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 Mexjournal_title
Salud publica de Mexicoauthors
Knaul FM,Arreola-Ornelas H,Méndez-Carniado O,Bryson-Cahn C,Barofsky J,Maguire R,Miranda M,Sesma Ssubject
Has Abstractpub_date
2007-01-01 00:00:00pages
S70-87eissn
0036-3634issn
1606-7916journal_volume
49 Suppl 1pub_type
杂志文章abstract::The Social Functioning Scale (SFS) is described, together with its rationale and development. The instrument consists of 35 items, and was administered to a sample of 320 adult patients of a health center. Social functioning is assessed in a semistructured, 30 minute interview. The patient reports the level of satisfa...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the genetic variability of domain III of envelope (E) protein and to estimate phylogenetic relationships of dengue 4 (Den-4) viruses isolated in Mexico and from other endemic areas of the world. MATERIAL AND METHODS:A phylogenetic study of domain III of envelope (E) protein of Den-4 viruses was c...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342002000300006
更新日期:2002-05-01 00:00:00
abstract::This article analyzes 33 risk indicators about problematic drugs use, based in epidemiological studies in representative student samples, carried out in Mexico since 1975. The indicators are distributed among the variation sources proposed by the classic epidemiological model (environment-agent-host), and are aimed to...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
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:
更新日期:1991-11-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342009000900012
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To carry out estimations of the burden of disease for 129 causes in order to identify health priorities in the different geographic regions of the country and to present comparative data between 1995 and 2000. MATERIAL AND METHODS:Indicators such as disability-adjusted life years (DALYs) and disability adjus...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342007000200009
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:This article establishes the hypothesis that predisposing, enabling and household needs influence the complete vaccination status of children. MATERIAL AND METHODS:Data from the 2004 Bangladesh Demographic and Health Survey (N= 3530) was used. The data was analyzed using descriptive and multiple logistic reg...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342010000200005
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to assess linkages between microclimate and longer-term ENSO-related weather forcing on the week-to-week changes in dengue prevalence in Matamoros, Tamaulipas, Mexico, over a recent decade of dengue observations. MATERIAL AND METHODS:An auto-regressive model to evaluate the role of...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342008000300006
更新日期:2008-05-01 00:00:00
abstract::This essay describes the history of the civil society breast cancer movement in Mexico, the role played by breast cancer NGOs and the changes they must undergo for their activities to impact the quality of life of men and women dealing with this disease. The concept of civil society today has been transformed, regaini...
journal_title:Salud publica de Mexico
pub_type: 历史文章,杂志文章
doi:10.1590/s0036-36342009000800025
更新日期:2009-01-01 00:00:00
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
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/8318
更新日期:2017-09-01 00:00:00
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, ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
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
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/9615
更新日期:2018-07-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/10491
更新日期:2020-09-23 00:00:00
abstract:OBJECTIVE:To describe the magnitude and distribution of folate and vitamin B12 deficiency in Mexican children. MATERIALS AND METHODS:Folate and vitamin B12 serum concentrations were measured in a probabilistic sample of 2 099 children. Adjusted prevalence, mean concentrations and relevant associations were calculated ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342012000200007
更新日期:2012-03-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:1998-03-01 00:00:00
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 ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342006000100004
更新日期:2006-01-01 00:00:00
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
doi:
更新日期:1992-03-01 00:00:00
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 ...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342008000700003
更新日期:2008-01-01 00:00:00
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
pub_type: 杂志文章
doi:10.1590/s0036-36342008000500016
更新日期:2008-09-01 00:00:00
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'...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342009000500004
更新日期:2009-09-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/spm.v55i5.7249
更新日期:2013-09-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.1590/s0036-36342004000400004
更新日期:2004-07-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:10.21149/spm.v56i5.7379
更新日期:2014-09-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
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...
journal_title:Salud publica de Mexico
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract::Cervical cancer morbidity and mortality have decreased substantially during the last 50 years mostly due to successful organized or opportunistic screening with Pap cytology in high and middle income countries. In many low income countries Pap cytology screening is yet to be effectively implemented or has failed to re...
journal_title:Salud publica de Mexico
pub_type: 杂志文章,评审
doi:10.1590/s0036-36342003000900011
更新日期:2003-01-01 00:00:00