In 2030 Mexico aspires to be a country with sustainable human development and equal opportunities.

The population will have a level of health that will allow it to develop their abilities fully. In order to achieve true equality of opportunity, it will be necessary asegurarel universal access to health services effective and safe, which will be offered by a health system financially solid, equitable and anticipative.

As part of a broad prospective, conducted in late 2006, on Mexico in 2030, a group of health experts analyzed and discussed the desirable future of the national health system. To adequately meet the health needs of Mexicans, the national health system, in the view of participants, should be a system:

• integrated;
• predominantly financed with public resources, but with private participation;
• governed by the Health Ministry;
• sustainable;
• focused on health promotion and disease prevention;
• a model of flexible and designed from the epidemiological and demographic transition by crossing the country, and
• with strong linkages.

On the basis of these desirable characteristics and in congruence with the realization of the four basic functions of health systems (stewardship, financing, resource generation and delivery of services) it was agreed the following vision for the National Health System:

In 2030 Mexico has an integrated health system that guarantees universal access to essential health services to the entire population, predominantly public, but with private participation governed by the Ministry of Health; financially sustainable; people centered, the family and community; effective, efficient, secure and sensitive; focused on health promotion and disease prevention; attentive to the needs of vulnerable groups and that fosters spaces for the training of human resources for health and research.

To move towards this Vision 2030 is necessary impact on various factors that inhibit the development of the characteristics of the health system to which we aspire. These factors can be grouped into five major groups: 

Estos factores pueden agruparse en cinco grandes grupos:
i) political
ii) legal,
iii) financial,
iv) organizational, and
v) education.

Among the political factors highlights the lack of willingness to show some of the major players in the health sector towards change. This resistance to change may be due to inertia, conformity and entrenched routines.

In the group of legal factors are identified lack of a legal framework that promotes the structural integration and / or functional of the major public health institutions, starting with the fact that the Constitution of the United Mexican States attaches to the Workers' health rights differentiated according to employment status.

In the group of financial factors highlights the inadequacy of investment in health, which is illustrated very clearly by the low percentage of GDP that Mexico is dedicated to health care, poor distribution of resources between institutions, federativas entities and items of expenditure, and inadequate investment in infrastructure to specialized care, ambulatory and hospital care.

Among the organizational factors are mentioned often the lack of strategic planning activities for the sector as a whole, the absence of procedures for assessing the effectiveness and efficiency with which operates the system, excessive administrative regulation, and the privilege of the financial aspects on of health management services.

CONTACT US:

Lieja No. 7, Col. Juarez, Del. Cuauhtemoc, C.P. 06600, Mexico D.F.
portalesweb@salud.gob.mx