ReviewJournal of public health policy2024
Segmentation and fragmentation of health systems and the quest for universal health coverage: conceptual clarifications from the Mexican case.
Review in Journal of public health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Data-driven subclassification of type 2 diabetes in Mexico: a conceptual framework to improve diabetes care.Lancet regional health. Americas · 2026Review
- Article
- Heterogeneous income gradients in early motherhood in Mexico: a population-based multi-method study, 2000-2020.International journal for equity in health · 2026Article
- Catastrophic and impoverishing health expenditures in fragmented public health systems: lessons from Mexico, 2000-2022.Health economics review · 2026Article
- Health financing inequality in fragmented health systems: evidence from Mexico, 2000-2023.International journal for equity in health · 2026Article
- Fragmented healthcare and effective maternal coverage in Mexico, 2009-2023.BMC medicine · 2026Article
- Fragmentation in health system financing: a major challenge for improving effectiveness, efficiency, equity and choice within health systems.BMJ public health · 2026Review
- Unmasking Type 2 Diabetes in an Aging Mexico: Trends and Disparities by Sex and State-Level From the GBD 2021 Study.Journal of diabetes research · 2026Article
- Health insurance coverage in Mexico: progress, inequalities and remaining challenges towards UHC2030.Health research policy and systems · 2025Article
- Impact of wellbeing and healthcare resources on deceased liver donation in Mexico.Scientific reports · 2025Article
- Inequities in the continuum of maternal care in Mexico: trends before and after COVID-19.International journal for equity in health · 2025Article
- Labour precariousness in the Mexican health workforce: taking to the surface a neglected problematic issue.Human resources for health · 2025Article
- Gendered experience of people living with type 2 diabetes in rural and urban Mexico: an ethnographic study.International journal for equity in health · 2025Article
- Health system financing fragmentation and maternal mortality transition in Mexico, 2000-2022.International journal for equity in health · 2025Article
- Ethnic and racial discrimination in maternal health care in Mexico: a neglected challenge in the search for universal health coverage.International journal for equity in health · 2025Article
- Barriers and Facilitators to International Universal Health Coverage Reforms: A Realist Review.International journal of health policy and management · 2025Review
- Revealing the burden of chronic kidney disease in Mexican women, 1990-2021.BMC nephrology · 2024Article
- The gender gap in outpatient care for non-communicable diseases in Mexico between 2006 and 2022.Global health research and policy · 2024Article
- Gender and non-communicable diseases in Mexico: a political mapping and stakeholder analysis.Health research policy and systems · 2024Article
- Ethical Frameworks and Global Health: A Narrative Review of the "Leave No One Behind" Principle.Inquiry : a journal of medical care organization, provision and financingReview
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health systems are complex entities. The Mexican health system includes the private and public sectors, and subsystems that target different populations based on corporatist criteria. Lack of unity and its consequences can be better understood using two concepts, segmentation and fragmentation. These reveal mechanisms and strategies that impede progress toward universality and equity in Mexico and other low- and middle-income countries. Segmentation refers to separation of the population by position in the labour market. Fragmentation refers to institutions, and to financial aspects, health care levels, states' systems of care, and organizational models. These elements explain inequitable allocation of resources and packages of health services offered by each institution to its population. Overcoming segmentation will require a shift from employment to citizenship as the basis for eligibility for public health care. Shortcomings of fragmentation can be avoided by establishing a common package of guaranteed benefits. Mexico illustrates how these two concepts characterize a common reality in low- and middle-income countries.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.