100 likes | 106 Vues
Divided Economy - Divided Medicine. An Introduction to the Mexican Health Care System Luis Alberto Avilés UCSD Center for Iberian and Latin American Studies. Traditional approach: Analyze medical statistics. Population to be served: 95 million Health services indicators: 1991 1997
E N D
Divided Economy - Divided Medicine • An Introduction to the Mexican Health Care System • Luis Alberto Avilés • UCSD Center for Iberian and Latin American Studies
Traditional approach: Analyze medical statistics • Population to be served: 95 million • Health services indicators: • 1991 1997 • MDs /10,000 pop. 8.9 13.6 • RNs / 10,000 pop. 15.8 18.1 • Outpatient consultations: 1415/1,000 pop. • Dental consultations: 124/1,000 pop. • Hospital occupancy rate: 69% • Average length of stay: 4.1days
How to analyze health care systems? • Consider the distribution of health and disease as a product of the way society is organized and stratified. • Consider the structure of the health care system as the result of historical, social, and political processes.
Visionaries of the Social Origins of Disease • Friederick Engels: “The Conditions of the Working Class in England” • Rudolf Virchow • “Report on Typhus Epidemic in Upper Silessia” • Salvador Allende • “La Realidad Médico-Social Chilena”
Political Economy of Health • “… a macroanalytic, critical and historical perspective for analyzing disease distribution and health services under a variety of economic systems, with particular emphasis on the stratified social, political, and economic relations within the world economic system.”