Palacios-Jiménez Norma Magdalena, Duque-Molina Célida, Alarcón-López Alejandro, González-Mota Sandra Beatriz, Miranda-García Maximino, Paredes-Cruz Francisco, Valle-Arteaga Eunice Itzel, Reyna-Sevilla Antonio
Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas, Unidad de Planeación e Innovación en Salud, Coordinación de Innovación en Salud, Área de Gestión de Proyectos en Salud. Ciudad de México, México.
Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas. Ciudad de México, México.
Rev Med Inst Mex Seguro Soc. 2022 Dec 19;60(Suppl 2):S150-S159.
In the context of the 80th anniversary of the Instituto Mexicano del Seguro Social (IMSS), there are several health problems and challenges to be faced in relation to user population, which currently represents 42% of Mexico´s population. Among these issues, once five waves of COVID-19 infections have passed and mortality rates have decreased, mental and behavioral disorders stand out as a re-emerging and priority problem. In response to this, in 2022 the Mental Health Comprehensive Program (MHCP, 2021-2024) materialized, which represents, for the first time, the opportunity to provide health services that address mental disorders and addictions of user´s population IMSS, under the Primary Health Care model. That is, prioritizing health promotion, risk factors prevention, screening, timely diagnosis, and not just hospitalization and drug supply. Among the MHCP strategies, which motivated the writing of this document, we highlight the availability of reliable data, through the census of mental and behavioral disorders, related to important characteristics in terms of population, state, hospital, prevalence of disorders, in order to act accordingly through the infrastructure and human resources available at the IMSS, with emphasis on the first level of care.
在墨西哥社会保障局(IMSS)成立80周年的背景下,就用户群体而言,仍有若干健康问题和挑战有待应对,目前该群体占墨西哥人口的42%。在这些问题中,随着五波新冠疫情感染高峰过去以及死亡率下降,精神和行为障碍作为一个重新出现的优先问题凸显出来。对此,2022年实施了心理健康综合项目(MHCP,2021 - 2024年),这首次为在初级卫生保健模式下为IMSS用户群体提供解决精神障碍和成瘾问题的卫生服务创造了机会。也就是说,将重点放在健康促进、风险因素预防、筛查、及时诊断上,而不仅仅是住院治疗和药物供应。在促使撰写本文件的MHCP策略中,我们强调通过精神和行为障碍普查获取可靠数据,这些数据涉及人口、州、医院、疾病患病率等重要特征,以便通过IMSS现有的基础设施和人力资源采取相应行动,重点是一级护理。