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Education & Accreditation of Health Care Professionals in Mexico

Education & Accreditation of Health Care Professionals in Mexico. MC. Noemí Alcaraz Moreno LAE. Alma Patricia Salazar Díaz October 2004. Education & Accreditation of Health Care Professionals in Mexico.

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Education & Accreditation of Health Care Professionals in Mexico

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  1. Education & Accreditation of Health Care Professionals in Mexico MC. Noemí Alcaraz Moreno LAE. Alma Patricia Salazar Díaz October 2004

  2. Education & Accreditation of Health Care Professionals in Mexico • Health care delivery system in Mexico includes: • 1. Social Security System • 2. Public System • 3. Private health care

  3. Education & Accreditation of Health Care Professionals in Mexico • Social Security System consists of: • - Mexican Institute of Social Security (IMSS) • - Institute of Social Security for State Workers • (ISSTE) • - Medical Services of the Mexican Petroleum • Company (PEMEX) • - Secretary of National Defense (SEDENA) • - Secretary of the Navy

  4. Education & Accreditation of Health Care Professionals in Mexico • Public System (SSA) • - the Secretary of Health (SSA) provides basic services to the uninsured sector as well as providing some additional coverage through a newly introduced Seguro Popular

  5. Education & Accreditation of Health Care Professionals in Mexico • Health Care Coverage • - Social Security system provides coverage to 50% of the national population • - Another 40% are attended by the public institutions • - SSA 78.8% • - Private sector 10%

  6. Education & Accreditation of Health Care Professionals in Mexico • Secretary of Health (SSA) provides Public Health Services • Social Security institutions participate actively in prevention and disease control activities • Health care in the public system is structured by levels.

  7. Education & Accreditation of Health Care Professionals in Mexico • Sectoral Regulation and Coordination: General Health Council – organism directly accountable to the President, responsible for the coordination of health with other governmental sectors • National Health Council – federal body which coordinates health policies, and services is made up of the national Secretary of Health (SSA) and the 32 state secretaries (SESA)

  8. Education & Accreditation of Health Care Professionals in Mexico • Health Human Resources Increased numbers of professional and technical personnel working in public institutions • -140,629 physicians - 190,335 nurses Increased rates of doctors and nurses per population, despite slower increases of nurses in the past 5 yeatrs

  9. Education & Accreditation of Health Care Professionals in Mexico • Distribution of Physicians per 1,000 inhabitants • - 2.5 in communities of “low marginialization” - 0.7 in communities of “high margination” • - 0.13 in indigenous communities (eg. En Oaxaca)

  10. Education & Accreditation of Health Care Professionals in Mexico • Education of Health Personnel • 1,033 programs in health sciences • Specialization programs - 545 • Licenciatura (Undergraduate) - 297 • Medicine – 509 • Nursing – 300 • Dentistry - 167

  11. Education & Accreditation of Health Care Professionals in Mexico • Education of Health Personnel • Number of Medical Schools (1999) - 78 • Student enrollment (1999) - 79, 524 • Public programs – 77% • Private schools – 23% • Increased enrollment (1997-1999) – 13% • The final (6th) year of study is an obligatory year of social service for all students

  12. Education & Accreditation of Health Care Professionals in Mexico • Priority Concerns of Health and Education • - Quality Improvement of Service and Education • - Accreditation of Health Education Programs • - Certification of Health Personnel

  13. Education & Accreditation of Health Care Professionals in Mexico Recent Advances in Evaluation of Post Secondary Education - Establishment of National Commission for Evaluation of Post Secondary Education (CANAEVA) and the National Comission for the Planning of Post Secondary Education (CONPES) • - Diagnostic evaluation of professionals conducted by the National Center for the Evaluation of Post Secondary Education (CENEVAL)

  14. Education & Accreditation of Health Care Professionals in Mexico National System of Evaluation of Post Secondary Education • Key Responsibilities: Self-evaluation • Global evaluation • Interinstitutional evaluation • Committees for the Evaluation of Post Secondary Education (CIEES) for each professional area

  15. Education & Accreditation of Health Care Professionals in Mexico • Process applied to the profession of nursing • -1992 – trilateral negotiations based on the North American Free Trade Agreement (NAFTA) • -1993 – professional groups including nursing, medicine and dentistry participated in the discussions regarding regulating the professions in the three North American countries • Source: 2004. Perfiles profesionales de Enfermería en Mexico, Niveles Técnico y Licenciatura. Veracruz, Mx: FEMAFEE • 199 • Fuente:

  16. Education & Accreditation of Health Care Professionals in Mexico • -2000 – voluntary certification introduced for nursing -2000-2002 – technical and professional nursing profiles developed by Mexican Federation of Nursing (FEMAFEE) • -2000-2003 – 4731 nurses sat the national certifi- cation exam - 4017 obtain certification • Source: 2004. Acreditacion y Certificacion en Enfermería en Mexico: DF, MX: COMACE.

  17. Education & Accreditation of Health Care Professionals in Mexico • -2003- COMACE recognized by COPAES • -2003- 18 university and 8 technical nursing progrmas accredited by COMACE • Source: 2004. Perfiles profesionales de Enfermería en Mexico, Niveles Técnico y Licenciatura. Veracruz, Mx: FEMAFEE

  18. Education & Accreditation of Health Care Professionals in Mexico • Professional Nursing Education in Mexico • FEMAFEE identifies roles and functions for technical and professional levels of nursing • Programs seeking accreditation must consist of: • - 7 semesters of theory-practice • - 2 semesters of social service (in public sector) • Source: 2004. Perfiles profesionales de Enfermería en Mexico, Niveles Técnico y Licenciatura. Veracruz, Mx: FEMAFEE

  19. Education & Accreditation of Health Care Professionals in Mexico • Fundamental elements for development and evaluation of curricula in nursing: • Foundations • Theoretical framework • Pedagogical framework • Curricular objectives • Profile of Graduate • Study program • Program administration and • Curriculum Evaluation • Source: 2004. Perfiles profesionales de Enfermería en Mexico, Niveles Técnico y Licenciatura. Veracruz, Mx: FEMAFEE

  20. Education & Accreditation of Health Care Professionals in Mexico • Questions and Preguntas • Respuestas y Answers

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