Upload File

ministry of health, mexico sicuentas mexico´s experience with using nha data in the policy-making...

  • Home
  • Documents
  • Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General
14
Ministry of Health, Mexico SICUENTAS Mexico´s experience with using Mexico´s experience with using NHA data in the Policy-making NHA data in the Policy-making Process Process October 2003 OECD, Paris Reform of the General Health Reform of the General Health Law Law

Upload: annabel-lynch

Post on 30-Dec-2015

218 views

Category:

Documents


1 download

Report

TRANSCRIPT

Page 1: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Mexico´s experience with using Mexico´s experience with using

NHA data in the Policy-making NHA data in the Policy-making

ProcessProcess

October 2003OECD, Paris

Reform of the General Health Reform of the General Health

LawLaw

Page 2: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Outline

Background on the use of NHA in Mexico

Setting the scene – providing evidence

Objectives of the Reform

SICUENTAS and the Reform

Conclusions

Page 3: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

BackgroundFUNSALUD conducted the first NHA analysis in Mexico (1992 – 1998)

Public and private expenditure as percentage of GDP, Mexico 1992-1998

0

1

2

3

4

5

6

7

1992 1993 1994 1995 1996 1997 1998

Public expenditure Private expenditure

Page 4: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Evidence provided was used in prospective policy formulation

National Health Program 2001 – 2006 identified three challenges of the health system:

1. Equity2. Quality3. Financial protection

Page 5: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

General Direction for Information and Health System Performance Asssessment

(National Health Information System)

National Health Program 2001 – 2006 National Health Program 2001 – 2006

System of National and State Health Accounts (SICUENTAS)

Strengthen the stewardship function of MOH

Page 6: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Setting the scene Providing evidence

FINANCIAL IMBALANCESFINANCIAL IMBALANCES

• Level Insufficient investment 5.8% of GDP

• Origin of expenditure Out-of-pocket expenditure (55%)

• Distribution Between institutions: one and half times between insured and uninsured populationBetween States: 11 to 1 between highest and lowest

• State effort A difference of 119 to 1 between highest and lowest

Page 7: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Objectives of the reform

Order the current allocation of resources

Correct the financial imbalances and historic inercia

Move towards a framework of public insurance to finance medical care

Establish co-responsibility between different levels of government and the population

Provide effective content to the full exercise of social rights as part of the reform of the State

Page 8: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Proposal – towards a new financial architecture of the health system

Employee

FamilyPopular Health Insurance

ISSSTE – Medical insurance

IMSS – Medical insurance

Nation

Nation

Nation

State Gov.

FederalGovernmen

t

EmployerEmployee

ContributorsPublic Insurance Schemes

Federal Gov.

Page 9: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Classification of health services

• Prevention• Diagnosis• Treatment• Rehabilitation

Health Goods

• Stewardship• Information and

research• Community health

services

Public Goods

Individual health services (medical care)

• Epi surveillance

• Environmental health

• Collective services

• Disaster management

SICUENTAS and the Reform

Page 10: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

Public Health Expenditure by Function and Source of Funds, Mexico 2002

0%

10%

20%

30%

40%

50%

60%

70%

Health administration Prevention and publichealth

Personal health care Resourse generation

Federal contributions State contributions

Page 11: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

•To train personnel

•To conduct scientific and technologic research

•To conduct sanitary regulation

Health Related Expenditures

• HC.R.2 Education formation of health care provider institutions

• HC.R.3 Research and development in health

• HC.R.4 Food, hygiene and drinking water control

Examples of modificationsNational Health Accounts

Ministry of Health Classification

TOTAL HEALTH EXPENDITURE

Page 12: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

• Stewardship has been added to the list of functions of the health system, AS A DIFFERENT FUNCTION FROM ADMINISTRATION• MOF has agreed to a health expenditure reporting format that is more closely related to the functions of the health system, including stewardship• Health related functions are included as part of the total health expenditure•Improve quality of reporting on pharmaceuticals•Include information from municipalitites•Manual for the Mexican SICUENTAS•Informatio to be produced every three months

Page 13: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS

SICUENTAS, as part of the National Information System, is an important tool providing evidence for policy

formulation, accountability, resource allocation

INFORMATION THAT IS NOT USEFUL IS NOT USED

Page 14: Ministry of Health, Mexico SICUENTAS Mexico´s experience with using NHA data in the Policy-making Process October 2003 OECD, Paris Reform of the General

Ministry of Health, Mexico

SICUENTAS


OECD Urban Policy Review of Mexico: Highlights from the Report

DIGITAL GOVERNMENT IN MEXICO - OECD

OECD Economic Surveys Mexico

Mexico - OECD › corruption › anti-bribery › OECD-Mexico-Phase-4...The Phase 4 Evaluation Team for Mexico was composed of lead examiners from Brazil and Slovenia, and members

