Programa de Doctorado en Ciencias de la Salud, Universidad Veracruzana, México; Departamento de Investigación en Sistemas de Salud, Instituto de Ciencias de la Salud, Universidad Veracruzana, México.
Departamento de Investigación en Sistemas de Salud, Instituto de Ciencias de la Salud, Universidad Veracruzana, México.
Z Evid Fortbild Qual Gesundhwes. 2022 Jun;171:93-97. doi: 10.1016/j.zefq.2022.05.002. Epub 2022 May 21.
Mexico is a mid-income North American country. It strives to materialize the right to health in accordance with its laws. But the health system faces various problems: fragmentation, segmentation, limited funding, insufficient coverage, and low quality of health care. Mexico's population is aging, which has led to an increasing prevalence of chronic conditions. To overcome this issue, the goals have shifted towards free universal health coverage under equality, effectivity, and quality criteria focused on primary health care. Consequently, the health system has moved towards Patient-Centered Care (PCC), and an opportunity to promote Shared Decision-Making (SDM) during the clinical encounter to enhance patient and family involvement in their own health care. PCC and SDM are relatively new ideas in Mexico. The research agenda has focused on initiatives attempting to bring these concepts to clinical practice. This paper seeks to describe the local headway and the state of the art of PCC- and SDM-related strategies in the Mexican health system.
墨西哥是一个中等收入的北美国家。它努力根据其法律实现健康权。但卫生系统面临各种问题：碎片化、分割化、资金有限、覆盖范围不足和医疗质量低。墨西哥人口老龄化，导致慢性病患病率上升。为了解决这个问题，目标已经转向根据平等、有效性和质量标准，在以初级保健为重点的基础上，实现免费全民健康覆盖。因此，卫生系统已经转向以患者为中心的护理（PCC），并在临床接触期间提供了一个促进共同决策（SDM）的机会，以增强患者及其家属对自身医疗保健的参与。PCC 和 SDM 在墨西哥是相对较新的概念。研究议程的重点是尝试将这些概念引入临床实践的举措。本文旨在描述 PCC 和 SDM 相关策略在墨西哥卫生系统中的本地进展和现状。
