OBJECTIVE: : The financial coordination of the System of Social Protection in Health (SPSS) was analyzed to assess its support to strategic purchasing. MATERIALS AND METHODS: : Official reports and surveys were analyzed. RESULTS: : SPSS covers a capita of 2 765 Mexican pesos, equivalent to 0.9% of GDP. The Ministry of Health contributed 35% of the total, state governments 16.7% and beneficiaries 0.06%. The National Commission for Social Protection in Health received 48.3% of resources, allocating 38% to State Social Protection Schemes in Health and paying 7.4% of the total directly to providers.The state contribution is in deficit while family contributions tend not to be charged. CONCLUSION: : SPSS has not built funds specialized in strategic purchasing, capable of transforming historical budgets.The autonomy of providers is key to reduce out-of-pocket spending through the supply of quality services.
OBJECTIVE: : The financial coordination of the System of Social Protection in Health (SPSS) was analyzed to assess its support to strategic purchasing. MATERIALS AND METHODS: : Official reports and surveys were analyzed. RESULTS: : SPSS covers a capita of 2 765 Mexican pesos, equivalent to 0.9% of GDP. The Ministry of Health contributed 35% of the total, state governments 16.7% and beneficiaries 0.06%. The National Commission for Social Protection in Health received 48.3% of resources, allocating 38% to State Social Protection Schemes in Health and paying 7.4% of the total directly to providers.The state contribution is in deficit while family contributions tend not to be charged. CONCLUSION: : SPSS has not built funds specialized in strategic purchasing, capable of transforming historical budgets.The autonomy of providers is key to reduce out-of-pocket spending through the supply of quality services.