Abstract:
Background:Heterogeneous government responses have been reported in reaction to COVID-19. The aim of this study is to generate an exploratory review of healthcare policies published during COVID-19 by health-care institutions in Mexico. Analyzing policies within different health sub-systems becomes imperative in the Mexican case due to the longstanding fragmentation of the health-care system and health inequalities. Data and Methods:Policies purposely included in the analysis were published by four public health institutions (IMSS, ISSSTE, SSA and PEMEX) during the COVID-19 epidemic in Mexico (from February 29th to June 15th, 2020) on official institutional websites. Researchers reviewed each document and classified them into seven policy categories set by the Rapid Research Evaluation and Appraisal Lab (RREAL): public health response, health-care delivery, human resources, health-system infrastructure and supplies, clinical response, health-care management, and epidemiological surveillance. Results:Policy types varied by health institution. The largest number of policies were aimed at public health responses followed by health-care delivery and human resources. Policies were mainly published during the community transmission phase. Conclusions:The pandemic exposed underlying health-care system inequalities and a reactive rather than prepared response to the outbreak. Additionally, this study outlines potential policy gaps and delays in the response that could be avoided in the future.
journal_name
Health Policy Openjournal_title
Health policy OPENauthors
Bautista-González E,Werner-Sunderland J,Pérez-Duarte Mendiola P,Esquinca-Enríquez-de-la-Fuente CJ,Bautista-Reyes D,Maciel-Gutiérrez MF,Murguía-Arechiga I,Vindrola-Padros C,Urbina-Fuentes Mdoi
10.1016/j.hpopen.2020.100025keywords:
["COVID-19","Health inequalities","Health policy","Mexico","Pandemic","Universal health coverage"]subject
Has Abstractpub_date
2021-12-01 00:00:00pages
100025issn
2590-2296pii
S2590-2296(20)30023-Xjournal_volume
2pub_type
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