[Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico].

Abstract:

:Absence of financial protection in health is a recently diagnosed "disease" of health systems. The most obvious symptom is that families face economic ruin and poverty as a consequence of financing their health care. Mexico was one of the first countries to diagnose the problem, attribute it to lack of financial protection, and propose systemic therapy through health reform. In this article we assess how Mexico turned evidence on catastrophic and impoverishing health spending into a catalyst for institutional renovation through the reform that created Seguro Popular de Salud (Popular Health Insurance). We present 15-year trends on the evolution of catastrophic and impoverishing health spending, including evidence on how the situation is improving. The results of the Mexican experience suggest an important role for the organisation and financing of the health system in reducing impoverishment and protecting households during periods of individual and collective financial crisis.

journal_name

Salud Publica Mex

journal_title

Salud publica de Mexico

authors

Knaul FM,Arreola-Ornelas H,Méndez-Carniado O,Bryson-Cahn C,Barofsky J,Maguire R,Miranda M,Sesma S

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

S70-87

eissn

0036-3634

issn

1606-7916

journal_volume

49 Suppl 1

pub_type

杂志文章
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    journal_title:Salud publica de Mexico

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    authors: Castro-Sariñana ME

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    abstract::This paper discusses the transition of the organized social response in health with emphasis on local health systems. After reviewing a few basic definitions (health system, local health system, health care system, institutional system of health services), the author discusses the health transition (transition of the ...

    journal_title:Salud publica de Mexico

    pub_type: 杂志文章,评审

    doi:

    authors: Gutiérrez G

    更新日期:1991-11-01 00:00:00

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    abstract::The effectiveness of vaccines and immunization in the prevention of infectious diseases is one of the greatest successes in medicine. In recent years, with access to cutting edge genomic and proteomic technology, it is possible to accelerate the development of new and improved vaccines with better immunogenicity and s...

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    authors: Mota-Sánchez J

    更新日期:2009-01-01 00:00:00

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    authors: Rodríguez-Abrego G,Escobedo de la Peña J,Zurita B,Ramírez Tde J

    更新日期:2007-03-01 00:00:00

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    authors: Rahman M,Obaida-Nasrin S

    更新日期:2010-03-01 00:00:00

  • Assessing the roles of temperature, precipitation, and ENSO in dengue re-emergence on the Texas-Mexico border region.

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    doi:10.1590/s0036-36342008000300006

    authors: Brunkard JM,Cifuentes E,Rothenberg SJ

    更新日期:2008-05-01 00:00:00

  • [History, overview and challenges of the breast cancer movement in Mexico].

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    pub_type: 历史文章,杂志文章

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    authors: Maza-Fernández ME,Vecchi-Martini E

    更新日期:2009-01-01 00:00:00

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    abstract::In 1978 the World Health Organization proposed as a goal the following slogan: "Health for everyone in the 2000 year". Though, to obtain the covering first assistance indicators is crucial for the evaluation work and for the analysis of the health strategies. In 1981 the World Health Organization proposed 13 indicator...

    journal_title:Salud publica de Mexico

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    authors: Valencia GJ,José MV,Serrano OV

    更新日期:1990-09-01 00:00:00

  • Micronuclei and nuclear anomalies in Mexico's indigenous population.

    abstract:OBJECTIVE:To determine the number of micronuclei and nuclear anomalies in Mexico's indigenous population. MATERIALS AND METHODS:One hundred twenty indigenous individuals were evaluated, including thirty from the ethnicities Cora, Huichol, Tarahumara and Tepehuano. The number of micronuclei (MN) and any nuclear abnorma...

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    authors: Lazalde-Ramos BP,Zamora-Pérez AL,Sosa-Macías M,Galaviz-Hernández C,Zúñiga-González GM

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    abstract::Data from a National Nutrition Survey conducted in 1988 in a probability sample of 13,236 households and 17,426 children under five, representative at the national level and for four regions (North, Center, South, and Mexico City), were analyzed. Risks for wasting and stunting and odds ratios were obtained by region, ...

