Related Experiment Videos
Lina Díaz-Castro1, María Guadalupe Ramírez-Rojas2, Héctor Cabello-Rangel3
1Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz. Ciudad de México, México. dralaindiaz@hotmail.com.
Salud Publica De Mexico
|January 31, 2022
Summary
Centralized governance in Mexico
Area of Science:
- Public Health
- Health Policy
- Health Systems Analysis
Background:
- The COVID-19 pandemic exposed challenges in health system governance.
- Effective policy implementation relies on robust governance structures.
Purpose of the Study:
- To analyze health system governance in Mexico concerning COVID-19 policies.
- To understand the impact of governance on pandemic response.
Main Methods:
- Qualitative, analytical study conducted from June to November 2020.
- Analysis of 41 semi-structured interviews with key health system stakeholders.
- Utilized ATLAS.ti 9 software and the Governance Analytical Framework.
Main Results:
- Policy formulation was centralized, with decision-making limited to high-level officials.
- Federal policies were adapted differently at the state level.
- Social values and leadership influenced actor responsibility and decision-making power.
Conclusions:
- Centralized governance, varied actor engagement, and decision-making power shaped the scope of governance.
- These factors determined the effectiveness of the COVID-19 pandemic response in Mexico.