Access to medicines by seguro popular beneficiaries. Lessons from 25 countries disclaimer the authors views expressed in this publication do not necessarily reflect the views of the united states agency. Can health insurance improve health and reduce mortality. Restricteduse files version 2 march 2016 the mhas mexican health and aging study is partly sponsored by the national. Evaluating the implementation of mexicos health reform. One part of the reform package was the establishment of a specific fund for protection against catastrophic health expenditure for people covered by seguro popular.
Furthermore, homicides have slowed down the progress in reducing life span inequality among young adults in mexico. Jul 27, 2018 the government popular insurance program seguro popular, which was established in 2003, intended to correct these disparities. Volume 22 issue 4 shu wen ng, juan a rivera, barry m popkin, m arantxa colchero. We conclude that the recent increase in informal employment in large municipalities in mexico is due to other causes. In mexico, the seguro popular sp has been implemented as a means to ensure timely and equitable access to medicines for poor populations 47. Although many countries in latin american and elsewhere have similar programs, seguro popular is unusual in terms of its size and scope atun et al. Longterm effects of public health insurance on the health of.
However, it became extremely difficult to collect prepayment fees from households. Mar 21, 2012 causes seguro popular seguropopularqroo. Ecowkp 2015 2 7 chronic diseases are the biggest causes of death and disability, as in most oecd countries. While giving access to highquality care to all families will increase health spending, much could be. Healthsystem reform and universal health coverage in latin.
Publicly funded insurance system for poor and informal sector, to reduce disparities with social security in formal sector. Pdf on jan 1, 2014, laura flamand and others published seguro popular y federalismo en mexico. Did high sugarsweetened beverage purchasers respond. Starting in the late 1980s, many latin american countries began social sector reforms to alleviate poverty, reduce socioeconomic inequalities, improve health outcomes, and provide financial risk protection. Increasing the responsiveness of health services in seguro. Upsurge of homicides and its impact on life expectancy and. It was established by the government of mexico in an effort to expand health care to those without health insurance and reduce health inequities. National academy of medicine, mexico city, may 2829, 2015. Pdf effect of seguro popular on health expenditure in. To set up a system able to support millions, there was a pressing.
India has low rates of daily smoking, though many of the poor smoke heavily. Sep 25, 2015 in the context of aiming to achieve universal health coverage in mexico, this study compares access to prescribed medicines atpm between seguro popular sp and nonsp affiliated outpatient health service users. Mexicos seguro popular appears to have helped reduce the. In 20, it is estimated that 53 million people were covered under this fund guaranteeing access to 284 interventions, 522 medicines and services for 57 catastrophic conditions. Did high sugarsweetened beverage purchasers respond differently to the excise tax on sugarsweetened beverages in mexico. Discover everything scribd has to offer, including books and audiobooks from major publishers. The seguro popular sp was rolled out in 20022010 across municipalities, providing exogenous variation in access to health services without copays.
The hegemonic proposal is uhc that recommends universal health insurance with an explicit service package and a payerprovider split with public and private managers. Sp is the main component of the social protection system in health, which additionally includes the protection fund against catastrophic medical expenses and the health insurance siglo xxi previously known as, insurance for a new generation. Mexicos seguro popular appears to have helped reduce the risk of preterm delivery among women with low education. Homicides in mexico reversed life expectancy gains for men. Director general adjunto del programa seguro medico siglo xxi. According to a world bank report of february 2015, the number of beneficiaries of seguro popular grew from 31. Mar 29, 2015 currently the mexican health system consists mainly of two public health insurance instruments 1. Heavily subsidized communitybased health insurance system integrated into a national network combining local accountability with national. Seguro social or imss was established to provide health care to industrial workers. Universal health coverage has been achieved with seguro popular. Since 2004, seguro popular has gradually expanded to include 55. Health insurance, education, seguro popular, mexico, test scores, school enrollment. Achievements and challenges antonio chemor ruiz, anette elena ochmann ratsch and gloria araceli alamilla martinez national commission for social protection in health seguro popular, mexico city, mexico contents introduction financial structure conclusions references abstractin mexico, seguro popular is a. The objective of this article is to understand the complexity and dynamics that contributed to the adaptation of the policy in the implementation stage, how these.
They accounted for 50% of deaths, with cardiovascular diseases and diabetes, respiratory conditions and cancers figuring most prominently patel et al, 2011. Although after 15 years of its implementation, the percentage of the population with some type of public health insurance has increased from 41% in 2002 to 81% in 2015,5 seguro popular still does not cover esrd treatment. Mexicos public healthcare insurance scheme, seguro popular, provides coverage to the population without social security through two packages. Ppt seguro popular powerpoint presentation free to. In the context of aiming to achieve universal health coverage in mexico, this study compares access to prescribed medicines atpm between seguro popular sp and nonsp affiliated outpatient health service users. Seguro popular by state 20022012 aggregate level state and municipio mortality rates all cause, and by. The e ect of publicly provided health insurance on education. The government popular insurance program seguro popular, which was established in 2003, intended to correct these disparities.
The e ect of publicly provided health insurance on. Innovation in reducing outof pocket cost for health care. Pension universal, oca, hospital angeles, doctors hospital, seguro popular, estafadores, curanderos, reforma isste. The scale of this universal health care project was one of the first challenges to address. Seguro popular mexican health insurance case study. Longterm effects of public health insurance on the health. Seguro popular is a public health insurance that covers a wide range of services without copays for its affiliates. Morphine is included in the list of medicines covered by imss, issste and seguro popular, but a potential barrier to prescription is the need to download the required special prescription books in order to prescribe it. Seguro popular enrollees with no formal education had a far. These detrimental consequences offset increases in life expectancy attributable to ongoing public health interventions such as the enactment of a universal health insurance program seguro popular. The seguro popular began as a pilot in 2002 and was formally created on may 15, 2003. Over the existence of sp around 9295 % of the enrolled families did not pay fees 48. Evaluation of seguro popular design framework gary king institute for quantitative social science harvard university thanks, in mexico, to edith arano, carlos avila, juan eugenio hern. The paper benefited from comments received during the authors workshop in july 2012, and from the comments of the national commission.
1041 179 150 367 705 919 1312 1293 413 1081 1363 1238 588 870 1139 287 370 584 1545 592 923 202 4 874 1523 1056 1584 708 1226 598 79 531 409 1342 439 1271 1135 636 1044 1398 1474 728 1125 317 590 183