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    authors: Rivera-Dommarco J,González-Cossío T,Flores M,Hernández-Avila M,Lezana MA,Sepúlveda-Amor J

    更新日期:1995-03-01 00:00:00

  • [The health system of Dominican Republic].

    abstract::This paper describes the health conditions in Dominican Republic and the characteristics of the Dominican health system, including its structure and coverage, its financial sources, the health expenditure, the physical, material and human resources available, the stewardship functions developed by the Ministry of Publ...

    journal_title:Salud publica de Mexico

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    authors: Rathe M,Moliné A

    更新日期:2011-01-01 00:00:00

  • [A front-of-pack labelling system for food and beverages for Mexico: a strategy of healthy decision-making.]

    abstract::The Mexican Ministry of Health requested the National Institute of Public Health to constitute a group of independent, free of conflict-of-interest academic experts on front-of-pack labelling (FOP). This group was instructed to created a positioning paper to contribute to the development of a FOP system for industrial...

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    authors: Kaufer-Horwitz M,Tolentino-Mayo L,Jáuregui A,Sánchez-Bazán K,Bourges H,Martínez S,Perichart O,Rojas-Russell M,Moreno L,Hunot C,Nava E,Ríos-Cortázar V,Palos-Lucio G,González L,González-de Cossio T,Pérez M,Borja Aburto VH,

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    abstract:OBJECTIVE:Understand what Mexican key stakeholders think about the judicialization of the right to health in Mexico. MATERIALS AND METHODS:30 semi-structured interviews were conducted at different settings in Mexico City with representatives of the judiciary, legislative power, Health Sector (HS), pharmaceutical indus...

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    doi:10.21149/10491

    authors: Cobo-Armijo F,Charvel S,Pelcastre-Villafuerte BE

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  • Prevalence of folate and vitamin B12 deficiency in Mexican children aged 1 to 6 years in a population-based survey.

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    journal_title:Salud publica de Mexico

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    doi:10.1590/s0036-36342012000200007

    authors: Cuevas-Nasu L,Mundo-Rosas V,Shamah-Levy T,Méndez-Gómez Humaran I,Avila-Arcos MA,Rebollar-Campos Mdel R,Villalpando S

    更新日期:2012-03-01 00:00:00

  • Study of cutaneous leishmaniasis in the State of Campeche (Yucatan Peninsula), Mexico, over a period of two years.

    abstract:OBJECTIVE:To study cutaneous leishmaniasis (CL), in the Calakmul municipality of the Campeche State, during two years. MATERIALS AND METHODS:Individuals with skin lesions were evaluated. Aspirates taken from the lesions were cultured, PCR was performed to diagnose the Leishmania species. RESULTS:The culture detected ...

    journal_title:Salud publica de Mexico

    pub_type: 杂志文章

    doi:10.21149/spm.v57i1.7403

    authors: Hernández-Rivera MP,Hernández-Montes O,Chiñas-Pérez A,Batiza-Avelar JM,Sánchez-Tejeda G,Wong-Ramírez C,Monroy-Ostria A

    更新日期:2015-01-01 00:00:00

  • The role of vitamin A in reducing child mortality and morbidity and improving growth.

    abstract::This is an update of knowledge on the role of the vitamin A status in determining child mortality, morbidity and growth. Recent information confirms the earlier conclusion of Beaton et al. that a 23% reduction in young child mortality results following improvements in the vitamin A status. Studies show that the mortal...

    journal_title:Salud publica de Mexico

    pub_type: 杂志文章,评审

    doi:10.1590/s0036-36341998000200011

    authors: Ramakrishnan U,Martorell R

    更新日期:1998-03-01 00:00:00

  • [Prevalence of antibodies against Trypanosoma cruzi in blood bank donors from the IMSS General Hospital in Orizaba, Veracruz, Mexico].

    abstract:OBJECTIVE:To estimate the prevalence of antibodies against Trypanosoma cruzi in blood donors from Hospital General Regional (HGRO) of the Mexican Institute of Social Security (IMSS per its abbreviation in Spanish). MATERIAL AND METHODS:Between October 2001 and January 2002, blood samples were collected from voluntary ...

