Bridging the divide: global lessons from evidence-based health policy in Mexico
Bridging the divide: global lessons from evidence-based health policy in Mexico
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DOI：
10.1016/s0140-6736(06)69376-8
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发表时间：
2006-09-09
期刊：
影响因子：
168.9
通讯作者：
Frenk, Julio
中科院分区：
文献类型：
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作者：
Frenk, Julio
在过去的6年里，墨西哥经历了其卫生系统的大规模变革。本文概述了墨西哥改革经验的主要特点。由于高度的社会不平等，墨西哥是影响所有发展水平国家的一系列问题的一个缩影。它的卫生系统没有跟上疾病双重负担的压力，营养不良、常见感染和生殖健康问题与非传染性疾病和伤害并存。由于一半的人口没有保险，墨西哥面临着一个不可接受的悖论：虽然健康是消除贫困的一个关键因素，但大量家庭因医疗保健和药物支出而变得贫困。这项改革旨在通过引入一项名为大众健康保险(Seguro Popular)的新计划来纠正这一悖论。这一创新举措正在逐步保护5000万墨西哥人，其中大多数是穷人，他们到目前为止一直被排除在正式社会保险之外。本文件报告了在实现改革的最终目标方面取得的令人鼓舞的成果：所有人都能普遍获得具有社会保护的高质量服务。
During the past 6 years, Mexico has undergone a large-scale transformation of its health system. This paper provides an overview of the main features of the Mexican reform experience. Because of its high degree of social inequality, Mexico is a microcosm of the range of problems that affect countries at all levels of development. Its health system had not kept up with the pressures of the double burden of disease, whereby malnutrition, common infections, and reproductive health problems coexist with non-communicable disease and injury. With half of its population uninsured, Mexico was facing an unacceptable paradox: whereas health is a key factor in the fight against poverty; a large number of families became impoverished by expenditures in health care and drugs. The reform was designed to correct this paradox by introducing a new scheme called Popular Health Insurance (Seguro Popular). This innovative initiative is gradually protecting the 50 million Mexicans, most of them poor, who had until now been excluded from formal social insurance. This paper reports encouraging results in the achievement of the ultimate objective of the reform: universal access to high-quality services with social protection for all.