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Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response

BACKGROUND: The pandemic in Mexico underlined pre-existing health-care system inequalities. Within the first six months of the COVID-19 pandemic, 154 health policies across health institutions were found to be uncoordinated and heterogeneous, leading to health inequalities in access and potential he...

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Autores principales: Bautista-Reyes, Daniela, Werner-Sunderland, Jimena, Aragón-Gama, Alondra Coral, Duran, José Roberto Cabral, Medina, Karla Daniela Contreras, Urbina-Fuentes, Manuel, Bautista-González, Elysse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471918/
https://www.ncbi.nlm.nih.gov/pubmed/37662095
http://dx.doi.org/10.1016/j.hpopen.2023.100100
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author Bautista-Reyes, Daniela
Werner-Sunderland, Jimena
Aragón-Gama, Alondra Coral
Duran, José Roberto Cabral
Medina, Karla Daniela Contreras
Urbina-Fuentes, Manuel
Bautista-González, Elysse
author_facet Bautista-Reyes, Daniela
Werner-Sunderland, Jimena
Aragón-Gama, Alondra Coral
Duran, José Roberto Cabral
Medina, Karla Daniela Contreras
Urbina-Fuentes, Manuel
Bautista-González, Elysse
author_sort Bautista-Reyes, Daniela
collection PubMed
description BACKGROUND: The pandemic in Mexico underlined pre-existing health-care system inequalities. Within the first six months of the COVID-19 pandemic, 154 health policies across health institutions were found to be uncoordinated and heterogeneous, leading to health inequalities in access and potential health outcomes. DATA & METHODS: Using a rapid qualitative research methodology, data was collected using purposive sampling of institutional policies published for public access on the official websites of the four public health institutions in Mexico from June 16th, 2020 to October 30th, 2021. This policy review used archival analysis to understand the differences in health-care policies during the COVID-19 pandemic in Mexico. These policies were classified under the RREAL framework and as a continuation of our first publication. RESULTS: During this study, categories of public health response and vaccination dominated the policies enacted. The SSA was the main author of publications. There seems to be a more unified policy response. However, health inequalities persist. CONCLUSIONS: The Mexican government continued to be reactive to the increase in cases or the arrival of new variants, rather than preventative. Research and development of policies need to work together in soaring cases like COVID-19 to work more effectively against the economic and epidemiological burden of a pandemic. It is suggested that this “vaccination” should be included in the RREAL classification. Other sectors (i.e. the ministry of foreign affairs) should be considered relevant players in the future management of a pandemic.
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spelling pubmed-104719182023-09-02 Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response Bautista-Reyes, Daniela Werner-Sunderland, Jimena Aragón-Gama, Alondra Coral Duran, José Roberto Cabral Medina, Karla Daniela Contreras Urbina-Fuentes, Manuel Bautista-González, Elysse Health Policy Open Original Article BACKGROUND: The pandemic in Mexico underlined pre-existing health-care system inequalities. Within the first six months of the COVID-19 pandemic, 154 health policies across health institutions were found to be uncoordinated and heterogeneous, leading to health inequalities in access and potential health outcomes. DATA & METHODS: Using a rapid qualitative research methodology, data was collected using purposive sampling of institutional policies published for public access on the official websites of the four public health institutions in Mexico from June 16th, 2020 to October 30th, 2021. This policy review used archival analysis to understand the differences in health-care policies during the COVID-19 pandemic in Mexico. These policies were classified under the RREAL framework and as a continuation of our first publication. RESULTS: During this study, categories of public health response and vaccination dominated the policies enacted. The SSA was the main author of publications. There seems to be a more unified policy response. However, health inequalities persist. CONCLUSIONS: The Mexican government continued to be reactive to the increase in cases or the arrival of new variants, rather than preventative. Research and development of policies need to work together in soaring cases like COVID-19 to work more effectively against the economic and epidemiological burden of a pandemic. It is suggested that this “vaccination” should be included in the RREAL classification. Other sectors (i.e. the ministry of foreign affairs) should be considered relevant players in the future management of a pandemic. Elsevier 2023-08-02 /pmc/articles/PMC10471918/ /pubmed/37662095 http://dx.doi.org/10.1016/j.hpopen.2023.100100 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Bautista-Reyes, Daniela
Werner-Sunderland, Jimena
Aragón-Gama, Alondra Coral
Duran, José Roberto Cabral
Medina, Karla Daniela Contreras
Urbina-Fuentes, Manuel
Bautista-González, Elysse
Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response
title Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response
title_full Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response
title_fullStr Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response
title_full_unstemmed Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response
title_short Health-care policies during the COVID-19 pandemic in Mexico: A continuous case of heterogeneous, reactive, and unequal response
title_sort health-care policies during the covid-19 pandemic in mexico: a continuous case of heterogeneous, reactive, and unequal response
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471918/
https://www.ncbi.nlm.nih.gov/pubmed/37662095
http://dx.doi.org/10.1016/j.hpopen.2023.100100
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