[The Medical-Economic Certificate: Costs and budget of health systems].

In health systems, it is necessary to assess the costs for the production of services and the magnitude of the budget to operate, its formulation has been with the Historical Public Budget in Health, which can be complemented with the Zero-Base Budget, with reference medical technical costs. from the Economic Medical Certificate of the Groups Related to the Diagnosis and the Groups Related to Outpatient Care of the IMSS. The preparation of the certificate is for each scenario of treatment by hospital or outpatient diagnosis in four successive phases with groups of IMSS professionals. Each certificate contains information and costs of the production of services specified in: production functions, patient transit services; and production factors such as installed capacity, including personnel of all kinds, depreciation, general services, medicines, medical consumables, laboratory and office studies, and specific studies and procedures; with their respective unit cost. The Reference Technical Medical Cost provided by the Economic Medical Certificate with the necessary scaling allows estimating the budget for services, care units, institutions and health systems with medical, epidemiological, technical and economic information.