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首页> 外文期刊>The Lancet >Health System Reform in Mexico 1Comprehensive reform to improve health system performance in Mexico
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Health System Reform in Mexico 1Comprehensive reform to improve health system performance in Mexico

机译：墨西哥的卫生系统改革1旨在改善墨西哥的卫生系统绩效的全面改革

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Despite having achieved an average life expectancy of 75 years, much the same as that of more developed countries, Mexico entered the 21st century with a health system marred by its failure to offer financial protection in health to more than half of its citizens; this was both a result and a cause of the social inequalities that have marked the development process in Mexico. Several structural limitations have hampered performance and limited the progress of the health system. Conscious that the lack of financial protection was the major bottleneck, Mexico has embarked on a structural reform to improve health system performance by establishing the System of Social Protection in Health (SSPH), which has introduced new financial rules and incentives. The main innovation of the reform has been the Seguro Popular (Popular Health Insurance), the insurance-based component of the SSPH, aimed at funding health care for all those families, most of them poor, who had been previously excluded from social health insurance. The reform has allowed for a substantial increase in public investment in health while realigning incentives towards better technical and interpersonal quality. This paper describes the main features and initial results of the Mexican reform effort, and derives lessons for other countries considering health-system transformations under similarly challenging circumstances.
机译：尽管墨西哥已经达到了75岁的平均预期寿命，与较发达国家的平均寿命几乎相同，但进入了21世纪，其卫生系统因未能为一半以上的公民提供健康方面的财务保护而受到损害。这既是标志着墨西哥发展进程的社会不平等的结果，也是其原因。几个结构上的限制阻碍了性能，并限制了卫生系统的进展。意识到缺乏财务保护是主要瓶颈，墨西哥已着手进行结构改革，以通过建立卫生社会保护体系（SSPH）来改善卫生系统的绩效，该体系引入了新的财务规则和激励措施。改革的主要创新是SSPH的Seguro Popular（大众健康保险），它是基于保险的组成部分，旨在为以前被排除在社会健康保险之外的所有这些家庭（其中大多数是贫困家庭）提供医疗服务。改革使公共卫生投资大大增加，同时调整了激励措施，以提高技术和人际关系的质量。本文介绍了墨西哥改革努力的主要特征和初步结果，并为其他在类似挑战性环境下考虑进行卫生系统改革的国家提供了经验教训。

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