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Second Public Procurement Review of the Mexican Institute of Social Security (IMSS)

Reshaping Strategies for Better Healthcare

image of Second Public Procurement Review of the Mexican Institute of Social Security (IMSS)

This review highlights achievements of the Mexican Institute of Social Security (Instituto Mexicano del Seguro Social, IMSS) in a number of areas – human resources, technological capacities and relations with suppliers – which were previously identified by the OECD as pivotal for the successful reform of IMSS procurement operations. This report highlights the progress made and offers recommendations to support IMSS in achieving procurement excellence and fulfilling its mandate to provide the best possible, most cost-effective healthcare services to citizens.

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Executive summary

In ageing societies, the quality and efficiency of healthcare services are increasingly attracting governments’ attention and citizens’ interest. While the amount of healthcare spending per capita is a baseline indicator, it is not the only determinant of how well a health system functions. Governments must also be careful to spend effectively. The Mexican Institute of Social Security (Instituto Mexicano de Seguro Social, IMSS) provides healthcare services to over 75 million inhabitants and is a key institution in Mexico’s fragmented health system. Public procurement – which represents almost onethird of government expenditure in OECD countries – provides sizeable opportunities for maximising the efficiency of healthcare spending. In Mexico, one of the lowest per-capita spenders in healthcare in the OECD, efficiency is even more vital.

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