las Naciones Unidas. Pacto Internacional de Derechos Económicos, Sociales y Culturales. Disponible en: http://www.rlc.fao.org/ frente/pdf/pidesc.pdf. Consultado el 12 de abril de 2012.