title: [A qualitative approach to drug supply in Mexico: evaluation in the services for population with no medical insurance].
abstract: OBJECTIVE
  To identify the main problems that the drug supply chain (DSCh) faces in the state health systems (SHS); establishing how they relate to the degree of outsourcing.
  
  
  METHODS
  Officials of the SHS hospitals and health centers were interviewed in a sample of 12 entities during the first half of 2008. Transcripts of the interviews were processed through the qualitative analysis program Atlas.ti 5.0; the analysis was aimed at reconstructing the phases of DSCh for identifying problems narrated by informants using the phenomenological approach to discourse analysis.
  
  
  RESULTS
  There is a marked tendency to replace the conventional model by one that is characterized by greater involvement of private providers; all the models show specific problems that might be derived from the degree of outsourcing.
  
  
  CONCLUSIONS
  The supply of drugs in the studied SHS differ from the pattern implemented according to the modality adopted; outsourcing is not exempt of problems and does not seem to fully resolve the difficulties encountered in conventional ways.
authors.affiliation: Universidad Autónoma Metropolitana, Unidad Xochimilco, México. jcosme@correo.xoc.uam.mx
authors.forename: José Arturo
authors.initials: JA
authors.lastname: Granados-Cosme
authors.forename: Carolina
authors.initials: C
authors.lastname: Tetelboin-Henrion
authors.forename: María de Los Ángeles
authors.initials: Mde L
authors.lastname: Garduño-Andrade
authors.forename: José Alberto
authors.initials: JA
authors.lastname: Rivera-Márquez
authors.forename: Rosa Haydeé
authors.initials: RH
authors.lastname: Martínez-Ojeda
mesh_terms: D005069:Evaluation Studies as Topic; D006801:Humans; D017057:Medically Uninsured; D008800:Mexico; D009313:National Health Programs; D010593:Pharmaceutical Services / Q000592:standards*; D055553:Prescription Drugs / Q000600:supply & distribution*
chemical_list: D055553:Prescription Drugs