Evidence-Based Health Policy: Three Generations of Reform In Mexico

The Lancet; 362(9396): 1667

Posted: 25 Apr 2012 Last revised: 28 Sep 2012

See all articles by Julio Frenk

Julio Frenk

Bill and Melinda Gates Foundation

Jaime Sepulveda

Instituto Nacional de Salud Pública

Felicia Knaul

Mexican Health Foundation; Harvard Global Equity Initiative

Octavio Gómez-Dantés

Government of Mexico - Center for Health Systems Research

Date Written: Noviembre 15, 2003

Abstract

The Mexican health system has evolved through three generations of reform. The creation of the Ministry of Health and the main social security agency in 1943 marked the first generation of health reforms. In the late 1970s, a second generation of reforms was launched around the primary health-care model. Third-generation reforms favour systemic changes to reorganise the system through the horizontal integration of basic functions — stewardship, financing, and provision. The stability of leadership in the health sector is emphasised as a key element that allowed for reform during the past 60 years. Furthermore, there has been a transition in the second generation of reforms to a model that is increasingly based on evidence; this has been intensified and extended in the third generation of reforms. We also examine policy developments that will provide social protection in health for all. These developments could be of interest for countries seeking to provide their citizens with universal access to health care that incorporates equity, quality, and financial protection.

Keywords: Mexican health system, health reforms

JEL Classification: I18

Suggested Citation

Frenk, Julio and Sepulveda, Jaime and Knaul, Felicia and Gómez-Dantés, Octavio, Evidence-Based Health Policy: Three Generations of Reform In Mexico (Noviembre 15, 2003). The Lancet; 362(9396): 1667. Available at SSRN: https://ssrn.com/abstract=2046333

Julio Frenk

Bill and Melinda Gates Foundation ( email )

P.O. Box 23350
Seattle, WA 98102
United States

Jaime Sepulveda

Instituto Nacional de Salud Pública ( email )

Mexico

Felicia Knaul (Contact Author)

Mexican Health Foundation ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
El Arenal Tepepan, Tlalpan
Mexico, D.F., 14610
Mexico
(52) 55 56559011 (Phone)
(52) 55 56559082 (Fax)

HOME PAGE: http://http//www.funsalud.org.mx

Harvard Global Equity Initiative ( email )

FXB Building, Room 632
651 Huntington Avenue
Boston, MA 02115
United States
(617) 4327938 (Phone)

HOME PAGE: http://isites.harvard.edu/icb/icb.do?keyword=k62597&pageid=icb.page268594

Octavio Gómez-Dantés

Government of Mexico - Center for Health Systems Research ( email )

Mexico

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