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Abstract：
BACKGROUND: Heterogeneous government responses have been reported in reaction to COVID-19. The aim of this study is to generate an exploratory review of healthcare policies published during COVID-19 by health-care institutions in Mexico. Analyzing policies within different health sub-systems becomes imperative in the Mexican case due to the longstanding fragmentation of the health-care system and health inequalities.
METHODS: Policies purposely included in the analysis were published by four public health institutions (IMSS, ISSSTE, SSA and PEMEX) during the COVID-19 epidemic in Mexico (from February 29th to June 15th, 2020) on official institutional websites. Researchers reviewed each document and classified them into seven policy categories set by the Rapid Research Evaluation and Appraisal Lab (RREAL): public health response, health-care delivery, human resources, health-system infrastructure and supplies, clinical response, health-care management, and epidemiological surveillance.
RESULTS: Policy types varied by health institution. The largest number of policies were aimed at public health responses followed by health-care delivery and human resources. Policies were mainly published during the community transmission phase.
CONCLUSIONS: The pandemic exposed underlying health-care system inequalities and a reactive rather than prepared response to the outbreak. Additionally, this study outlines potential policy gaps and delays in the response that could be avoided in the future.
METHODS: Policies purposely included in the analysis were published by four public health institutions (IMSS, ISSSTE, SSA and PEMEX) during the COVID-19 epidemic in Mexico (from February 29th to June 15th, 2020) on official institutional websites. Researchers reviewed each document and classified them into seven policy categories set by the Rapid Research Evaluation and Appraisal Lab (RREAL): public health response, health-care delivery, human resources, health-system infrastructure and supplies, clinical response, health-care management, and epidemiological surveillance.
RESULTS: Policy types varied by health institution. The largest number of policies were aimed at public health responses followed by health-care delivery and human resources. Policies were mainly published during the community transmission phase.
CONCLUSIONS: The pandemic exposed underlying health-care system inequalities and a reactive rather than prepared response to the outbreak. Additionally, this study outlines potential policy gaps and delays in the response that could be avoided in the future.
摘要：
背景：据报道，政府对COVID-19的反应各不相同。这项研究的目的是对墨西哥医疗机构在COVID-19期间发布的医疗政策进行探索性审查。在墨西哥，由于医疗保健系统的长期分散和健康不平等，必须分析不同卫生子系统内的政策。
方法：分析中故意包含的政策由四家公共卫生机构发布(IMSS，ISSSTE,SSA和PEMEX）在墨西哥COVID-19流行期间（2月29日至6月15日，2020）在官方机构网站上。研究人员审查了每份文件，并将其分为由快速研究评估和评估实验室（RREAL）设定的七个政策类别：公共卫生响应，卫生保健服务，人力资源,卫生系统基础设施和用品，临床反应，卫生保健管理,和流行病学监测。
结果：政策类型因医疗机构而异。最多的政策是针对公共卫生对策，其次是提供保健和人力资源。政策主要在社区传播阶段发布。
结论：大流行暴露了潜在的医疗保健系统不平等以及对疫情的反应性而非准备性反应。此外,这项研究概述了未来可以避免的潜在政策差距和反应延迟.
方法：分析中故意包含的政策由四家公共卫生机构发布(IMSS，ISSSTE,SSA和PEMEX）在墨西哥COVID-19流行期间（2月29日至6月15日，2020）在官方机构网站上。研究人员审查了每份文件，并将其分为由快速研究评估和评估实验室（RREAL）设定的七个政策类别：公共卫生响应，卫生保健服务，人力资源,卫生系统基础设施和用品，临床反应，卫生保健管理,和流行病学监测。
结果：政策类型因医疗机构而异。最多的政策是针对公共卫生对策，其次是提供保健和人力资源。政策主要在社区传播阶段发布。
结论：大流行暴露了潜在的医疗保健系统不平等以及对疫情的反应性而非准备性反应。此外,这项研究概述了未来可以避免的潜在政策差距和反应延迟.
