U21 n zmedicinevaldez

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Les comparto lo que presente en la reunion dell Health Science Group de Universsitas 21 en Auckland New Zealand. U21 HEALTH SCIENCES GROUP MEETING
MAJOR TRENDS AND KEY ISSUED IN MEDICAL EDUCATION AND MEDICAL SYSTEM IN MEXICO

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U21 n zmedicinevaldez

  1. 1. U21 HEALTH SCIENCES GROUP MEETING MAJOR TRENDS AND KEY ISSUED IN MEDICALEDUCATION AND MEDICAL SYSTEM IN MEXICO Prof. Jorge E. Valdez Dean
  2. 2. Summary• Objectives• Introduction• The Health System in Mexico.• The Health and Medical Education Structure.• Medical Education Organizations• Conclusions
  3. 3. Objetives• Provide a short review of Mexicos 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
  4. 4. Introduction Population: 103 million More than 19,000 communities with less than 500 people Scattered throughout the country and add up to over 5 million peopleMEXICOFederated Republic32 States
  5. 5. Life Expectancy
  6. 6. Demographic Changes Población a mitad de año por grupos de edad, 2006. 70 años o más 60-64 años 50-54 años 40-44 años Edad 30-34 años Población a mitad de año por grupos de edad, 2025. 20-24 años 70 años o más 10-14 años 60-64 años 0-4 años 50-54 años -6,000,000 6,000,000 -4,000,000 4,000,000 -2,000,000 2,000,000 0 2,000,000 2,000,000 4,000,000 4,000,000 6,000,000 6,000,000 No. de Habitantes 40-44 añosFuente: CONAPO: Proyecciones de la población de México, 1996-2050 Hombres Mujeres Edad 30-34 años 20-24 años 10-14 años 0-4 años -6,000,000 6,000,000 -4,000,000 4,000,000 -2,000,000 2,000,000 0 0 2,000,000 2,000,000 4,000,000 4,000,000 6,000,000 6,000,000 No. de Habitantes Fuente: CONAPO: Proyecciones de la población de México, 1996-2050 Hombres Mujeres
  7. 7. 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
  8. 8. Life expectancy vs. Health expenditure
  9. 9. Changes in the cause of death in Mexico: 1955-2005 100 90 80 70Percentt 60 50 40 30 20 10 0 1955 1960 1970 1980 1990 2000 2006 2030 Infectious diseases, nutrition and reproductive problems. Non infectious diseases Lesions
  10. 10. 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.
  11. 11. Challenges for the Health System Level of health Inequality in health Responsiveness Fairness of Finance
  12. 12. Means and Ends of Health System Functions Stewardship Objectives Protection 1. Improving Health Status 2. Reduce health disparities. 3. Provide health care with high Promotion standards of quality and safety. Production of Resources 4. Avoid impoverishment through Health Care protecting population against health care cost. Prevention 5. Guarantee that the health contributes: a) in the fight Funding against poverty and b) countrys development. Medical care
  13. 13. Coordinated Health System Universal CoverageFunctionalIntegration
  14. 14. The Health Ministry regulates andcoordinates the Nations Healthcare System
  15. 15. 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.
  16. 16. Health Science Education System Framework StructureInter-institutional Commission for the Formation of Healthcare Human Resources Committee for Postgraduate and Continuous Medical Education
  17. 17. Practicing Physicians
  18. 18. Medical Schools 25 24 Públicas 20 Privadas 50 public medical schools 31 private medical schools 15 12 108 8 8 5 4 3 2 2 2 2 2 0 0 1 1 0 1830-1899 1900-1949 1950-1959 1960-1969 1970-1979 1980-1989 1990-1999 2000-2004
  19. 19. Medical Students per State
  20. 20. “National Exam For Medical Residencies • 33 years of experience with it. • Only 6000 are selected25000200001500010000 5000 0 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Inscritos Seleccionados
  21. 21. Graduated Physicians vs. MedicalResidencies spots in the last 20 years
  22. 22. 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 .
  23. 23. Three generations of reforms
  24. 24. Academic Health Centers In Mexico we have different types of academic health centers1. Federal government owned 4. Public University Owned affiliated to public or private Hospitals with affiliated university. medical school.2. State government owned 5. Private University Owned affiliated state public or Hospitals with affiliated private university. private medical school.3. Private owned affiliated to public or private university
  25. 25. Medical Education Organizations•Collegiate Model of Medical Schools •Non profit, autonomous, public-private(89/104). institution.•Non regulatory. •Non Medical Schools organization• Facilitates accreditation through • Integrated by : Academy ofeducation, knowledge transfer. Medicine, Academy of•Provides opportunity for networking Surgery, AMFEM, Health Ministry.•Supports accreditation of its members •Main porpoise is accreditation of•Affiliation is required in order to obtain Medical Education Quality.accreditation. •58/89 accredited schools
  26. 26. Mexican Physician Competencies Model
  27. 27. Medical Public Private Summary Schools Accredited 39 19 58 In process 1 2 3 Non 7 5 12 accredited New 3 2 5 accredited•7 Categories First Visit 0 1 1•60 Standards•179 indicators New No 2 0 2 accredited•13 Tables No 4 4 8 information Total 56 33 89 Accreditation is valid for 5 years
  28. 28. 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.
  29. 29. Gracias Thank youJorge.valdez@itesm.mx

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