Governance in mental healthcare policies during the Covid-19 pandemic in Mexico

Dados Bibliográficos

ID22078958
AutoresLina Díaz-Castro, Lina Diaz‐Castro (0000-0002-9123-8641, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, autor correspondente), José Carlos Suárez-Herrera (0000-0002-1038-4090, Kedge Business School), Oscar Omar Gonzalez-Ruiz (Instituto Nacional de Salud Pública), Emanuel Orozco-Núñez (Instituto Nacional de Salud Pública), María Sanchez-Dominguez (0000-0002-1595-6916, Instituto Nacional de Salud Pública), Mario Salvador Sanchez-Dominguez
Ano2023
Volume11
Páginas1017483-1017483
Data de publicação2023-03-06
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1017483
PMID36960375
OpenAlexW4323316116
IdiomaEN
Citações recebidas4
Referências citadas50

The COVID-19 pandemic has become the greatest burden of disease worldwide and in Mexico, affecting more vulnerable groups in society, such as people with mental disorders (MD). This research aims to analyze the governance processes in the formulation of healthcare policies for people with MD in the face of the COVID-19 pandemic. An analytical qualitative study, based on semi-structured interviews with key informants in the healthcare system was conducted in 2020. The study followed the theoretical-methodological principles of the Governance Analytical Framework (GAF). The software ATLAS.ti-V.9 was used for inductive thematic analysis, classifying themes and their categories. To ensure the proper interpretation of the data, a process of triangulation among the researchers was carried out. The findings revealed that in Mexico, the federal Secretary of Health issued guidelines for mental healthcare, but there is no defined national policy. Decision-making involved multiple actors, with different strategies and scopes, depending on the type of key-actor and their level of influence. Majority of informants described a problem of implementation in which infection control policies in the psychiatric population were the same as in the general populations which decreased the percentage of access to healthcare during the pandemic, without specific measures to address this vulnerable population. The results suggest that there is a lack of specific policies and measures to address the needs of people with mental disorders during the COVID-19 pandemic in Mexico. It also highlights the importance of considering the role of different actors and their level of influence in the decision-making process

Business · Corporate governance · Disease · Environmental health · Health care · Mental health · Pandemic · Political science · Population · Psychiatry · Public relations · Qualitative research · Social science · Sociology · Thematic analysis · COVID-19 and Mental Health · Healthcare Systems and Reforms · Medicine · Psychology · Public Health and Social Inequalities