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[Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico]. / Las evidencias benefician al sistema de salud: reforma para remediar el gasto catastrófico y empobrecedor en salud en México.
Knaul, Felicia Marie; Arreola-Ornelas, Héctor; Méndez-Carniado, Oscar; Bryson-Cahn, Chloe; Barofsky, Jeremy; Maguire, Rachel; Miranda, Martha; Sesma, Sergio.
Afiliação
  • Knaul FM; Fundación Mexicana para la Salud, Periférico Sur No. 4809, CP 14610, México, DF. knaul@prodigy.net.mx
Salud Publica Mex ; 49 Suppl 1: S70-87, 2007.
Article em Es | MEDLINE | ID: mdl-17469400
Absence of financial protection in health is a recently diagnosed "disease" of health systems. The most obvious symptom is that families face economic ruin and poverty as a consequence of financing their health care. Mexico was one of the first countries to diagnose the problem, attribute it to lack of financial protection, and propose systemic therapy through health reform. In this article we assess how Mexico turned evidence on catastrophic and impoverishing health spending into a catalyst for institutional renovation through the reform that created Seguro Popular de Salud (Popular Health Insurance). We present 15-year trends on the evolution of catastrophic and impoverishing health spending, including evidence on how the situation is improving. The results of the Mexican experience suggest an important role for the organisation and financing of the health system in reducing impoverishment and protecting households during periods of individual and collective financial crisis.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gastos em Saúde / Reforma dos Serviços de Saúde / Atenção à Saúde / Política de Saúde Tipo de estudo: Health_economic_evaluation Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: Mexico Idioma: Es Revista: Salud Publica Mex Ano de publicação: 2007 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gastos em Saúde / Reforma dos Serviços de Saúde / Atenção à Saúde / Política de Saúde Tipo de estudo: Health_economic_evaluation Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: Mexico Idioma: Es Revista: Salud Publica Mex Ano de publicação: 2007 Tipo de documento: Article País de publicação: México