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Política de salud basada en la evidencia: tres generaciones de reformas en México
Julio Frenk1, Jaime Sepúlveda, Octavio Gómez-Dantés
1Mexican Ministry of Health, Colonia Santa Maria Ahuacatitian 62508 Cuernavaca, Morelos, Mexico.
Lancet (London, England)
|November 25, 2003
Resumen
México México México México es el país.
Área de la Ciencia:
- Política de salud Política de salud
- Sistemas de Salud Investigación de Sistemas de Salud
- Salud Pública La salud pública.
Sus antecedentes:
- El sistema de salud mexicano ha experimentado una evolución significativa a través de distintas generaciones de reformas.
- Las primeras reformas establecieron instituciones fundamentales como el Ministerio de Salud y las agencias de seguridad social.
- Las reformas posteriores se centraron en la atención primaria de salud y la integración sistémica.
Objetivo del estudio:
- Para analizar las tres generaciones de reformas de salud en México.
- Para resaltar el papel de la estabilidad del liderazgo y la política basada en la evidencia en la evolución del sistema de salud.
- Examinar la evolución de las políticas destinadas a lograr la protección universal de la salud.
Principales métodos:
- Análisis histórico de las reformas del sector de la salud en México.
- Examen de documentos de políticas y desarrollos institucionales.
- Revisión de los enfoques basados en la evidencia en la organización del sistema de salud.
Principales resultados:
- Las reformas del sistema de salud de México progresaron a través de tres generaciones distintas, enfatizando la integración sistémica.
- La estabilidad del liderazgo fue crucial para los esfuerzos de reforma sostenidos durante seis décadas.
- Un cambio hacia modelos basados en la evidencia se intensificó en las generaciones posteriores de reformas.
Conclusiones:
- Las reformas de tercera generación en México se centran en la integración horizontal de la administración, la financiación y la provisión.
- La experiencia mexicana ofrece ideas para los países que buscan la cobertura universal de salud con equidad y calidad.
- El liderazgo sostenido y la política basada en la evidencia son factores clave para la transformación del sistema de salud.
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