Lara A, Gómez-Dantés O, Urdapilleta O, Bravo M L
Centro de Economía y Salud, Fundacón Mexicana para la Salud (FUNSALUD), México, D.F.
Salud Publica Mex. 1997 Mar-Apr;39(2):102-9.
In the last fifteen years Mexico suffered several economic crisis which have negatively affected public expenditure in social welfare and, as a consequence, public expenditure in health. This paper discusses the relationship between the adjustment policies adopted to confront these crisis and public expenditure in health care for the non-insured population, as well as the regional distribution of this expenditure. In part one, the evolution of general public expenditure, public expenditure in social welfare, and public expenditure in health between 1980 and 1995 is described. In part two, the distribution of public health expenditure for the non-insured population among the five regions in which the country was divided by the National Health Survey II is discussed. The main conclusion of this paper is that, between 1980 and 1995, the public expenditure gaps that have existed for a long time in Mexico among regions remained unchanged. These gaps basically affect the southern states of the country, are not related to health needs, and may deepen in view of the new relative cuts in public expenditure in social welfare announced by the new administration.
在过去十五年里，墨西哥遭受了几次经济危机，这些危机对社会福利方面的公共支出产生了负面影响，进而也影响了卫生方面的公共支出。本文讨论了为应对这些危机而采取的调整政策与非参保人群医疗保健公共支出之间的关系，以及该支出的区域分布情况。在第一部分，描述了1980年至1995年期间一般公共支出、社会福利公共支出和卫生公共支出的演变。在第二部分，讨论了根据第二次全国卫生调查将该国划分的五个区域中非参保人群的公共卫生支出分布情况。本文的主要结论是，1980年至1995年期间，墨西哥各区域长期存在的公共支出差距保持不变。这些差距主要影响该国南部各州，与卫生需求无关，而且鉴于新政府宣布的社会福利公共支出新的相对削减，这些差距可能会加深。
