Health insurance in Mexico: Achieving universal coverage through structural reform - A 2003 reform is making good progress toward covering Mexico's eleven million uninsured families by 2010

Health Affairs

Volumn 24, Issue 6, 2005, Pages 1467-1476

  Knaul, Felicia Marie ^a,b   Frenk, Julio ^c  

^a Ministry of Public Education   (Mexico)

^b Mexican Foundation for Health   (Mexico)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE POLICY; HEALTH INSURANCE; INSURANCE; MEXICO; ORGANIZATION AND MANAGEMENT; REVIEW;

HEALTH CARE REFORM; INSURANCE, HEALTH; MEXICO; UNIVERSAL COVERAGE;

EID: 28444437707     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.24.6.1467     Document Type: Review

References (37)

1. Recent literature for the United States includes J.M. Lambrew, J.D. Podesta, and T.L. Shaw, "Change in Challenging Times: A Plan for Extending and Improving Health Coverage," Health Affairs, 23 March 2005, content.healthaffairs.org/cgi/content/abstract/hlthaff.w5.119 (29 August 2005);
2. R. Kronick, "Financing Health Care - Finding the Money Is Hard and Spending It Well Is Even Harder," New England Journal of Medicine 352, no. 12 (2005): 1252-1254;
3. and D. Himmelstein et al., Review of Uninsured in America: Life and Death in the Land of Opportunity by S. Starr and R. Fernandopulle, Journal of the American Medical Association 293, no. 20 (2005): 2538-2539.
4. The WHO (2000) framework seeks to measure the performance of country health systems in terms of health, responsiveness, and fairness of finance. World Health Organization, World Health Report 2000, Health Systems: Improving Performance (Geneva: WHO, 2000).
5. J. Frenk et al., "Evidence-based Health Policy: Three Generations of Reform in Mexico," Lancet 362, no. 9396 (2003): 1667-1671.
6. Ministry of Health, Programa Nacional de Salud 2001-2006: La democratización de la salud en México, hacia un sistema universal de salud (Mexico City: Ministry of Health, 2001);
7. Ministry of Health, Salud: México 2001: Información para la rendición de cuentas (Mexico City: Ministry of Health, 2002);
8. and J. Frenk et al., "Fair Financing and Universal Social Protection: The Structural Reform of the Mexican Health System," Working Paper (Mexico City: Ministry of Health, 2004).
9. Ministry of Health, Programa Nacional de Salud 2001-2006;
10. Ministry of Health, Salud: México 2001;
11. Organization for Economic Cooperation and Development, OECD Reviews of Health Care Systems: Mexico (Paris: OECD, 2005);
12. and Frenk et al., "Fair Financing and Universal Social Protection."
13. Frenk et al., "Fair Financing and Universal Social Protection." Ibid.;
14. Ministry of Health, Salud: México 2002 and 2003;
15. A.C. Torres, "Análisis del gasto de bolsillo en salud en México," Tesis de licenciatura (Mexico City: Instituto Autónomo Tecnológico de México [ITAM], 2001);
16. and F.M. Knaul et al., "El Sistema de Protección Social en México: Efectos potenciales sobre la justicia financiera y los gastos catastróficos de los hogares," in Caleidoscopio de la Salud, ed. F. Knaul and G. Nigenda (Mexico City: Mexican Health Foundation [FUNSALUD], 2003), 275-291.
17. WHO, World Health Report 2000;
18. and J. Frenk et al., eds., Economía y Salud: Propuestas para el avance del sistema de salud en México, Informe final (Mexico City: FUNSALUD, 1994).
19. J.H. Restrepo, "Instituciones y mercados de salud: lecciones de la reforma colombiana" (Unpublished paper, Universidad de Antioquia, Colombia, 2003).
20. Ministry of Health, Comisión Nacional de Protección Social en Salud: Informe de resultados, Primer Semestre de 2005 (Mexico City: Ministry of Health, 2005).
21. This policy-making body was established in the Constitution of 1917 and includes policymakers, experts, nongovernmental organizations, professional associations, and the private sector.
22. Ministry of Health, Salud: México 2003;
23. and Salud: México 2004, Información para la rendición de cuentas.
24. Ministry of Health, Salud: México 2004;
25. and Comisión Nacional de Protección Social en Salud.
26. Ministry of Health, Salud: México 2004.
27. Salud: México 2004. Ibid.;
28. and Ministry of Health, Comisión Nacional de Protección Social en Salud.
29. OECD, Reviews of Health Systems: Mexico.
30. Calculations based on Sistema de Cuentas Nacionales y Estatales de Salud (SICUENTAS) data. The Ministry of Health budget is based on authorized figures in 2005. The comparisons to 2005 do not include state contributions or Petróleos Mexicanos (PEMEX), as these figures are not yet available.
31. Ministry of Health, Salud: México 2001, 2002, 2003, and 2004.
32. The legislative and political balance has generated an environment of budgetary negotiation throughout the current administration.
33. I. Kaul et al., eds., Providing Global Public Goods: Managing Globalization (Oxford: Oxford University Press, 2003);
34. and J. Frenk et al., "Closing the Relevance-Excellence Gap in Health Research: The Use of Evidence in Mexican Health Reform," in Global Forum Update on Research for Health 2005, ed. S. Matlin (London: Pro-Brook Publishing, 2004).
35. Examples from this large literature include A. Wagstaff et al., "Equity in the Finance of Health Care: Some Further International Comparisons," Journal of Health Economics 18, no. 3 (1999): 263-290;
36. C.J.L. Murray et al., "Defining and Measuring Fairness of Financial Contribution," Global Programme on Evidence and Information Working Paper no. 24 (Geneva: WHO, 2000);
37. and C.J.L. Murray and D. Evans, eds., Health System Performance Assessment: Methods, Debates, and Empirics (Geneva: WHO, 2003).