COSTS OF EPIDEMIOLOGICAL CHANGES IN CHRONIC DISEASES IN MEXICO pp. 153-169
Authors: (Armando Arredondo, Center for Health Systems Research, National Institute of Public Health, Emanuel Orozco, Center for Health Systems Research, National Institute of Public Health, Edson Servan, Center for Health Systems Research, National Institute of Public Health)
Abstract: The delivery and financing of health services are currently of importance in health care systems throughout the world. In the context of health service reforms, the challenge of ensuring equality, efficiency, effectiveness and accessibility is directly related to the quality and quantity of health services to be delivered, and also to the financial feasibility of generating these services [1-3]. Economic analysis, particularly of the cost of health service delivery as a function of changes in demand, is a relevant tool for monitoring health system performance [4-6]. Increase in health care costs, the need for increased investment, lack of financial support for health care users, and the urgency to change the resource allocation methods have raised several questions among decision makers, mainly among public policy planners and executives [7-8]. Health care demand is increasing, and the high cost of alternatives during this transition period has become a heavy burden that national governments are trying to reduce [9-11]. This situation suggests important challenges on health system performance indicators, mainly prevention of risks and complications. However, allocation mechanisms use to favor medical care and hospital attention.