Related Experiment Video
Updated: May 25, 2026

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
[Decentralization of health services: case studies in six Mexican states]
Nuria Homedes1, Antonio Ugalde
1School of Public Health, University of Texas-Houston, Houston, Texas, USA. nhomedes@utep.edu
Objective:
This article discusses the effects of the second decentralization of the Mexican Ministry of Health (1994-2000).
Material And Methods:
It is based on a review of official and archival documents, health and productivity statistics, observations in clinics and hospitals, and 232 in-depth interviews in the states of Baja California Sur, Colima, Guanajuato, Nuevo León, Sonora and Tamaulipas. The interviewees included high-level administrators of state and district health systems, leaders of workers unions, health providers and representatives of civil society.
Results:
The article identifies the problems that offices of health at state level had to overcome to implement the decentralization.
Conclusions:
Descentralizacion failed to achieve the objectives stated by its promoters.
Related Concept Videos
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Integrated Healthcare System
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
