COVID-19 Policy Response: Perspectives of Key Stakeholders in Mexico's Health System and Implications for Resilience

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dc.contributor.affiliationDirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
dc.contributor.emailgalileo.perezhernandez@gmail.com
dc.creatorDíaz-Castro, Lina
dc.creatorDíaz de León-Castañeda, Christian
dc.creatorPérez-Hernández, Galileo
dc.creatorSuárez-Herrera, José Carlos
dc.date2025
dc.date.accessioned2026-06-01T17:45:49Z
dc.date.issued2025
dc.date.published2025
dc.descriptionPurpose: This study aims to analyze the perspectives of key stakeholders within Mexico's health system regarding the policy response to COVID-19 in 2020 to inform future policy formulation. Methods: This qualitative study is based on a secondary data analysis (SDA) derived from a broader primary research on governance in Mexico during the COVID-19 pandemic. The analysis adopted a grounded theory approach to examine 15 semi-structured interviews with prominent figures in the health system between June and November 2020. The interviews were audio-recorded and analyzed through the lens of the Health Policy Triangle which includes context, key actors, and the Mexican health policy process. Moreover, the analysis was enriched by incorporating the framework outlined in the World Health Organization's COVID-19 Strategic Preparedness and Response Plan (SPRP). Results: The findings indicate that key stakeholders perceived a centralized approach to policymaking with a strong emphasis on cross-sector communication, expert panels, equity-focused measures, accessibility to healthcare services (promoting portability), and improvements in the health information system. Conclusion: Key stakeholders recognized the response to COVID-19 was complex, involving multiple dimensions and levels of action. The importance of preparedness and response in building health system resilience is emphasized. Recommendations include explicitly integrating resilience into national and local policy agendas, addressing systemic structural deficiencies, promoting equity in the pandemic response, improving risk governance, strengthening coordination mechanisms, ensuring supply chain resilience, improving personnel training, and enhancing local diagnostic capacity to better prepare for future public health emergencies.
dc.formatPDF
dc.identifierJC26DIEP24
dc.identifier.doi10.1016/j.arcmed.2024.103097
dc.identifier.eissn1873-5487
dc.identifier.issn0188-4409
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeEstados Unidos
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/41
dc.identifier.urihttps://doi.org/10.1016/j.arcmed.2024.103097
dc.language.isoeng
dc.publisherElsevier
dc.relation56(2):103097
dc.relation.jnabreviadoARCH MED RES
dc.relation.journalArchives of Medical Research
dc.rightsAcceso Cerrado
dc.subject.kwHealth policy triangle
dc.subject.kwHealth policy
dc.subject.kwHealth system
dc.subject.kwCOVID-19
dc.titleCOVID-19 Policy Response: Perspectives of Key Stakeholders in Mexico's Health System and Implications for Resilience
dc.typeArtículo

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