Mexico City
The Supply of a Primary Health Care Service
Bibliographic Data
| ID | 3816710 |
|---|---|
| Authors | Margaret E Harrison (0000-0002-0729-8407, corresponding author) |
| Year | 1991 |
| Volume | 10 |
| Issue | 2 |
| Pages | 239 |
| Publication date | 1991-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Bulletin of Latin American Research (JOURNAL) |
| Journal identifiers | ISSN: 0261-3050 • E-ISSN: 1470-9856 |
| Publisher | JSTOR (PUBLISHER) |
| DOI | 10.2307/3338178 |
| OpenAlex | W2316041191 |
| Language | EN |
| Citations received | 3 |
| References cited | 5 |
By 1990 social and economic deterioration in Mexico City Mexico had exacerbated operational structural and financial difficulties in the primary health care (PHC) system. Duplication of health services by the two social security schemes for those employed by the state or private sector--Instituto Mexicano de Seguro Social (IMSS) and the Instituto de Seguridad y Servicos Sociales de los Trabajadores al Servico del Estado (ISSSTE)--and the state-subsidized Secretaria de Salud y Asistencia (SSA) persisted despite attempts at amalgamation. All three services emphasize curative rather than preventive care. Moreover only 17.8% of eligible low-income Mexico City residents are active registered users of the SSAs PHC centers. Between 1982-86 the SSA budget was reduced by 29% forcing some PHC centers to institute service fees and many physicians to seek employment elsewhere. Recommended to improve this situation is conversion of the SSA health service to an exclusively PHC-oriented system with IMSS and ISSSTE providing secondary and tertiary care by referral. This alternative is viable because SSA is the institution with the largest spatial distribution of existing PHC centers. These centers must have a guaranteed standard of service provision that can be maintained regardless of economic conditions however. Without radical changes SSA will continue to be regarded as the service of the poor and equity issues will remain unaddressed. Such an effort will require health promotion campaigns that emphasize the value of preventive health care
Business · Economic growth · Economics · Family medicine · Health care · Operations management · Primary care · Primary health care · Service (business · Healthcare Systems and Reforms · Medicine · Marketing
| Citations per year | 0.09 |
|---|---|
| Citation span | 1994 - 2016 (23) |
| Highly cited | No |