Article ID: CBB000651270

Buscando desesperadamente la descentralización: las políticas de salud mexicanas en dos épocas de reforma (los años 20 y 30 y la década de los 80) (2005)

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This article compares public health policy reforms in Mexico during the 1920s and 1930s with subsequent reforms initiated in the 1980s. The attempts at decentralization in the 1920s-30s were supported by the Rockefeller Foundation, which was interested in the formation of local cooperative health units. In the 1980s, the aim of the Mexican government and international financial agencies, such as the Inter-American Development Bank, was to reduce public spending (as part of structural adjustment policies). One of the hypotheses of this article is that, in the end, the public health reforms were unable to overcome the limitations imposed by Mexico's political centralization and longstanding inequities in public spending. At the same time, one of the unforeseen achievements of these reforms was an increase in local capabilities to demand a better distribution of social services.

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https://data.isiscb.org/isis/citation/CBB000651270/

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Authors & Contributors
Suárez-Díaz, Edna
Armus, Diego C.
Agostoni, Claudia
Rocio Gomez
Rizzoni, Giulio
Teixeira, Luiz Antonio da Silva
Journals
História, Ciências, Saúde---Manguinhos
Endeavour: Review of the Progress of Science
Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences
Perspectives on Science
Medicina nei Secoli - Arte e Scienza
Journal of the History of the Behavioral Sciences
Publishers
Mora
University of Rochester Press
University of Nebraska Press
Lugar Editorial
Editora Fiocruz
Duke University Press
Concepts
Public health
Medicine and politics
Disease and diseases
Blood
Medicine and race
Medicine
People
Nuñez Butrón, Manuel
Finlay, Carlos Juan
Time Periods
20th century
19th century
20th century, early
21st century
18th century
Places
Mexico
Argentina
Latin America
United States
Brazil
Zacatecas (State)
Institutions
Royal Indian Hospital of Mexico City
Rockefeller Institute for Medical Research
Rockefeller Foundation
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