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Asignación financiera en el Sistema de Protección Social en Salud de México: retos para la compra estratégica. / [Financial allocations in the System for Social Protection in Health in Mexico: challenges for strategic purchasing].

González-Block, Miguel Ángel; Figueroa, Alejandro; García-Téllez, Ignacio; Alarcón, José.
Salud Publica Mex; 58(5): 522-532, 2016 Sep-Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-27991983

OBJECTIVE:

: The financial coordination of the System of Social Protection in Health (SPSS) was analyzed to assess its support to strategic purchasing.

MATERIALS AND METHODS:

: Official reports and surveys were analyzed.

RESULTS:

: SPSS covers a capita of 2 765 Mexican pesos, equivalent to 0.9% of GDP. The Ministry of Health contributed 35% of the total, state governments 16.7% and beneficiaries 0.06%. The National Commission for Social Protection in Health received 48.3% of resources, allocating 38% to State Social Protection Schemes in Health and paying 7.4% of the total directly to providers.The state contribution is in deficit while family contributions tend not to be charged.

CONCLUSION:

: SPSS has not built funds specialized in strategic purchasing, capable of transforming historical budgets.The autonomy of providers is key to reduce out-of-pocket spending through the supply of quality services.
Selo DaSilva