Mexico
Population (2018): 129.2 M
Income per Capita (2018): 9946.16 US
Percentage of GDP on Healthcare (2015): 5.86%
training
Year of family medicine established: 1971 (Arya et al., 2017)
Type of Training: Residency Program (Arya et al., 2017)
Length of Training: 7 years of Medical School (Arya et al., 2017), followed by a 3-year Residency Program (Arya et al., 2017)
Number of institutions that offer family medicine: Mexican College of Family Medicine
Number of family medicine residents graduating each year: There are 1200-1400 family medicine residents graduating each year, specifically 1031 residencies (Ramírez-Aranda, 2014 & Arya et al., 2017)
practice
Number of family doctors: 39,000 family doctors (Arya et al., 2017)
Physician to population ratio: On average, the ratio of family physicians to patients is 223.1 per 100,000 people (World Bank, 2018).
DALY: 14,702 per 100,000 individuals (Due to all Causes).
Life Expectancy:
Females 2017: 79.7 years
Males 2017: 74.9 years
Mortality rate 2017:
2017 Males: 138 per 1,000 male adults.
2017 Females: 78 per 1,000 female adults.
Infant Immunization-HepB3: % of 1-year-old children received: 55%
College of Family Physicians (Y or N):
Yes: The Mexican College of Family Medicine.
HEALTHCARE SYSTEM
Mexico has a mixed model of public and private provisions of services within their health system. Though for many years the country has been criticized because of its structural and organizational factors, such as poor quality of services, long waiting lists and insufficient medical equipment. A universal health system is seen through a reform in the health and social security sectors (Ramírez-Aranda, 2014 & Varela-Rueda et al., n.d.) Family medicine is publicly funded; the social security institutions are paid for by the governments, employer and employees (Ramírez-Aranda, 2014).
training
practice
In addition to physicians, there are also pediatricians and obstetrics (Varela-Rueda et al., n.d.). Family physicians in Mexico practice preventive and curative care and serve as counsellors to members of the family (Varela-Rueda et al. n.d.). There is no gatekeeping system in Mexico (OECD, n.d.). There is no single model of primary care, though they follow certain principles within their primary health care, which include equity, solidarity, universality, participation, decentralization and intra- and intersectional coordination, as well as understanding primary care as an integral approach (Ramírez-Aranda, 2014 & Varela-Rueda, et al. n.d.)
References
1. Arya, N., Gibson, C., Ponka, D., Haq, C., Hansel, S., Dahlman, B., and Rouleau, K. 2017. “Family Medicine around the World: Overview by Region: The Besrour Papers: A Series on the State of Family Medicine in the World.” Canadian Family Physician Medecin de Famille Canadien 63 (6): 436–41.
2. “Current Health Expenditure (% of GDP) | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.
3. Ramírez-Aranda, J.M. 2014. “(PDF) Delivery of Primary Health Care in Mexico.” Accessed January 11, 2019. https://www.researchgate.net/publication/297934186_Delivery_of_Primary_Health_Care_in_Mexico.
4. “OECD.Org - OECD.” n.d. Accessed January 11, 2019. https://www.oecd.org/.
5. “Population, Total | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SP.POP.TOTL.
6. “TRADING ECONOMICS | 20 Million INDICATORS FROM 196 COUNTRIES.” n.d. Accessed December 16, 2018. https://tradingeconomics.com/.
7. Varela-Rueda, C.E., Reyes-Morales, H., Albavera-Hernández, C., Díaz-López, H.O., Gómez-Dantés, H., and García-Peña, C. n.d. “La Medicina Familiar En México: Presente y Futuro GACETA MÉDICA DE MÉXICO SIMPOSIUM.” Accessed January 11, 2019. www.anmm.org.mx.