Narro Robles José, Zepeda Tena Carolina
Rectoría, Universidad Nacional Autónoma de México, México.
Gac Med Mex. 2012 Jul-Aug;148(4):390-9.
In recent decades, Mexico has come a long way in health care matters, which has influenced the standard of living of the population and the development of the country. However, much remains to be done and changes should happen faster. Some of the main challenges Mexico faces currently are presented in this document and include: the challenge of reducing poverty in order to improve the health status of society; the development of health services that affect the slowdown in the pace of evolution of demographic indicators, life expectancy at birth and infant mortality; the challenge of reducing inequality; the challenge of great infrastructure available in the country for health care and the limited performance obtained in terms of organization, management and financing; the challenge resulting from human resources training systems, both undergraduate and postgraduate; the challenge that relates to academic and scientific productivity; the challenge of diabetes as an example of a serious public health problem; and the challenge of ethical implications in the organization and administration of health services, specifically, the allocation of public resources to them.
近几十年来，墨西哥在医疗保健事务方面取得了长足进展，这对民众的生活水平和国家的发展产生了影响。然而，仍有许多工作要做，变革的速度应该更快。本文件介绍了墨西哥目前面临的一些主要挑战，包括：减少贫困以改善社会健康状况的挑战；发展影响人口指标、出生时预期寿命和婴儿死亡率演变速度放缓的卫生服务的挑战；减少不平等的挑战；该国可用于医疗保健的大量基础设施以及在组织、管理和融资方面取得的有限成效所带来的挑战；本科和研究生人力资源培训系统带来的挑战；与学术和科学生产力相关的挑战；糖尿病作为一个严重公共卫生问题的例子所带来的挑战；以及卫生服务组织和管理中的伦理影响方面的挑战，特别是公共资源对其的分配。
