Financial allocations in the System for Social Protection in Health in Mexico: challenges for strategic purchasing

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 GDR 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.