メキシコの医療システムのパフォーマンスを向上させるための包括的な改革
Julio Frenk1, Eduardo González-Pier, Octavio Gómez-Dantés
1Ministry of Health of Mexico, Mexico City, Mexico.
Lancet (London, England)
|October 31, 2006
まとめ
メキシコ メキシコ メキシコ メキシコ メキシコ
科学分野:
- 公衆衛生は公衆衛生である.
- 健康経済学 医療経済学
- 健康政策 保健政策 保健政策
背景:
- メキシコの保健システムは,高い平均寿命にもかかわらず,財政的保護と社会的不平等という大きな課題に直面していた.
- 構造的制約は,国民保健システムのパフォーマンスと進歩を妨げました.
- 財政的保護の欠如は,医療へのアクセスにおける主要なボトルネックとして特定されました.
研究 の 目的:
- メキシコの医療制度の構造改革を記述する.
- 医療における社会保障制度 (SSPH) と国民保険 (Seguro Popular) の初期成果を評価する.
- 国際保健システムの変革のための教訓を導き出す.
主な方法:
- 健康における社会保障制度 (SSPH) の実施.
- 保険のない家族をカバーするためのSeguro Popular (人気の健康保険) の導入.
- 公共投資の変化と医療の質に対するインセンティブの分析.
主要な成果:
- 健康への公的投資を大幅に増加させる.
- 医療のテクニカル・インターパーソナル・ケア品質の向上に向けたインセンティブの調整.
- 以前から除外されていた集団の健康に対する財政的保護の拡大.
結論:
- メキシコの医療改革,特にSeguro Popularは,金融保護のギャップを埋め始めた.
- この改革は,医療制度のパフォーマンスを向上させ,不平等を減らす可能性を示しています.
- 学んだ教訓は,同様の医療制度の課題に直面している他の国々に情報を提供することができます.
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