Mexico, first place in death by heart attack in hospitals


People are arriving on time, but we are doing something wrong, acknowledges Pablo Kuri, undersecretary of Health. In Foro Salud MX, they recognize advances, such as an increase in life expectancy and vaccination campaigns

Within the framework of the “Foro MX Health Forum”, specialists from the sector recognized that in Mexico there have been many advances in terms of the increase in life expectancy, vaccination campaigns that have allowed to eradicate infant deaths due to gastrointestinal diseases, although the challenge is to face to deaths caused by noncommunicable diseases, such as diabetes, obesity, overweight and hypertension, which cause cardiovascular diseases. In terms of hospital infrastructure, the lack was highlighted not only of available hospital beds, but of highly specialized medical equipment, aspects that should be addressed, in the medium term, as the demographic bonus that our country enjoys today, in the next years, it will become a problem of care for the elderly.

The Undersecretary of Prevention and Health Promotion of the Ministry of Health (SSa), Pablo Kuri Morales, during his participation in the Forum, stressed that Mexico occupies the shameful first place in number of deaths from acute myocardial infarction inhospital, ” that is, that people are arriving on time in hospitals, but something is wrong, that people are dying in hospitals, “so the quality of care must improve. Mexico is a country of great institutions, he argued, where large institutions with interaction capacity have been established, which have shown that it can be improved, although we must also recognize that it can be improved and we still have great pending issues, such as current problem of overweight, obesity, as well as diabetes. In this regard, he said that worldwide obesity and overweight problem is present in almost all countries in the world, except in Africa, and if it has not been possible to find a solution to this serious problem, it is basically because, has managed to create awareness in people of the importance of adopting changes in their life and food in a responsible manner. Proof of this is that in Mexico from 2000 to 2016, one million 200 thousand people died due to complications related to diabetes. HOSPITAL AND HUMAN DIFFICULTY. The president of the Board of Directors of the Mexican Foundation for Health (FunSalud), Pablo Escandón, stressed that there is a deficit in the health sector at a general level, and if this trend prevails, by 2030 there will be a lack of 300 thousand hospital beds available, because currently, in Mexico the average is 1.5 beds per thousand inhabitants, while in OECD countries the figure is five beds. Also, the deficit of doctors and nurses by 2030 will be about 400 thousand doctors and 700 thousand nurses, not to mention the medical specialists, since there are now many pediatricians and gynecologists, but eventually many more geriatricians and obstetricians will be needed, he said. . In turn, Dr. David Kershenovich, general director of the National Institute of Medical Sciences and Nutrition Salvador Zubirán, warned in urgency that the Ministry of Health participate in the accreditation of medical schools, since of the total of 161 schools or programs of medicine in the country, there are more that are not accredited 78, against 66 that are. In his opportunity, the former Secretary of Health, Julio Frenk Mora, pronounced “to take a real step towards a true universal health system, for which a new generation of reforms is needed, which effectively guarantees all people not only coverage , but an equal treatment “. The purpose, he said, is to have a system that not only covers everyone, but under the same rules with the same benefits, hence, he reiterated that the “last effort to care for everyone with the same rights” be made, and that is neither partial nor segregated. For this, he said, it is necessary to establish not a single system, but a uniform one, that is, since nowadays, after all the changes that occurred in health in the last four presidencies, and have three public systems of attention: IMSS, ISSSTE, Seguro Popular, in addition to private services. Ahead this, he said, is to take the decision of a system of public monopoly, as it applies in Cuba, in everything is for everyone, with a program of medical services and free medicines for the population, whose cost would be a decrease in administrative costs if it is done well, but the disadvantage is that it impedes the ability to choose between one service and another by patients, while the lack of competition discourages the quality and efficiency of services. The other option, he said, is that of a system of structured pluralism, in which the federal and state secretaries would establish a precisely structured system with the provision of public and private services all with the same rules of service. The advantage is that this system has demonstrated its functionality, since it is the one that operates in the member countries of the OECD. To print


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