{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T11:50:32Z","timestamp":1751370632856},"reference-count":13,"publisher":"American Public Health Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1994,10]]},"abstract":"<jats:p> OBJECTIVES. The purposes of the study were to assess the potential impact of the North American Free Trade Agreement (NAFTA) on medical care in Mexico and to identify internal measures Mexico could take to increase the benefits and minimize the risks of free trade. METHODS. The dual nature of the health sector is examined; the Mexican, Canadian, and US health care systems are compared; and modes and consequences of international exchange of health services are analyzed. RESULTS. Four issues require immediate attention: accreditation of health care facilities, licensing and certification of professionals, technology assessment, and financial equity. CONCLUSIONS. NAFTA offers opportunities for positive developments in Mexico, provided risks can be anticipated and preventive measures can be taken to avoid negative impacts on the health system. Medical services, like other elements of the Mexican economy, must be modernized to respond to the demands of global competition. The Mexican National Academy of Medicine has recommended to the Mexican government (1) internal strengthening of the Mexican health care system to improve its ability to respond to the new conditions created by NAFTA and (2) a gradual process to facilitate equitable and mutually beneficial interactions among the three countries. <\/jats:p>","DOI":"10.2105\/ajph.84.10.1591","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:18:52Z","timestamp":1227964732000},"page":"1591-1597","source":"Crossref","is-referenced-by-count":11,"title":["Consequences of the North American Free Trade Agreement for health services: a perspective from Mexico."],"prefix":"10.2105","volume":"84","author":[{"given":"J","family":"Frenk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O","family":"G\u00f3mez-Dant\u00e9s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Chac\u00f3n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Freeman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"El Tratado de Libre Comercioy los Servicios M&dicos: Elmentos para el Andlisis y la Negociaci 6n. 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Cambridge, Mass: Ballinger Publishing Co; 1987."},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.76.6.673"},{"key":"p_9","first-page":"113","author":"Schlefer J","year":"1992","journal-title":"Atlantic Monthly."},{"key":"p_10","unstructured":"Minet P. Full Text of the Rome Treaty and an ABC of the Common Market. London, England: Christopher Johnson Publishers; 1962."},{"key":"p_11","doi-asserted-by":"crossref","unstructured":"McGuiness M. Hacia una politica social en America del Norte: ensayo sobre la importancia de la carta social y el fondo estructural europeos para el TLCAN. In: Vega-Canovas G, ed. Medco, Estados Unidos y Canada 1991-1992. Mexico City, Mexico: El Colegio de Mexico; 1994.","DOI":"10.2307\/j.ctv3dnr6f.8"},{"key":"p_12","unstructured":"Tratado deLibre ComercioparaAmbica del Norte. Mexico City, Mexico: Secretaria de Comercio y Fomento Industrial; 1992."},{"key":"p_13","unstructured":"Warner DC. Mexzcan Proision of Health and Human Services to American Cities: Barmers and Oppounities. Washington, DC: Commission for the Study of International Migration and Cooperative Economic Development; 1990."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.84.10.1591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T19:08:06Z","timestamp":1652123286000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.84.10.1591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,10]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[1994,10]]}},"alternative-id":["10.2105\/AJPH.84.10.1591"],"URL":"https:\/\/doi.org\/10.2105\/ajph.84.10.1591","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,10]]}}}