ABSTRACT
Providing adequate health care to a nation's citizens is a challenge in every country. Despite large differences in wealth, health care organization, and health politics, both Mexico and the United States undertook similar efforts to expand primary care to previously underserved populations during the past 30 years. This study analyzes common antecedents, contexts of change, elements of the innovations, problems with entrenched interests, and resources that have allowed both programs to survive in difficult environments. We show that new forms of primary health care can face similar problems and prospects in very different countries because of similar political, bureaucratic, and economic limitations.
Subject(s)
Community Health Services , Primary Health Care , Community Health Services/economics , Community Health Services/organization & administration , Community Participation , Health Personnel/education , Health Policy , Medically Underserved Area , Mexico , Organizational Innovation , Politics , Rural Health , United StatesABSTRACT
"Data compiled from the 1980 U.S. Census and other sources are used in this article to demonstrate the distinctiveness of Central American immigration.... Comparisons between Central American and Mexican immigrants in California reveal substantial differences between the two groups in their age structure, sex ratio, and human capital characteristics." The emphasis of the study is on the differences concerning incorporation of these migrant groups into the Californian economy.