The Road to Healthcare is Paved with Good Intentions
Perceptions of Mexico City’s Government-Managed Healthcare Program
Bibliographic Data
| ID | 21616514 |
|---|---|
| Authors | José M Juárez (0000-0003-1776-1992, San Diego State University), Jorge Juarez (San Diego State University), Rachael A Record (0000-0001-9861-2715, San Diego State University, corresponding author), Tiffany A Dykstra-De Vette (San Diego State University) |
| Year | 2026 |
| Volume | 41 |
| Issue | 5 |
| Pages | 778-788 |
| Publication date | 2026-04-16 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Communication (JOURNAL) |
| Journal identifiers | ISSN: 1041-0236 • E-ISSN: 1532-7027 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10410236.2025.2535041 |
| PMID | 40701622 |
| OpenAlex | W4412649692 |
| Language | EN |
| References cited | 28 |
The Médico en Tu Casa and Salud en Tu Vida (MTC/STV) government-led health programs bring free healthcare services to the homes of Mexico City residents. Despite international recognition of the program, program evaluation has thus far adopted a top-down perspective, mostly excluding the point of view of recipients and other locals in reports on the program. Driven by the culture-centered approach, this study employs interview research methods to investigate perceptions of the program by centering the voices of residents whom the MTC/STV healthcare program is designed to serve. These perspectives were gathered via face-to-face interviews that took place in Mexico City and analyzed using a grounded, iterative approach with sensitizing concepts from the culture-centered approach. Results show an overall lack of program awareness, and perceptions of the program as both a critical resource and inefficient. Finally, we conclude with suggestions from participants for improving the implementation of state-funded healthcare programs. Findings highlight the importance of cultural competence and input from healthcare recipients when conceptualizing, designing, and assessing government-led healthcare programs. Further, the interpretations suggest that the delivery of effective in-home health care requires communication and coordination with patient family members and a provision of care that recognizes the structural barriers to accessible healthcare in Mexico City
Business · Economic growth · Economics · Health care · Perception · Political science · Public relations · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing · Psychology
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| Citation velocity | historical |
|---|---|
| Highly cited | No |