Abstract

GONZALEZ GONZALEZ, Norma. Reforma en salud: entre el modelo biomédico y el carácter social de la salud. Atención a pacientes diabéticos no insulino dependientes. Convergencia [online]. 2008, vol.15, n.46, pp.143-168. ISSN 2448-5799.

Changes in the organization of the health systems recently observed in the world have had a particular impact on the way attention is offered to patients who use the first-level services, provided by institutions in charge of the open population, such as it is the case of Institute of Health of the State of Mexico. Hence, the present work intends to carry out a first description and analysis of the transformation of the health services, before a biomedical attention model facing serious difficulties to respond to the population's needs; in the case we are focused on, the attention to non-insulin-dependent diabetic patients. All of this in the framework of the rhetoric of change that tried to justify a reform in the health services, altogether with the expectations generated by the decentralization process of a key sector for any society's development.

Keywords : Public Health; Primary Heath Care; diabetes mellitus type 2; Heath Care Reform; Qualitative Research; Heath Services.