Velázquez-Díaz G
Programa IMSS-Solidaridad, México.
Salud Publica Mex. 1992 Nov-Dec;34(6):644-52.
In this report the organization and performance of the IMSS-Solidaridad Program of Mexico is described. This program is managed by the Mexican Institute for Social Security, which services 10.5 million inhabitants of the rural underserved areas, with federal government resources in 18 states. This study compares the structure and functioning of the IMSS-Solidaridad Program with Local Health Systems, as they have been proposed by the Panamerican Health Organization for country members and by the Ministry of Health of Mexico, particularly in relation to the decision-making process at local level. Some assets and limitations of the IMSS-Solidaridad Program are analyzed and, finally, concrete procedures to improve coordination between the IMSS-Solidaridad Program and other health services for similar populations (populations without social security protection) in Mexico are suggested, with the purpose of using resources more adequately and succeed in the national goal to achieve equity in health.
本报告介绍了墨西哥IMSS-团结计划的组织与实施情况。该计划由墨西哥社会保障局管理，利用联邦政府资源，为18个州农村地区1050万服务不足的居民提供服务。本研究将IMSS-团结计划的结构与运作情况，与泛美卫生组织为成员国提议的以及墨西哥卫生部提议的地方卫生系统进行比较，特别是在地方层面的决策过程方面。分析了IMSS-团结计划的一些优势与局限，最后提出了具体措施，以加强IMSS-团结计划与墨西哥其他针对类似人群（无社会保障保护人群）的卫生服务之间的协调，旨在更合理地利用资源，实现国家卫生公平目标。
