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Improving ISSSTE's Public Procurement for Better Results

image of Improving ISSSTE's Public Procurement for Better Results

OECD countries are increasingly attempting to achieve savings through their public procurement systems, in particular in healthcare. In 2012, the State’s Employees’ Social Security and Social Services Institute in Mexico (ISSSTE) asked the OECD to review the effectiveness and integrity of its procurement system and to address bid-rigging. Many of the OECD’s recommendations led to enduring reforms at ISSSTE. In 2015 the OECD conducted a new review focusing on planning and coordination of procurement activities, market research and improvement of medical services. This report presents the findings of the review and notes the ISSSTE’s recent achievements. It also makes recommendations to support the alignment of the ISSSTE’s procurement practices with the 2015 OECD Recommendation of the Council on Public Procurement and includes action plans for priority activities.

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Executive summary

Public health accounts for around 9% of GDP in OECD countries and is a spending area facing increasing challenges from ageing populations and difficult socio-economic environments. At the same time, reforming public procurement is often an important part of government efforts to improve transparency, integrity and effectiveness in the use of public funds. In public health in particular, improved procurement practices can both contribute to the control of healthcare spending and also help improve provision of highquality healthcare.

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