title: [Decentralization of the health sector in Mexico. Scope and limitations of local health systems].
abstract: This paper is a product of the reflection on the decentralization and sectorization experiences in Mexico since 1917 with particular emphasis on the 1980s. The historical analysis included the creation of an analytical model designed to identify the relationship between the distinct sanitary policies implemented in Mexico and the tendencies towards decentralization and integration. This analysis is combined with a critical review of the recent decentralization experiences undertaken in the states of Guerrero, Oaxaca and Nuevo León. While comparing Guerrero and Oaxaca, restitution and deconcentration under similar socio-economic conditions were discussed. The comparison between Guerrero and Nuevo Leon allowed the discussion of the benefits and limits of restitution under different socio-economic conditions. In addition, with this model the author discusses a few generalizations regarding the possible future of decentralization.
authors.affiliation: El Colegio de la Frontera Norte, Tijuana, B.C., México.
authors.forename: M A
authors.initials: MA
authors.lastname: González-Block
mesh_terms: D002391:Catchment Area, Health; D003695:Delivery of Health Care / Q000458:organization & administration*; D008800:Mexico
vernacular_title: La descentralización del sector salud en México. Alcances y limitaciones de los sistemas locales de salud.