Health sector decentralization and divergences with the medical society in Mexico
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Data de Publicação: | 2002 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/25344 |
Resumo: | OBJECTIVE: To evaluate the medical society's perception and actions in the context of health sector decentralization in the states of Guanajuato and Sonora, Mexico. METHODS: Qualitative research techniques were applied. Thirty-five semi-structured interviews were conducted with medical college members of both public and private institutions, and collegiate and union representatives of both states studied. RESULTS: Members of medical society in both states acknowledged that decentralization implied in insecurity due to the lack of clarity of health sector regulations. As a result of actions of the medical college in both states there was a growing politicization of medical college members, elaboration of proposals to increase their control over the medical labor market and their participation in the regional political power structure. CONCLUSIONS: This research supports the existing re-articulation of the medical society at a regional level preserving its status as a respected group. In contrast to studies conducted in the United States and Mexico medical authorities have pressed on the regulations in order to preserve their privileged status within the existing contention. |
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Health sector decentralization and divergences with the medical society in Mexico Descentralización del sector de salud y conflictos con el gremio médico en México DescentralizaciónReforma del sector saludMédicosPráctica profesionalMéxicoDecentralizationHealth sector reformPhysiciansProfessional practiceMexico OBJECTIVE: To evaluate the medical society's perception and actions in the context of health sector decentralization in the states of Guanajuato and Sonora, Mexico. METHODS: Qualitative research techniques were applied. Thirty-five semi-structured interviews were conducted with medical college members of both public and private institutions, and collegiate and union representatives of both states studied. RESULTS: Members of medical society in both states acknowledged that decentralization implied in insecurity due to the lack of clarity of health sector regulations. As a result of actions of the medical college in both states there was a growing politicization of medical college members, elaboration of proposals to increase their control over the medical labor market and their participation in the regional political power structure. CONCLUSIONS: This research supports the existing re-articulation of the medical society at a regional level preserving its status as a respected group. In contrast to studies conducted in the United States and Mexico medical authorities have pressed on the regulations in order to preserve their privileged status within the existing contention. OBJETIVO: Investigar la percepción y acción del gremio médico en el marco de la descentralización del Sector de Salud en dos estados de México, Guanajuato y Sonora. MÉTODOS: Se han utilizado técnicas cualitativas de investigación. Fueron realizadas 35 entrevistas, semiestructuradas, en total entre los dos estados, a médicos colegiados, Guanajuato y Sonora, tanto de instituciones públicas como privadas y representantes de las asociaciones gremiales y sindicales. RESULTADOS: Para el gremio médico de los dos estados investigados, la descentralización ha implicado en inseguridad, como resultado de la falta de claridad en la regulación del Sector de Salud. La acción de los Colegios de Médicos de ambos estados, se tradujo en una mayor politización de los Colegios de Médicos estatales, en la elaboración de propuestas con el objetivo de incidir en el control del mercado laboral médico de dichos estados y participación en la estructura de poder regional. CONCLUSIONES: La investigación comprueba una readaptación del gremio médico en el ámbito regional, indicando su permanencia como grupo de poder. Contrariamente a lo que informa la literatura estadounidense en México, los médicos han logrado influenciar en la regulación, con la finalidad de no perder su status privilegiado dentro de la competencia existente. Universidade de São Paulo. Faculdade de Saúde Pública2002-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2534410.1590/S0034-89102002000300011Revista de Saúde Pública; Vol. 36 No. 3 (2002); 324-329 Revista de Saúde Pública; Vol. 36 Núm. 3 (2002); 324-329 Revista de Saúde Pública; v. 36 n. 3 (2002); 324-329 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPspahttps://www.revistas.usp.br/rsp/article/view/25344/27089Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAbrantes Pêgo, RaquelArjonilla Alday, Sofía2012-05-29T19:24:30Zoai:revistas.usp.br:article/25344Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T19:24:30Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Health sector decentralization and divergences with the medical society in Mexico Descentralización del sector de salud y conflictos con el gremio médico en México |
title |
Health sector decentralization and divergences with the medical society in Mexico |
spellingShingle |
Health sector decentralization and divergences with the medical society in Mexico Abrantes Pêgo, Raquel Descentralización Reforma del sector salud Médicos Práctica profesional México Decentralization Health sector reform Physicians Professional practice Mexico |
title_short |
Health sector decentralization and divergences with the medical society in Mexico |
title_full |
Health sector decentralization and divergences with the medical society in Mexico |
title_fullStr |
Health sector decentralization and divergences with the medical society in Mexico |
title_full_unstemmed |
Health sector decentralization and divergences with the medical society in Mexico |
title_sort |
Health sector decentralization and divergences with the medical society in Mexico |
author |
Abrantes Pêgo, Raquel |
author_facet |
Abrantes Pêgo, Raquel Arjonilla Alday, Sofía |
author_role |
author |
author2 |
Arjonilla Alday, Sofía |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Abrantes Pêgo, Raquel Arjonilla Alday, Sofía |
dc.subject.por.fl_str_mv |
Descentralización Reforma del sector salud Médicos Práctica profesional México Decentralization Health sector reform Physicians Professional practice Mexico |
topic |
Descentralización Reforma del sector salud Médicos Práctica profesional México Decentralization Health sector reform Physicians Professional practice Mexico |
description |
OBJECTIVE: To evaluate the medical society's perception and actions in the context of health sector decentralization in the states of Guanajuato and Sonora, Mexico. METHODS: Qualitative research techniques were applied. Thirty-five semi-structured interviews were conducted with medical college members of both public and private institutions, and collegiate and union representatives of both states studied. RESULTS: Members of medical society in both states acknowledged that decentralization implied in insecurity due to the lack of clarity of health sector regulations. As a result of actions of the medical college in both states there was a growing politicization of medical college members, elaboration of proposals to increase their control over the medical labor market and their participation in the regional political power structure. CONCLUSIONS: This research supports the existing re-articulation of the medical society at a regional level preserving its status as a respected group. In contrast to studies conducted in the United States and Mexico medical authorities have pressed on the regulations in order to preserve their privileged status within the existing contention. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/25344 10.1590/S0034-89102002000300011 |
url |
https://www.revistas.usp.br/rsp/article/view/25344 |
identifier_str_mv |
10.1590/S0034-89102002000300011 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/25344/27089 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 36 No. 3 (2002); 324-329 Revista de Saúde Pública; Vol. 36 Núm. 3 (2002); 324-329 Revista de Saúde Pública; v. 36 n. 3 (2002); 324-329 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221780006141952 |