Abstract
This paper aims to analyze the regulatory structure of nursing in Mexico through its legislation and perspectives of participant stakeholders. A case study was undertaken using qualitative and quantitative data sources, as well as from the review of official documents. The analysis included data from the sources according to the four realms proposed by the Moran & Wood (1993) model. The more advanced realm was the market entry since the state regulates entry through a license of practice. The regulation of competition is weak, showing very reduced areas of autonomous practice. The labor market is offering a wide variety of entry options with clear signs of deterioration. The dominant payment mechanism is salary, showing a structure that incorporates a component that does not impact on pensions at the end of the labor cycle. The regulation of nursing is a component of its professionalization, and as such, it is understood as a multidimensional consolidating process, particularly realms related to the regulation of competition, market structure, and payment mechanisms, in which nursing representatives should play a more active role in the future.
Highlights
Resumen El objetivo de este artículo es analizar la estructura regulatoria de la enfermería en México, a través de la normatividad y los actores involucrados
This paper aims to analyze the regulatory structure of nursing in Mexico through its legislation and perspectives of participant stakeholders
The regulation of nursing is a component of its professionalization, and as such, it is understood as a multidimensional consolidating process, realms related to the regulation of competition, market structure, and payment mechanisms, in which nursing representatives should play a more active role in the future
Summary
La participación de los profesionales en la producción de servicios de salud puede ser estudiada a través del modelo de regulación propuesto por Moran & Wood[9], definido como “el mecanismo utilizado para establecer las características de la práctica y los estándares técnicos que ésta tiene que alcanzar”. La información obtenida del SIARHE se deriva de una encuesta no probabilística que realiza la Secretaría de Salud anualmente para recabar datos de la situación laboral del personal de enfermería del país. Este trabajo se deriva de una investigación más amplia sobre la profesionalización de la enfermería en México, la cual fue evaluada por el comité de ética del Instituto Nacional de Salud Pública de México, previo a la recolección de datos primarios, con lo cual se valida el cumplimiento de los aspectos éticos de la misma. Estos documentos son la base para el análisis de los actores que participan en la regulación, en los procesos y en los resultados de cada dimensión
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