Abstract
To analyze organizational, political and economic changes resulting from the decentralization of the health system for those in Mexico without health insurance. Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and 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, and community leaders. Data were analyzed from an anthropological and economic perspective. 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 financial subsidies and democratization of the health system face challenges for their political and organizational consolidation. The anthropological approach adopted in this analysis shows the relevance of considering organizational, economic and political factors as key components of the decentralization process.
Highlights
The Mexican health care system is composed of three sub-sectors: social security, public services for the population without social security and the private sector
Because of political and structural factors,a when talking about the state health care systems in Mexico, it is the public services for the population without social security, provision for whom is organized by the state governments, which is being referred to
Economic and political dynamics related to the key informants for implementing the decentralization of the health care system in the states studied
Summary
The Mexican health care system is composed of three sub-sectors: social security, public services for the population without social security and the private sector. Because of political and structural factors,a when talking about the state health care systems in Mexico, it is the public services for the population without social security, provision for whom is organized by the state governments, which is being referred to. Provision of these services was delegated to the states – the decentralization process – between 1984 and 1997. Applied anthropology refers to anthropological investigation aimed at producing scientific knowledge in order to resolve problems which do not seek abstract discussion of a dimension of reality.6,b
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