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    doi:10.1590/s0036-36342006000100004

    authors: Ramos-Ligonio A,Ramírez-Sánchez ME,González-Hernández JC,Rosales-Encina JL,López-Monteon A

    更新日期:2006-01-01 00:00:00

  • [Values of serum cholesterol in the Mexican population].

    abstract::The National Seroepidemiologic survey was carried out by the General Directorate of Epidemiology of the Ministry of Health from March 1987 to May 1988. One of the objectives of this survey was to know the mean cholesterol levels in the whole country and in each of the different states of the Mexican Republic by sex an...

    journal_title:Salud publica de Mexico

    pub_type: 杂志文章

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    authors: Posadas-Romero C,Sepúlveda J,Tapia-Conyer R,Magos C,Cardoso-Saldaña G,Zamora-González J,Lerman-Garber I

    更新日期:1992-03-01 00:00:00

  • Alcohol and violence in the emergency department: a regional report from the WHO collaborative study on alcohol and injuries.

    abstract:OBJECTIVE:To determine the relative risk (RR) of non-fatal unintentional and violence-related injury associated with alcohol consumption in three emergency departments in Latin America (2001-2002). MATERIAL AND METHODS:Pair-matched case-crossover was used to obtain RR estimates for alcohol in non-fatal injuries among ...

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    pub_type: 杂志文章

    doi:10.1590/s0036-36342008000700003

    authors: Borges G,Orozco R,Cremonte M,Buzi-Figlie N,Cherpitel C,Poznyak V

    更新日期:2008-01-01 00:00:00

  • Secondhand smoke: facts and lies.

    abstract::Mexico ratified the Framework Convention for Tobacco Control in 2004 and is obligated to move forward with implementing its provisions, including Article 8 (Protection from exposure to tobacco smoke). The country has already faced opposition from the tobacco industry. This paper addresses industry tactics against toba...

    journal_title:Salud publica de Mexico

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    doi:10.1590/s0036-36342008000500016

    authors: Samet JM

    更新日期:2008-09-01 00:00:00

  • [An opinion survey on abortion in Mexico City].

    abstract::In view of the lack of information regarding abortion attitudes in Mexico, an abortion opinion survey was conducted in Mexico City among 387 women and 338 men. Respondents were asked if they agreed with a woman's abortion decision under seven different circumstances. Affirmative responses were analyzed by respondents'...

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    authors: Núñez-Fernández L,Shrader-Cox E,Benson J

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  • Patient delay among Colombian women with breast cancer.

    abstract:OBJECTIVE:Characterize diagnosis and treatment of breast cancer in Bogota, Colombia and examine the extent and determinants of patient delay. MATERIAL AND METHODS:Using a census approach we identified 1 106 women with breast cancer. Information was gathered through personal interviews and the review of medical records...

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    更新日期:2009-09-01 00:00:00

  • Association between leisure-time physical activity and hypertension status in Korean adults.

    abstract:OBJECTIVE:To examine whether leisure-time physical activity (PA) is associated with hypertension status in Korean adults (men, 586; women, 1135) who visited a public health promotion center for a medical checkup in Seoul from 2010 to 2011. MATERIALS AND METHODS:Multivariate logistic regression analysis adjusted for ag...

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  • [Institutional factors contributing to the utilization of breast clinical examination].

    abstract:OBJECTIVE:To identify factors associated with utilization of breast clinical examination (BCE) and their relationship with institutional medical practice. MATERIAL AND METHODS:This is a qualitative study conducted between 1996 and 1997 in medical units of Instituto Mexicano del Seguro Social (Mexican Institute of Soci...

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    authors: Poblano-Verástegui O,Figueroa-Perea JG,López-Carrillo L

    更新日期:2004-07-01 00:00:00

  • Breast cancer in Latin America: global burden, patterns, and risk factors.

    abstract::Breast cancer is a major public health problem in Latin America (LA) and the most common form of cancer among women. An important variability according to ethnicity/race with respect to incidence/mortality, clinical characteristics, and prognosis is observed throughout LA. In addition, women are more likely to develop...

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    authors: Amadou A,Torres-Mejía G,Hainaut P,Romieu I

    更新日期:2014-09-01 00:00:00

  • [Main challenges of the framework convention on tobacco control in Mexico: a surveillance report from the Global Youth Tobacco Survey].

    abstract:OBJECTIVE:This study presents findings from the Global Youth Tobacco Survey (GYTS) regarding current cigarette smoking and other tobacco epidemic indicators. MATERIAL AND METHODS:The GYTS used a two-stage cluster sample survey to generate representative samples of students aged 12 to 15 years old enrolled in public, p...

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    abstract::The right to health and its operational form, as an organized social response to health: the right to health protection, are the mainstay for the global push towards universal health coverage. The path to achieve this goal is particular to each country and relates to the baseline and specific context in relation to wh...

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