U21 n zmedicinevaldez
-
Upload
jorge-e-valdez -
Category
Health & Medicine
-
view
383 -
download
1
description
Transcript of U21 n zmedicinevaldez
U21 HEALTH SCIENCES GROUP MEETING MAJOR TRENDS AND KEY ISSUED IN MEDICAL
EDUCATION AND MEDICAL SYSTEM IN MEXICO
Prof. Jorge E. ValdezDean
Summary• Objectives• Introduction• The Health System in Mexico.• The Health and Medical Education Structure.• Medical Education Organizations• Conclusions
Objetives• Provide a short review of Mexico's Health
System and its relation with Medical Education.• Show the nations infrastructure related to
medical education.• Know how Medical Education is organized • Present the opportunities for medical schools to
contribute in the improvement of health care indicators
Population: 103 million
More than 19,000 communities with less than 500 people
Scattered throughout the country and add up to over 5 million people
MEXICO
Introduction
Federated Republic32 States
Life Expectancy
Demographic Changes
-6,000,000 -4,000,000 -2,000,000 0 2,000,000 4,000,000 6,000,000
No. de Habitantes
0-4 años
10-14 años
20-24 años
30-34 años
40-44 años
50-54 años
60-64 años
70 años o más
Edad
Población a mitad de año por grupos de edad, 2025.
Hombres Mujeres
2,000,000 2,000,000 4,000,0004,000,000 6,000,0006,000,000 0
Fuente: CONAPO: Proyecciones de la población de México, 1996-2050
-6,000,000 -4,000,000 -2,000,000 0 2,000,000 4,000,000 6,000,000
No. de Habitantes
0-4 años
10-14 años
20-24 años
30-34 años
40-44 años
50-54 años
60-64 años
70 años o más
Edad
Población a mitad de año por grupos de edad, 2006.
Hombres Mujeres
2,000,000 2,000,000 4,000,0004,000,000 6,000,0006,000,000 0
Fuente: CONAPO: Proyecciones de la población de México, 1996-2050
Health Expenditure (%GDP)
Año %2000 5.072001 5.452002 5.622003 5.782004 6.002005 5.902006 5.702007 5.762008 5.802009 6.402010 6.30
Life expectancy vs. Health expenditure
Changes in the cause of death in Mexico: 1955-2005
0
10
20
30
40
50
60
70
80
90
100
1955 1960 1970 1980 1990 2000 2006 2030
Per
cen
tt
Infectious diseases, nutrition and reproductive problems.Non infectious diseasesLesions
Comments• The health indicators had being improving but
more spending of the nations income its needed to face the growth on health care that the country will face due to demographic changes.
• The country faces most of the challenges in health care of a developed country and still have the health inequalities that characterize a underdeveloped society.
• A well organized health system is needed.
Challenges for the Health System
Level of health
Inequality in health
Responsiveness
Fairness of Finance
Stewardship
Production ofResources
Funding
Protection
Promotion
Prevention
Medical care
1. Improving Health Status
2. Reduce health disparities.
3. Provide health care with high standards of quality and safety.
4. Avoid impoverishment through protecting population against health care cost.
5. Guarantee that the health contributes: a) in the fight against poverty and b) country's development.
Means and Ends of Health System
Functions
Objectives
Hea
lth C
are
Coordinated Health System
Universal Coverage
FunctionalIntegration
The Health Ministry regulates and coordinates the Nations Healthcare System
Comments• The health system has been reformed and the
definition of functions has allowed a better organization.
• The federal government regulates and coordinate with the states the health care system.
• Health care Infrastructure has been growing in the last decade.
Health Science Education System Framework Structure
Committee for Postgraduate and Continuous Medical Education
Inter-institutional Commission for the Formation of Healthcare Human Resources
Practicing Physicians
Medical Schools
1830-1899 1900-1949 1950-1959 1960-1969 1970-1979 1980-1989 1990-1999 2000-20040
5
10
15
20
25
8
4
8
1
24
12 20 2 0 2
8
2
12
3
PúblicasPrivadas
50 public medical schools31 private medical schools
Medical Students per State
“National Exam For Medical Residencies
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 20090
5000
10000
15000
20000
25000
Inscritos Seleccionados
• 33 years of experience with it.
• Only 6000 are selected
Graduated Physicians vs. Medical Residencies spots in the last 20 years
Comments• The Health education is coordinated by two
entities of the federal government through a collegiate process.
• Our figures of medical graduates are below of the developed countries.
• The private investment in medical education has higher grow rate than the public.
• Its is in an ongoing process of decentralization.• We need more medical residencies positions .
Three generations of reforms
Academic Health Centers
4. Public University Owned Hospitals with affiliated medical school.
5. Private University Owned Hospitals with affiliated private medical school.
1. Federal government owned affiliated to public or private university.
2. State government owned affiliated state public or private university.
3. Private owned affiliated to public or private university
In Mexico we have different types of academic health centers
Medical Education Organizations
•Collegiate Model of Medical Schools (89/104).•Non regulatory.• Facilitates accreditation through education, knowledge transfer.•Provides opportunity for networking•Supports accreditation of its members•Affiliation is required in order to obtain accreditation.
•Non profit, autonomous, public-private institution.•Non Medical Schools organization• Integrated by : Academy of Medicine, Academy of Surgery, AMFEM, Health Ministry.•Main porpoise is accreditation of Medical Education Quality.•58/89 accredited schools
Mexican Physician Competencies Model
Medical Schools
Public Private Summary
Accredited 39 19 58
In process 1 2 3
Non accredited
7 5 12
New accredited
3 2 5
First Visit 0 1 1
New No accredited
2 0 2
No information
4 4 8
Total 56 33 89
•7 Categories•60 Standards•179 indicators•13 Tables
Accreditation is valid for 5 years
Challenges for Health Education System
• Integration of all “players”, in particular non affiliated medical schools.
• “Catch up” with the educational innovations• Same level of quality among the different
medical schools.• Congruence with health system needs in
curricular structure.
GraciasThank you