Objectives: To describe the reform applied to the health system of Mexico City between 2000 and 2006 and to present their results

Laurell, A

English

University of New Mexico

University of New Mexico
UNM Digital Repository
English Latin American Social Medicine
11-11-2009
Health Reforms in Mexico City. 2000-2006
A Laurell
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Recommended Citation
Laurell, A. "Health Reforms in Mexico City. 2000-2006." (2009). https://digitalrepository.unm.edu/lasm_cucs_en/36
Document CUCS # 32C 
 
RMS20083(2)Laurell (B)  
 
Laurell A. La reforma de salud en la Ciudad de México, 2000-2006. [Health 
Reforms in Mexico City. 2000-2006.] Medicina Social (Montevideo, Uruguay) 
2008 mayo; 3(2): 170-183. 
Objectives: To describe the reform applied to the health system of Mexico City 
between 2000 and 2006 and to present their results.  
Methodology: Descriptive analytical.  
Results: The author describes the reform of health services that began during 
the leftist government of Mexico City, headed by Andres Manuel Lopez Obrador 
between 2000 and 2006.  
The author outlines the circumstances surrounding the development of four 
sources of health system reform during that period:  
1) Free services and medicines based on the universal right to health and equity. 
This side project is opposed to the federal project of Popular Insurance, which 
still retains the commercial vision of health. The author further relates that the 
lack of budget and infrastructure in each state government is a constraint for 
implementing the free services. 
2) The introduction of an alternative care model based on four actions: a) 
strengthening health security through surveillance and the organization of 
medical emergencies before any disaster, b) education, promotion and the 
prevention of chronic degenerative diseases, c) timely access to services and the 
implementation of anti-discriminatory policies aimed at gender, ethnicity and 
sexual preference, and d) citizen involvement through the formation of local 
health committees. The author notes that, however, the lack of democratic 
organizations has prevented the institutionalization of this model.  
3) The institutional reconstruction based in five actions: a) strategic and 
systematic planning of health needs, b) implementing a control system of inputs, 
c) establishing a table of medications d) the transformation of the bidding 
scheme, and e) the implementation of an ethics statement ensuring transparent 
management of government.  
4) The legislation on the right to health is detectable in the following actions: the 
functioning of the free programs, the implementation of campaigns on the rights 
of users in the medical units and the establishment of mechanisms to channel 
complaints to officials at the highest level. 
In this context, the author mentions five outcomes of this reform: a) increasing 
coverage and access to medical care, b) expansion of hospital infrastructure, c) 
the reduction of household spending on medical care, d) ensuring the right to 
health, and e) reduced mortality rates.  
Conclusions: For the author, reform of the health system guarantees the 
universal right to health in the Mexican population. She concludes that the 
reconstitution of ethics, institutions and the operation of free programs encourage 
the provision of health services and a decline in mortality. 
 


Health Reforms in Mexico City. 2000-2006

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Health Reforms in Mexico City. 2000-2006

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