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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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Foreword and acknowledgements

OECD countries are increasingly attempting to control healthcare spending and reduce fiscal strains caused by an ageing population, the rise of certain chronic diseases and public savings targets which, as a result of the global financial crisis, often imply significant spending cuts. Since 2009, total health spending per capita has fallen in 11 out of the 34 OECD countries. Mexico devotes around 6% of its gross domestic product to health, which makes it one of the OECD’s lowest per capita spenders on health.

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