IMSS-BENESTAR PRE “
Ángeles Cruz Martínez
La Jornada newspaper
Tuesday, September 2, 2025, p. 17
The provision of health services for people without social security faces severe challenges that pass through the lack of technological infrastructure, inequalities in the quality of care between states and the need to guarantee the financial sustainability of IMSS-Bienestar.
Hence, the agency expects in the institutional program 2025-2030 that in the following 20 years it will be consolidated as the main medical care provider and will be the leader of a “unified health system”.
IMSS-Bienestar points out that in the federalization of services that-process for which federal entities give to the administrative and operational responsibility of health and hospitals-there have been an “insufficient collaboration” of state and federal actors.
To this are added complex administrative and financial processes, as well as challenges in the field of rectory on health units, which has delayed operational unification and the possibility of having a universal health system, says the document published a few days ago in the Official Gazette of the Federation.
It emphasizes that in addition to guaranteeing the quality of patient care, it is indispensable, among others, to have a better productivity record in medical units and have an efficient computer platform.
It is, the institutional program underlines, that IMSS-Bienestar becomes a “reference in public care and fosters a deep sense of belonging and confidence in the services” of the branch.
On economic resources, he warns that from the beginning they have been a problem because they come from different sources, which complicated their centralization in IMSS-biting.
It emphasizes that this matter has taken time, but it had to be resolved to ensure the sustainability of the system.
The foregoing, together with the participation in consolidated purchases and the centralization of workers’ payrolls “will allow standardizing financial flows, combining resources of federal and state origin.”
In this way, he points out, there will be a better assignment of money to reduce the historical health deficiencies of populations that have been out of social security.
Another challenge is digitalization, since there are “barriers for its uniform implementation” at the three levels of attention. There are technical and infrastructure challenges, which are particularly complex in remote areas.
The program warns that these and other issues must be solved to achieve universal access to medicines and laboratory studies, which until 2023 was a lack for 15 percent of the population that could not supply their recipes and 28 percent that did not complete the studies requested by doctors, according to the National Survey of Health and Nutrition.
IMSS-Bienestar proposes the application of three interdependent models: doctor, management and financial to reverse deficiencies and improve the health conditions of people with emphasis on disease prevention and the active participation of the community.
