Las evidencias benefician al sistema de salud: Reforma para remediar el gasto catastrófico y empobrecedor en salud en México

Translated title of the contribution: Evidence is good for your health system: Policy reform to remedy catastrophic and impoverishing health spending in Mexico

Felicia Marie Knaul, Héctor Arreola-Ornelas, Oscar Méndez-Carniado, Chloe Bryson-Cahn, Jeremy Barofsky, Rachel Maguire, Martha Miranda, Sergio Sesma

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Absence of financial protection in health is a recently diagnosed "disease" of health systems. The most obvious symptom is that families face economic ruin and poverty as a consequence of financing their health care. Mexico was one of the first countries to diagnose the problem, attribute it to lack of financial protection, and propose systemic therapy through health reform. In this article we assess how Mexico turned evidence on catastrophic and impoverishing health spending into a catalyst for institutional renovation through the reform that created Seguro Popular de Salud (Popular Health Insurance). We present 15-year trends on the evolution of catastrophic and impoverishing health spending, including evidence on how the situation is improving. The results of the Mexican experience suggest an important role for the organisation and financing of the health system in reducing impoverishment and protecting households during periods of individual and collective financial crisis.

Translated title of the contributionEvidence is good for your health system: Policy reform to remedy catastrophic and impoverishing health spending in Mexico
Original languageSpanish
Pages (from-to)S70-S87
JournalSalud publica de Mexico
Volume49
Issue numberSUPPL. 1
StatePublished - May 30 2007
Externally publishedYes

Keywords

  • Catastrophic and impoverishing health spending
  • Evidence-based health policy
  • Financial policy
  • Financing health
  • Health care reform
  • Health systems
  • Mexico

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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  • Cite this

    Knaul, F. M., Arreola-Ornelas, H., Méndez-Carniado, O., Bryson-Cahn, C., Barofsky, J., Maguire, R., Miranda, M., & Sesma, S. (2007). Las evidencias benefician al sistema de salud: Reforma para remediar el gasto catastrófico y empobrecedor en salud en México. Salud publica de Mexico, 49(SUPPL. 1), S70-S87.