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Salud Pública de México
versão impressa ISSN 0036-3634
Resumo
GONZALEZ-BLOCK, Miguel Ángel; FIGUEROA, Alejandro; GARCIA-TELLEZ, Ignacio e ALARCON, José. Financial allocations in the System for Social Protection in Health in Mexico: challenges for strategic purchasing. Salud pública Méx [online]. 2016, vol.58, n.5, pp.522-532. ISSN 0036-3634. https://doi.org/10.21149/spm.v58i5.8242.
Objective:
The financial coordination of the System of Social Protection in Health (SPSS) was analyzed to assess its support to strategic purchasing.
Materials and methods:
Official reports and surveys were analyzed.
Results:
SPSS covers a capita of 2 765 Mexican pesos, equivalent to 0.9% of GDP. The Ministry of Health contributed 35% of the total, state governments 16.7% and beneficiaries 0.06%. The National Commission for Social Protection in Health received 48.3% of resources, allocating 38% to State Social Protection Schemes in Health and paying 7.4% of the total directly to providers.The state contribution is in deficit while family contributions tend not to be charged.
Conclusion:
SPSS has not built funds specialized in strategic purchasing, capable of transforming historical budgets.The autonomy of providers is key to reduce out-of-pocket spending through the supply of quality services.
Palavras-chave : health financing; value-based purchasing; health policy.
