Reyes-Morales Hortensia, Dreser-Mansilla Anahí, Arredondo-López Armando, Bautista-Arredondo Sergio, Ávila-Burgos Leticia
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
Salud Publica Mex. 2019 Sep-Oct;61(5):685-691. doi: 10.21149/10894.
The initiative including an Act Project for reforming the Ley General de Salud of Mexico, submitted in 2019 to the Congress of the Union, proposes the creation of a system of universal and free access to health services and associated medicines for the population lacking of social security benefits, and the creation of the Instituto de Salud para el Bienestar. This article analyzes the substantive aspects of the project, with the aim of motivating the reflection of the proposed reform and its most important components, to contribute to achieving its aim. The conclusion is that the main themes of the Project require precision in relevant areas, such as the transformation of the financing scheme for care, the strengthening of stewardship and governance, the responsibility in the provision of services, and the regulation and access to medicines. The contributions of academics, decision makers and social organizations will be essential to create a public health policy based on evidence and social equity.
该倡议包括一项旨在改革墨西哥《一般健康法》的法案项目，于2019年提交给联邦议会，提议为缺乏社会保障福利的人群建立一个普遍且免费获得医疗服务及相关药品的体系，并设立健康促进研究所。本文分析了该项目的实质性内容，旨在促使人们对提议的改革及其最重要的组成部分进行思考，以推动实现其目标。结论是，该项目的主要主题在相关领域需要精准把握，比如医疗护理融资方案的转变、管理与治理的强化、服务提供方面的责任以及药品监管与获取。学者、决策者和社会组织的贡献对于制定基于证据和社会公平的公共卫生政策至关重要。
