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      The Global Health System: Strengthening National Health Systems as the Next Step for Global Progress

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      PLoS Medicine
      Public Library of Science

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          Abstract

          In the second in a series of articles on the changing nature of global health institutions, Julio Frenk offers a framework to better understand national health systems and their role in global health.

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          Most cited references2

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          Bridging the divide: global lessons from evidence-based health policy in Mexico.

          During the past 6 years, Mexico has undergone a large-scale transformation of its health system. This paper provides an overview of the main features of the Mexican reform experience. Because of its high degree of social inequality, Mexico is a microcosm of the range of problems that affect countries at all levels of development. Its health system had not kept up with the pressures of the double burden of disease, whereby malnutrition, common infections, and reproductive health problems coexist with non-communicable disease and injury. With half of its population uninsured, Mexico was facing an unacceptable paradox: whereas health is a key factor in the fight against poverty, a large number of families became impoverished by expenditures in health care and drugs. The reform was designed to correct this paradox by introducing a new scheme called Popular Health Insurance (Seguro Popular). This innovative initiative is gradually protecting the 50 million Mexicans, most of them poor, who had until now been excluded from formal social insurance. This paper reports encouraging results in the achievement of the ultimate objective of the reform: universal access to high-quality services with social protection for all.
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            Global action on health systems: a proposal for the Toyako G8 summit.

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              Author and article information

              Journal
              PLoS Med
              PLoS
              plosmed
              PLoS Medicine
              Public Library of Science (San Francisco, USA )
              1549-1277
              1549-1676
              January 2010
              January 2010
              12 January 2010
              : 7
              : 1
              : e1000089
              Affiliations
              [1]Harvard School of Public Health, Boston, Massachusetts, United States of America
              Author notes

              ICMJE criteria for authorship read and met: JF. Wrote the first draft of the paper: JF.

              The Policy Forum allows health policy makers around the world to discuss challenges and opportunities for improving health care in their societies.

              Article
              08-PLME-PF-2805R1
              10.1371/journal.pmed.1000089
              2797599
              20069038
              bc8b39f7-49db-4f3e-9f4e-3d02b5261f4b
              Julio Frenk. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
              History
              Page count
              Pages: 3
              Categories
              Policy Forum
              Public Health and Epidemiology
              Public Health and Epidemiology/Global Health
              Public Health and Epidemiology/Health Policy
              Public Health and Epidemiology/Health Services Research and Economics

              Medicine
              Medicine

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