Addressing inequity in health and health care in Mexico
Addressing inequity in health and health care in Mexico
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DOI：
10.1377/hlthaff.21.3.47
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发表时间：
2002-05-01
期刊：
影响因子：
9.7
通讯作者：
Gutiérrez, JP
中科院分区：
文献类型：
--
作者：
Barraza-Lloréns, M;Bertozzi, S;Gutiérrez, JP
尽管墨西哥的出生时预期寿命从1940年的42岁提高到2000年的73岁，但在健康和获得保健方面仍然存在严重的不平等。墨西哥的医疗保健系统已经演变成一系列相互脱节的子系统，无法提供全民医疗保险。如果不对保健筹资方式进行重大改革，公平方面的业绩将仍然很差。本文介绍了该系统的不公平性，并描述了目前的系统如何有助于现状，而不是纠正这种情况。在追溯现行制度的起源之后，我们讨论了走向全民健康保险的政策举措。
Despite the fact that life expectancy at birth in Mexico has improved from forty-two years in 1940 to seventy-three in 2000, major inequalities persist in health and access to health care. The Mexican health care system has evolved into a series of disjointed subsystems that are incapable of delivering universal health insurance. Without greatly restructuring the way health care is financed, performance with respect to equity will remain poor. This paper presents the inequities of the system and describes how the current system contributes to the status quo rather than redressing the situation. After tracing the origins of the present system, we discuss policy initiatives for moving toward universal health insurance.