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¿Qué compra, cómo y de quién el Seguro Popular de México? Experiencia con la compra estratégica nacional y en una entidad pionera / What is purchased, how and from whom by Seguro Popular in Mexico? Experience with strategic purchasing at national level and in a pioneer institution
González-Block, Miguel Ángel.
  • González-Block, Miguel Ángel; Universidad Anáhuac. Cátedra PwC de Investigación en Sistemas de Salud. Ciudad de México. MX
Salud pública Méx ; 59(1): 59-67, Jan.-Feb. 2017. tab
Article in Spanish | LILACS | ID: biblio-846052
RESUMEN
Resumen

Objetivo:

Analizar el alcance de los subsidios a la demanda mediante la compra estratégica de servicios de salud. Material y

métodos:

Entrevistas y revisión documental a nivel federal y estudio de caso en el estado de Hidalgo.

Resultados:

El Sistema de Protección Social en Salud (SPSS) prioriza las intervenciones por financiar de manera explícita y norma tabuladores y topes de gasto. Se financia predominantemente a prestadores públicos mediante la compra de insumos y la contratación de recursos humanos, sin competencia y con bajo grado de autonomía de gestión. El Seguro Popular en Hidalgo ha diversificado prestadores de servicios y mecanismos de pago.

Conclusiones:

El SPSS tiene amplia oportunidad para ampliar y profundizar la compra estratégica. Se requiere mayor autonomía de prestadores y pagadores así como reglamentación para promover redes de servicios en entornos competitivos.
ABSTRACT
Abstract

Objective:

To analyze the scope of demand subsidies through strategic purchasing of health services. Materials and

methods:

Interviews and document analyses at national level and a case study of the state of Hidalgo.

Results:

SPSS explicitly prioritizes interventions to be financed and regulates prices and expenditure ceilings. Public providers are predominantly funded through the purchasing of inputs and the contracting of human resources, in the absence of competition and with a low degree of managerial autonomy. Seguro Popular in Hidalgo has diversified service providers and payment mechanisms.

Conclusions:

SPSS has ample opportunity to extend and deepen strategic purchasing. Greater decision-making autonomy of payers and providers is required, as well as regulations to promote provider networks in competitive environments.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Health Expenditures / Health Services / Insurance Country/Region as subject: Mexico Language: Spanish Journal: Salud pública Méx Journal subject: Public Health Year: 2017 Type: Article Affiliation country: Mexico Institution/Affiliation country: Universidad Anáhuac/MX

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Full text: Available Index: LILACS (Americas) Main subject: Health Expenditures / Health Services / Insurance Country/Region as subject: Mexico Language: Spanish Journal: Salud pública Méx Journal subject: Public Health Year: 2017 Type: Article Affiliation country: Mexico Institution/Affiliation country: Universidad Anáhuac/MX