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003			CIESS
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008			230106c20012008mx kr pqon 0 0eng c
022			_a1870-2961
040			_aBiblioteca CIESS _bspa _cBiblioteca CIESS _dgvzj
041			_aeng
082			_aREV WSP No.7
100			_aOrcí, Sandra _923803
245	1	3	_aAn investigation into the cost of universal health coverage in Mexico _ceditor invitado Gabriel Martínez
260			_aMéxico _bCISS _bUIA _c2008
300			_a99-125 p. _bil. _c22 cm.
310			_aSemestral
362			_aRevista Well-being and Social Policy, Vol. 4, No. 2, Second semester 2008
440			_aHealth public insurance _928732
500			_aTítulo en español: Una investigación sobre el costo de la cobertura universal de salud en México.
504			_aBibliografía p. 124-125.
520			_aThe Mexican social security system, after operating for over six decades, has managed to provide healthcare for slightly over half the resident population. There are wide geographical and socioeconomic variations in coverage. To provide wider coverage, the Federal Government created the Sistema de Protección Social en Salud (SPSS) for covering low income family. It becomes the third instrument for the government to cover healthcare in addition to the two important ones: the Instituto Mexicano del Seguro Social (IMSS) and the Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado (ISSSTE). In the context of SPSS, the Federal Government started the initiative called the Seguro Popular de Salud (SPS). SPS offers medical attention, clinical studies and medicine without cost at the point of service. There are three principal sources of funding the SPS: Federal Government, State Governments and a premium charged on the beneficiaries on a sliding scale, proportional to income – the higher income families pay higher premiums with lowest income paying nothing according to a schedule published in the Diario Oficial de la Federación at the start of every year. The idea of the SPS is to cover the population not covered by the other healthcare institutions with the emphasis on catastrophic illnesses. The goal is a gradual rise in coverage until the universal coverage is achieved in the entire territory of Mexico over a period of a decade. In this paper, we discuss how the development of the SPS took place, starting with the National Development Plan 2001-2006. We trace the history of the SPS. We address the following principal questions in this paper: (1) Does the incorporation of the uncovered, largely poor population, change the average cost structure of SPS? (2) Does it depend on the types of diseases and medical conditions covered? (3) Will gradual rollout affect the viability of the system adversely? It turns out that some of the important diseases and medical conditions are strongly related to income levels while others are not. Using the database of Núcleo de Acopio y Análisis de Información en Salud (NAAIS 2005), we exploit the information about the differences in diseases rates of covered and uncovered population in each federal entity. Our finding is that the relationship is not in the direction that we expect: Covered population has higher incidence of most of the diseases for which we have data.
538			_aPDF 513 KB
650			_aSeguridad social _vPublicaciones periódicas _zMéxico _920432
650			_aSistema de salud _xFinanciamiento _zMéxico _924064
650			_aGasto en salud _zMéxico _924065
700	1		_aSinha, Tapen
710			_aConferencia Interamericana de Seguridad Social _9114
710			_aUniversidad Iberoamericana. Ciudad de México _923683
856			_uhttp://162.222.203.113/Analiticas/ADISS2016-380.pdf _zDisponible ADISS2016-380
942			_cART _2ddc
999			_c30303 _d30303
773	0		_032179 _923734 _aConferencia Interamericana de Seguridad Social _b _dMéxico CISS UI 2006-2014 _o026181 _tWell-being and social policy _w _x1870-2961 _z