Health System Reform in Mexico 4 -: Evidence is good for your health system:: policy reform to remedy catastrophic and impoverishing health spending in Mexico
Health System Reform in Mexico 4 -: Evidence is good for your health system:: policy reform to remedy catastrophic and impoverishing health spending in Mexico
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DOI：
10.1016/s0140-6736(06)69565-2
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发表时间：
2006-11-18
期刊：
影响因子：
168.9
通讯作者：
Sesma, Sergio
中科院分区：
文献类型：
--
作者：
Knaul, Felicia Marie;Arreola-Ornelas, Hector;Sesma, Sergio
缺乏卫生方面的财政保护是卫生系统最近诊断出的一种“疾病”。最明显的症状是，家庭由于支付保健费用而面临经济崩溃和贫困。墨西哥是最早诊断出这一问题的国家之一，将其归因于缺乏经济保护，并提出通过卫生改革进行系统性治疗。在这篇文章中，我们评估墨西哥如何通过创建塞古拉大众（大众医疗保险）的改革，将灾难性和令人沮丧的医疗支出的证据转化为制度革新的催化剂。我们提出了15年来灾难性和破坏性卫生支出演变的趋势，包括有关情况如何改善的证据。墨西哥的经验表明，在个人和集体财政危机期间，卫生系统的组织和筹资在减少贫困和保护家庭方面发挥着重要作用。
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 Segura Popular (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.