Frenk J, Gómez-Dantés O, Cruz C, Chacón F, Hernández P, Freeman P
Mexican Health Foundation, University of Mexico, Mexico City.
Am J Public Health. 1994 Oct;84(10):1591-7. doi: 10.2105/ajph.84.10.1591.
The purposes of the study were to assess the potential impact of the North American Free Trade Agreement (NAFTA) on medical care in Mexico and to identify internal measures Mexico could take to increase the benefits and minimize the risks of free trade.
The dual nature of the health sector is examined; the Mexican, Canadian, and US health care systems are compared; and modes and consequences of international exchange of health services are analyzed.
Four issues require immediate attention: accreditation of health care facilities, licensing and certification of professionals, technology assessment, and financial equity.
NAFTA offers opportunities for positive developments in Mexico, provided risks can be anticipated and preventive measures can be taken to avoid negative impacts on the health system. Medical services, like other elements of the Mexican economy, must be modernized to respond to the demands of global competition. The Mexican National Academy of Medicine has recommended to the Mexican government (1) internal strengthening of the Mexican health care system to improve its ability to respond to the new conditions created by NAFTA and (2) a gradual process to facilitate equitable and mutually beneficial interactions among the three countries.
本研究的目的是评估北美自由贸易协定（NAFTA）对墨西哥医疗保健的潜在影响，并确定墨西哥可以采取的内部措施，以增加自由贸易的益处并将风险降至最低。
研究了卫生部门的双重性质；比较了墨西哥、加拿大和美国的医疗保健系统；分析了卫生服务国际交流的模式和后果。
有四个问题需要立即关注：医疗保健设施的认证、专业人员的许可和认证、技术评估以及财务公平性。
如果能够预见风险并采取预防措施以避免对卫生系统产生负面影响，北美自由贸易协定为墨西哥的积极发展提供了机会。医疗服务与墨西哥经济的其他要素一样，必须实现现代化，以应对全球竞争的需求。墨西哥国家医学院已向墨西哥政府建议：（1）在国内加强墨西哥医疗保健系统，以提高其应对北美自由贸易协定带来的新情况的能力；（2）采取循序渐进的过程，以促进三国之间公平互利的互动。
