SciELO - Scientific Electronic Library Online

 
vol.53 suppl.4El Fondo de Protección contra Gastos Catastróficos: tendencia, evolución y operaciónImpacto del Seguro Popular en el gasto catastrófico y de bolsillo en el México rural y urbano, 2005-2008 índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Salud Pública de México

versión impresa ISSN 0036-3634

Resumen

GONZALEZ-ROBLEDO, Luz María; NIGENDA, Gustavo; GONZALEZ-ROBLEDO, María Cecilia  y  REICH, Michael. Separation of functions in the System of Social Protection in Health, Mexico 2009: progress and challenges. Salud pública Méx [online]. 2011, vol.53, suppl.4, pp.416-424. ISSN 0036-3634.

OBJECTIVE. To evaluate advancements and challenges in the separation of functions within Mexico's System of Social Protection in Health. MATERIAL AND METHODS. A 2009 evaluation study involving nine states and the National Commission for Social Protection in Health was carried out via semi-structured interviews with key actors and literature analysis. RESULTS. The main advancement has been the creation of the State Regimens for Social Protection in Health (REPSS in Spanish) which act as intermediaries between users and health service providers, making these state-level entities responsible for both managing financial resources and shaping and coordinating the health care delivery network. However, most of the REPSS studied were found to be in a state of inertia, leading to inadequate compliance with legally mandated functions. CONCLUSION. Normative, technical, political and managerial obstacles persist, impeding the successful separation of functions.

Palabras llave : health financing; health management; Mexico.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons