Anthropological view of the decentralization of the Mexican health system
To analyze organizational, political and economic changes resulting from the decentralization of the health system for those in Mexico without health insurance. Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of d...
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Veröffentlicht in: | Revista de saúde pública 2013-04, Vol.47 (2), p.353-359 |
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creator | Núñez, Emanuel Orozco López, Armando Arredondo |
description | To analyze organizational, political and economic changes resulting from the decentralization of the health system for those in Mexico without health insurance.
Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and the second in 1997) were included. Interviews were conducted during 2007 with key informants from the state health care services, users of health care services, and community leaders. Data were analyzed from an anthropological and economic perspective.
Decentralization occurred in a heterogeneous way in each state, with responsibilities being transferred from federal to state level but without breaking the dependence on the central-federal level. The reforms driven from the federal level to create a scheme based on a principle of financial subsidies and democratization of the health system face challenges for their political and organizational consolidation.
The anthropological approach adopted in this analysis shows the relevance of considering organizational, economic and political factors as key components of the decentralization process. |
doi_str_mv | 10.1590/S0034-8910.2013047003860 |
format | Article |
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Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and the second in 1997) were included. Interviews were conducted during 2007 with key informants from the state health care services, users of health care services, and community leaders. Data were analyzed from an anthropological and economic perspective.
Decentralization occurred in a heterogeneous way in each state, with responsibilities being transferred from federal to state level but without breaking the dependence on the central-federal level. The reforms driven from the federal level to create a scheme based on a principle of financial subsidies and democratization of the health system face challenges for their political and organizational consolidation.
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Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and the second in 1997) were included. Interviews were conducted during 2007 with key informants from the state health care services, users of health care services, and community leaders. Data were analyzed from an anthropological and economic perspective.
Decentralization occurred in a heterogeneous way in each state, with responsibilities being transferred from federal to state level but without breaking the dependence on the central-federal level. The reforms driven from the federal level to create a scheme based on a principle of financial subsidies and democratization of the health system face challenges for their political and organizational consolidation.
The anthropological approach adopted in this analysis shows the relevance of considering organizational, economic and political factors as key components of the decentralization process.</description><subject>Decision Making, Organizational</subject><subject>Health Care Reform - economics</subject><subject>Health Care Reform - organization & administration</subject><subject>Health Services Accessibility - organization & administration</subject><subject>Humans</subject><subject>Mexico</subject><subject>Politics</subject><issn>1518-8787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tOwzAURC0kREvhF1CWbALXuXZsL6uKR6UiFsA6cpwbEpQXsQOUrycS7Wo0o6PRDGMRhxsuDdy-AKCItZl9AhxBqDnQKZywJZdcx1pptWDn3n8AJJigPmOLRAAqTHHJtusuVGM_9E3_XjvbRF81fUd9GYWKooIcdWG0Tf1rQ913x_yJfma2iyqyTagiv_eB2gt2WtrG0-VBV-zt_u518xjvnh-2m_UuHrjgIeZOQZ5qkxckCu1kbiUBCAulMFqhFihSa_J5nZZUIgpKnJOiNJxyC07jil3_9w5j_zmRD1lbe0dNYzvqJ59xgZgoboSc0asDOuUtFdkw1q0d99nxPv4B64pcMQ</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Núñez, Emanuel Orozco</creator><creator>López, Armando Arredondo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Anthropological view of the decentralization of the Mexican health system</title><author>Núñez, Emanuel Orozco ; López, Armando Arredondo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-1c70b689bde4d8c5ba5e004a0f4987384346a9b73685ef334e2cc54f91eba0c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>por</language><creationdate>2013</creationdate><topic>Decision Making, Organizational</topic><topic>Health Care Reform - economics</topic><topic>Health Care Reform - organization & administration</topic><topic>Health Services Accessibility - organization & administration</topic><topic>Humans</topic><topic>Mexico</topic><topic>Politics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Núñez, Emanuel Orozco</creatorcontrib><creatorcontrib>López, Armando Arredondo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Núñez, Emanuel Orozco</au><au>López, Armando Arredondo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anthropological view of the decentralization of the Mexican health system</atitle><jtitle>Revista de saúde pública</jtitle><addtitle>Rev Saude Publica</addtitle><date>2013-04</date><risdate>2013</risdate><volume>47</volume><issue>2</issue><spage>353</spage><epage>359</epage><pages>353-359</pages><eissn>1518-8787</eissn><abstract>To analyze organizational, political and economic changes resulting from the decentralization of the health system for those in Mexico without health insurance.
Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and the second in 1997) were included. Interviews were conducted during 2007 with key informants from the state health care services, users of health care services, and community leaders. Data were analyzed from an anthropological and economic perspective.
Decentralization occurred in a heterogeneous way in each state, with responsibilities being transferred from federal to state level but without breaking the dependence on the central-federal level. The reforms driven from the federal level to create a scheme based on a principle of financial subsidies and democratization of the health system face challenges for their political and organizational consolidation.
The anthropological approach adopted in this analysis shows the relevance of considering organizational, economic and political factors as key components of the decentralization process.</abstract><cop>Brazil</cop><pmid>24037363</pmid><doi>10.1590/S0034-8910.2013047003860</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
subjects | Decision Making, Organizational Health Care Reform - economics Health Care Reform - organization & administration Health Services Accessibility - organization & administration Humans Mexico Politics |
title | Anthropological view of the decentralization of the Mexican health system |
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