title: CASALUD: an innovative health-care system to control and prevent non-communicable diseases in Mexico.
abstract: Mexico and other Latin American countries are currently facing a dramatic increase in the number of adults suffering from non-communicable diseases (NCDs) such as diabetes, cardiovascular disease (CVD) and chronic kidney disease (CKD), which require prolonged, continuous care. This epidemiological shift has created new challenges for health-care systems. Both the World Health Organization (WHO) and the United Nations (UN) have recognised the growing human and economic costs of NCDs and outlined an action plan, recognising that NCDs are preventable, often with common preventable risk factors linked to risky health behaviours. In line with international best practices, Mexico has applied a number of approaches to tackle these diseases. However, challenges remain for the Mexican health-care system, and in planning a strategy for combating and preventing NCDs, it must consider how best to integrate these strategies with existing health-care infrastructure. Shifting the paradigm of care in Mexico from a curative, passive approach to a preventive, proactive model will require an innovative and replicable system that guarantees availability of medicines and services, strengthens human capital through ongoing professional education, expands early and continuous access to care through proactive prevention strategies and incorporates technological innovations in order to do so. Here, we describe CASALUD: an innovative model in health-care that leverages international best practices and uses innovative technology to deliver NCD care, control and prevention. In addition, we describe the lessons learned from the initial implementation of the model for its effective use in Mexico, as well as the plans for wider implementation throughout the country, in partnership with the Mexican Ministry of Health.
authors.affiliation: Carlos Slim Health Institute, Mexico City, Mexico.
authors.forename: Roberto
authors.initials: R
authors.lastname: Tapia-Conyer
authors.affiliation: Carlos Slim Health Institute, Mexico City, Mexico hgallardo@salud.carlosslim.org.
authors.forename: Héctor
authors.initials: H
authors.lastname: Gallardo-Rincón
authors.affiliation: Carlos Slim Health Institute, Mexico City, Mexico.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Saucedo-Martinez
mesh_terms: D002908:Chronic Disease / Q000453:epidemiology / Q000517:prevention & control*; D003695:Delivery of Health Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D006291:Health Policy; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D011322:Primary Prevention; D011634:Public Health
keywords: Latin America; Mexico; NCDs; innovation; non-communicable diseases; policy; prevention; primary health care; public health; technology