The OECD Innovation Strategy Implications for Mexico

INVESTMENT AND DEVELOPMENT AT THE OECD: OVERVIEW …...Fast facts • Established: 1961 • Headquarters: Paris • OECD Centres: Berlin, Budapest, Mexico City, Seoul, Tokyo, Trento,

“Better Policies” Series MEXICO - OECD › mexico › mexico-policy-priorities-to...Manca, Angel Melguizo, Guillermo Montt, Sebastian Nieto-Parra, Stephen Perkins, Beatriz Pont,

OECD Economic Surveys Mexico · OECD Economic Surveys Mexico OVERVIEW

HiGHLiGHts - OECD.org - OECD › pensions › private-pensions › OECD-Review...OECD REviEw Of PEnsiOn systEms mExiCO ... according to the best practices of OECD countries. POLICY

OECD review of pension systems in Mexico: Highlights

Mejorar Escuelas OECD MEXICO resumen ejecutivo

Tools for Simplification – Lessons from the Mexico Experience Dr. Manuel Gerardo Flores Senior Economist Regulatory Policy Division OECD OECD-Israel Conference

VALLE DE MÉXICO, MEXICO - OECD.org - OECD · OECD Territorial Reviews VALLE DE MÉXICO, MEXICO POLICY HIGHLIGHTS This document summarises key findings of OECD (2015), OECD …

OECD Perspectives: Mexico Key Policies for Sustainable

Pension systems in Mexico: Main findings and recommendations from a review by the OECD

OECD Review of Health Systems: Mexico · OECD Reviews of Health Systems Mexico The health status of Mexicans has experienced marked progress over the past few decades. Nonetheless,

Acknowledgements - OECD · support received from the OECD Mexico Centre, particularly by Alejandro Camacho, and the OECD Public Affairs and Communications Directorate, including that

OECD Skills Strategy Diagnostic Report: Mexico€¦ · OECD SKILLS STRATEGY DIAGNOSTIC REPORT: MEXICO ... OECD SKILLS STRATEGY DIAGNOSTIC REPORT: ... higher skills levels for all

OECD Economic Surveys Mexico › economy › surveys › Mexico-Overview-2015.pdf · 2019-10-28 · OECD Economic Surveys Mexico January 2015 OVERVIEW. 2 . 3 . 4 Main findings

The OECD Education Recommendations for Mexico: A general

RESPONSIBLE BUSINESS CONDUCT COUNTRY …...Please cite this publication as: OECD (2020), Responsible Business Conduct Country Fact Sheet - Mexico, OECD Paris. This work is published

WebsiteText ParticipantBiographies 1Nov2013 - OECD€¦ · OECD Regional Innovation Reviews, and is primary author for reviews in the North of England, Mexico (15 states), Catalonia

OECD-Main findings-mexico-2014-presentation-Reforms-for-shared-prosperity

Incentives and stimuli: OECD TALIS (Teaching and Learning International Survey) Improving Quality in Education: OECD - MEXICO Joint Conference Mexico City,

 · XXX PFDE PSH QVCMJTIJOH MEXICO OECD Reviews of Innovation Policy OECD Reviews of Innovation Policy MEXICO How are a country’s achievements in innovation defined and measured,

RIA and the case of Mexico Dr. Manuel Gerardo Flores Senior Economist Regulatory Policy Division OECD OECD-Israel Workshop on Improving the Design and

NHA DEP, NHA DEP HAI PHONG, NHA PHO 4 TANG, NHA PHO HIEN DAI

Mexico - OECD€¦ · Mexico The Role of Institutional Investors in Promoting Good Corporate Governance Practices in Latin America: The Case of Mexico Mexico’s initial report and

OECD Skills Strategy Diagnostic Report Executive Summary Mexico · 2019-03-28 · OECD Skills Strategy Diagnostic Report Executive Summary Mexico 2017. Social cohesion By contributing

Green Infrastructure and - OECD G20 OECD Pension funds … · 3 G20/OECD POLICY NOTE ON PENSION FUND FINANCING FOR GREEN INFRASTRUCTURE AND INITIATIVES Introduction 1. Mexico has

National Institute of Statistics, Geography and Informatics of Mexico Website of Mexico for Information Exchange With OECD Towards Implementation of SDMX

OECD-FAO Agricultural Outlook Jonathan Brooks Mexico City, 6 th November 2014

OECD Agricultural Policies 2004 · Mexico (18th May 1994), ... agricultural support policy developments and agricu ltural support overall in member countries. ... OECD AGRICULTURAL

EDUCATION POLICY OUTLOOK MEXICO - OECD

Presentation for the OECD Telecommunication and Broadcasting Review of Mexico 2017