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Consequences of the North American Free Trade Agreement for health services

A perspective from Mexico

Bibliographic Data

ID11030208
AuthorsJulio Frenk (0000-0002-8760-7926, Mexfam), Octavio Gómez-Dantés (0000-0002-9602-3498), Carlos Cruz (0000-0003-0662-4124), Fabio Chacon (0000-0002-9336-7690), P Hernández (0000-0002-9009-4746), Phyllis Freeman (0000-0002-5599-8475)
Year1994
Volume84
Issue10
Pages1591-1597
Publication date1994-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.84.10.1591
PMID7943476
OpenAlexW2068544153
LanguageEN
Citations received4
References cited6

OBJECTIVES. The purposes of the study were to assess the potential impact of the North American Free Trade Agreement (NAFTA) on medical care in Mexico and to identify internal measures Mexico could take to increase the benefits and minimize the risks of free trade. METHODS. The dual nature of the health sector is examined; the Mexican, Canadian, and US health care systems are compared; and modes and consequences of international exchange of health services are analyzed. RESULTS. Four issues require immediate attention: accreditation of health care facilities, licensing and certification of professionals, technology assessment, and financial equity. CONCLUSIONS. NAFTA offers opportunities for positive developments in Mexico, provided risks can be anticipated and preventive measures can be taken to avoid negative impacts on the health system. Medical services, like other elements of the Mexican economy, must be modernized to respond to the demands of global competition. The Mexican National Academy of Medicine has recommended to the Mexican government (1) internal strengthening of the Mexican health care system to improve its ability to respond to the new conditions created by NAFTA and (2) a gradual process to facilitate equitable and mutually beneficial interactions among the three countries

Agreement · Business · Environmental health · Free trade · Free trade agreement · Geography · International trade · Perspective (graphical) · Public health · Global Health Workforce Issues · Global Healthcare and Medical Tourism · Healthcare Systems and Reforms · Mathematics · Medicine · Nursing

  • Commerce in health services in North America within the context of the North American Free Trade Agreement

    Open Access•Octavio Gómez-Dantés, Julio Frenk et al.•Revista Panamericana de Salud…•1997

  • Ciencias sociales y salud en México

    Open Access•Raúl Castro Pérez, Roberto Castro•Ciência & Saúde Coletiva•2003

  • The North American Free Trade Agreement (Nafta) and Mexican Nursing

    Open Access•Allison Squires•Health Policy and Planning•2011

  • Indicadores de gobernanza para el desarrollo de estrategias binacionales deprotección social en la salud de los migrantes

    Open Access•Armando Arredondo Lopez, Emanuel Orozco Núñez et al.•Saúde e Sociedade•2013

  • State intervention in medical care

    Open Access•Julio Frenk, Avedis Donabedian•Health Policy and Planning•1987

  • The health care reform in Mexico

    Guillermo Soberón, J Frenk et al.•American Journal of Public Health•1986

  • The Economics of Health

    Ann Marie Gray, Alastair Gray et al.•Economica•1980

Unique citing works4
Citations per year0.14
Citation span1997 - 2013 (17)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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