Título

Vision antropológica de la descentralización del sistema de salud en México

Autor

ABEL ARMANDO ARREDONDO LOPEZ

Emanuel Orozco

Nivel de Acceso

Acceso Abierto

Resumen o descripción

OBJECTIVE: To analyze organizational, political economic changes

resulting from the decentralization of the health system for those in Mexico

without health insurance.

METHODS: Three states, selected by considering the percentage of the

population living in poverty, the political party in power their stage of

decentralization (the fi rst was in 1984 the second in 1997) were included.

Interviews were conducted during 2007 with key informants from the state

health care services, users of health care services, community leaders. Data

were analyzed from an anthropological economic perspective.

RESULTS: Decentralization occurred in a heterogeneous way in each state,

with responsibilities being transferred from federal to state level but without

breaking the dependence on the central federal level. The reforms driven from

the federal level to create a scheme based on a principle of fi nancial subsidies

democratization of the health system face challenges for their political and

organizational consolidation.

CONCLUSIONS: The anthropological approach adopted in this analysis shows

the relevance of considering organizational, economic political factors as

key components of the decentralization process.

Fecha de publicación

13 de febrero de 2018 13 de febrero de 2018 16 de agosto de 2017 2013

Tipo de publicación

Artículo

Recurso de información

http://repositorio.insp.mx:8080/jspui/handle/20.500.12096/7000

http://doi.org/DOI: 10.1590/S0034-8910.2013047003860.

siid.insp.mx:1001-183

Formato

application/pdf

application/pdf

Idioma

Español

Cobertura

Internacional

Repositorio Orígen

Repositorio Institucional Abierto de Conocimiento en Salud Pública

Descargas

0

Comentarios



Necesitas iniciar sesión o registrarte para comentar.