Health Systems in Transition: Mexico

This is the first book to fully review the Mexican health system, its organization and governance, health financing, health care provision, health reforms, and health system performance. The book is based on the most recent data and focuses on the three main components that constitute Mexico’s health system: 1) employment-based social insurance programs, 2) public assistance services for the uninsured, and 3) a private sector composed of service providers, insurers, and pharmaceutical and medical device manufacturers and distributors.

Table of Contents:
Glossary Abstract Executive Summary 1. Introduction Geography and Socio-Demography Economic Context Political Context Health Status 2. Organization and Governance Historical Background Organization Decentralization and Centralization Intersectorality Health Information Systems Regulation and Planning Patient Empowerment 3. Financing Health Expenditure Sources of Revenue and Financing Flows Overview of the Statutory Financing System Out-of-Pocket Health Expenses Private Health Insurance Other Sources of Financing Payment Mechanisms 4. Physical and Human Resources Physical Resources Human Resources 5. Provision of Services Public Health Patient Pathways Primary/Ambulatory Care Specialized Outpatient Care/Hospital Care Emergency Care Pharmaceutical Care Rehabilitation and Intermediate Care Long-term Care Care by Informal Caregivers Palliative Care Mental Health Dental Care Complementary and Alternative Medicine 6. Principal Health Reforms The System for Social Protection in Health Financial Impact of SPSS Equity and Efficiency Impacts of SPSS Demand-Side Funding by SPSS Portability and Convergence Persistence of Segmentation Future Developments 7. Assessment of the Health System Health System Governance Accessibility Financial Protection User Experience and Equity of Access to Health Care Health Care Quality Health System Outcomes Health System Efficiency 8. Conclusions References

About the Author :
Miguel Á González Block is an associate researcher, and Becton Dickinson Research Chair in the Faculty of Health Sciences at Anahuac University, Mexico City. Hortensia Reyes Morales is the Executive Director of the Center for Health Systems Research at the National Institute of Public Health. Lucero Cahuana Hurtado is a professor at the School of Administration and Public Health at Universidad Peruana Cayetano Heredia. Alejandra Balandrán is the Director of Structure and Resources for the Sectorial Master Plan of the Ministry of Health of Mexico. Edna Méndez is the Head of the Postgraduate Studies Department at the National Institute of Genomic Medicine.

Review :
" Health Systems in Transition: Mexico is a comprehensive and thoughtful review of a dynamic transformation process in a major emerging economy. Along with his coauthors, Miguel Angel González-Block displays the type of acute analysis that has earned him the reputation as one of the leading thinkers on health systems. This book will be enlightening for anyone who is interested in evidence-based health policy around the developing world, especially Latin America." --Julio Frenk, President and professor of Public Health Sciences, Health Sector Management and Policy, and Sociology, University of Miami "Incredibly well researched, with a comprehensive inclusion of the recent literature, Health Systems in Transition: Mexico depicts a very good description of the complex decentralization history of Mexico and how it has evolved over time in a permanent conflict with centralizing policies." --Arturo Vargas Bustamante, associate professor of Health Policy and Management, UCLA Fielding School of Public Health