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- Title
Descentralización de los servicios de salud: estudios de caso en seis estados mexicanos.
- Authors
Homedes, Nuria; Ugalde, Antonio
- Abstract
Objective. This article discusses the effects of the second decentralization of the Mexican Ministry of Health (1994-2000). Material and Methods. It is based on a review of official and archival documents, health and productivity statistics, observations in clinics and hospitals, and 232 in-depth interviews in the states of Baja California Sur, Colima, Guanajuato, Nuevo León, Sonora and Tamaulipas. The interviewees included high-level administrators of state and district health systems, leaders of workers unions, health providers and representatives of civil society. Results. The article identifies the problems that offices of health at state level had to overcome to implement the decentralization. Conclusions. Descentralizacion failed to achieve the objectives stated by its promoters.
- Subjects
MEXICO; MEDICAL care; DECENTRALIZATION in government; CIVIL society; PUBLIC health; CASE studies; MEDICAL statistics
- Publication
Salud Pública de México, 2011, Vol 53, Issue 6, p493
- ISSN
0036-3634
- Publication type
Article
- DOI
10.1590/S0036-36342011000600005